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relaxing their body or taking slow deep breaths to help them regulate their anxiety,” says Lebowitz. For example, a child can lie on their back and pretend to blow up a balloon. Or using a fresh flower, a child can breathe in the scent through the nose for a count of four, hold the breath for the same amount of time and then breathe out slowly through the mouth.


Playing it out. “Parents can help a child role-play what they could do in a situation that they’re nervous about,” says Leigh Ellen Watts Magness, a clinical social worker and play therapist, in Athens, Georgia. “Tey can create a puppet show where the characters have a similar problem, create a poster about some strategies they might use to relax or have their figurines talk to other toys about how they feel. All of these things help kids process feelings of anxiety.”


Ronica A. O’Hara is a Denver-based health writer. Connect at OHaraRonica@gmail.com.


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Words Have Consequences S


ome words don’t help anxious kids, says University of


Minnesota psychology professor Abigail Gewirtz, author of When the World Feels Like a Scary Place: Essential Conversations for Anxious Parents and Worried Kids. “These kinds of statements dismiss, minimize or even punish children for their anxiety, and they teach children that anxiety isn’t important, or worse, is damaging and should be ignored or stuffed away,” she says. Amanda Walker, a Los Angeles


clinical psychologist, advises, “It is important to try and respond to the anxiety with loving kindness, with compassion and openness. Asking ‘What happened?’ instead of ‘What’s wrong?’ changes the way that a challenge is viewed. Other approaches are, ‘I can see why you might feel that way’, or, ‘It’s okay to be scared; lots of kids feel that way.’”


To reinforce a child’s confidence,


“Te key is reminding a child of past things they were afraid of that never came to pass or bringing to the attention of a child the ways that the child was able to face their fear and overcome it,” says Bruce L. Tiessen, a San Diego clinical psychologist. “Past reminders can increase self-efficacy and build self- confidence, which are powerful anxiety buffers. “Children find it all the more difficult to cope with anxiety if they feel that they are alone in their struggle,” he adds. “It is important to reassure them by saying something like, ‘We are in this together. I am here for you.’ It may be important to add, ‘No matter what happens, you and I are going to find a way to be okay.’” Statements to avoid: “You don’t


need to worry. You have nothing to worry about. I’m the adult, let me do the worrying. When I was your age, I had much bigger things to worry about.”


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