Children Won’t Say They Have Anxiety, They Say ‘My Stomach Hurts!’

By Debi Allison

As children grow and develop, they experience a number of emotional reactions that they know are different or even negative feelings, but they haven’t the experience to understand what they are dealing with. However, they will let us know when something is wrong even when they aren’t entirely sure of what it is.

While children may look at things differently than we do, giving them a deeper insight into another outlook on any given situation- they aren’t as educated or self-aware as an adult. To them, their feelings that are constantly changing and evolving can be confusing, and putting a definite prognosis on their health isn’t likely. Instead, they will tell us their symptoms, awaiting our experience and wisdom for help.

However, up until recently, most adults were completely unaware of the prominence of childhood mental disorders, other than ADHD and the other run of the mill behavioral issues experienced by children. And even in adulthood, it seems that anxiety isn’t taken as seriously as it should be, because most people think that anxiety is simply the occurrence of a normal fear taking hold of us.

But anxiety is much more than that and can be quite consuming for the person dealing with it.

What child doesn’t have a moment in which they cower behind their parents because it is dark outside, or because they heard a loud noise? In these situations, the child is anxious, but rightfully so, leaving no cause for concern. But, in some cases, children can develop an anxiety disorder which will affect their relationships, their education, and their overall quality of life.

Recent statistics have shown us that at least 1 out of every 8 children develops an anxiety disorder. If left untreated, the initial anxiety disorder can transpire into difficulty maintaining and developing connections with their peers, severe sleep disturbance, and substance dependency.

Sadly untreated anxiety can leave your child feeling as though they are worthless, and in turn they may not excel academically, leaving them short of reaching their full potential. Depression is often a result of an untreated childhood anxiety disorder as well. So, how can we make a difference in the outcome of this often tragic scenario?

Learn to pay attention to your child’s cry for help. Sometimes, their expression of anxiety will be much different than you would expect, so it helps to stay in tune with their triggers.

Look For These Signs:

-Constant stomach aches during stressful situations

– Agitation

– Restless behavior

– Avoiding people/situations that could even slightly stress them out

– Meltdowns over slight issues

– Difficulty transitioning

– Extreme perfectionism

– Strange coping mechanisms that could be considered as self-harm (biting, scratching, pinching or even the pulling of their own hair)

If you notice your child is constantly stressing, to the point of it intervening in their day to day activities, seek the help of a trusted therapist. Catching the symptoms early can mean a better probability for therapeutic intervention, meaning medicine may not even be necessary. Above all- listen to your child, within reason. Use your better judgment and stay tuned into your child’s normal behaviors and habits. Doing these simple things can make all the difference in the world.

Should Childhood Trauma Be Treated As A Public Health Crisis?

Researchers followed a group of kids from childhood into adulthood to track the link between trauma in early life and adult mental health.

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When public health officials get wind of an outbreak of Hepatitis A or influenza, they spring into action with public awareness campaigns, monitoring and outreach. But should they be acting with equal urgency when it comes to childhood trauma?

A new study published in the Journal of the American Medical Association suggests the answer should be yes. It shows how the effects of childhood trauma persist and are linked to mental illness and addiction in adulthood. And, researchers say, it suggests that it might be more effective to approach trauma as a public health crisis than to limit treatment to individuals.

The study drew on the experiences of participants from the Great Smoky Mountains Study, which followed 1,420 children from mostly rural parts of western North Carolina, over a period of 22 years. They were interviewed annually during their childhood, then four additional times during adulthood.

This study has something other similar studies don't, says William Copeland, a professor of psychiatry at the University of Vermont who led the research. Instead of relying on recalled reports of childhood trauma, the researchers analyzed data collected while the participants were kids and their experiences were fresh. And the researchers applied rigorous statistical analysis to rule out confounding factors.

Even when the team accounted for other adversities aside from trauma, like low income and family hardships, and adult traumas, the associations between childhood trauma and adult hardships remained clear. The associations remained clear.

The study is "probably the most rigorous test we have to date of the hypothesis that early childhood trauma has these strong, independent effects on adult outcomes," he says.

For Copeland, the wide-ranging impacts of trauma call for broad-based policy solutions in addition to individual interventions. "It has to be a discussion we have on a public health policy level," he says.

Nearly 31 percent of the children told researchers they had experienced one traumatic event, like a life-threatening injury, sexual or physical abuse, or witnessing or hearing about a loved one's traumatic experience. And 22.5 percent of participants had experienced two traumas, while 14.8 percent experienced three or more.

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The childhoods of participants who went through traumatic events and those who didn't were markedly different. Participants with trauma histories were 1.5 times as likely to have psychiatric problems and experience family instability and dysfunction than those without, and 1.4 times as likely to be bullied. They were also 1.3 times more likely to be poor than participants who didn't experience trauma.

When these children grew up, psychiatric problems and other issues persisted. Even after researchers adjusted for factors like recall bias, race and sex, the impact of those childhood psychiatric problems and hardships, the associations remained. Participants who experienced childhood trauma were 1.3 times more likely to develop psychiatric disorders than adults than those who did not experience trauma, and 1.2 times more likely to develop depression or substance abuse disorder.

Participants with histories of trauma were also more likely to experience health problems, participate in risky behavior, struggle financially, and have violent relationships or problems making friends. And the more childhood trauma a person experienced, the more likely they were to have those problems in adulthood.

Copeland acknowledges the study's limitations—it included mostly white participants in rural settings, and a disproportionately high number of Native American participants compared to the rest of the United States due to the area's high concentration of members of the Eastern Band of Cherokee Indians. But the study is nonetheless important, says Kathryn Magruder, an epidemiologist and professor of psychiatry at the Medical University of South Carolina.

"I think it should put to rest any kind of speculation about early childhood trauma and later life difficulties," she says.

Though the link has been shown in earlier research, Magruder says, this new study can help direct future research and policy. "Why are we revisiting it? Because it is time to think about prevention," she says. Trauma is a public health problem, she adds, and should be met with a public health approach.

Psychologist Marc Gelkopf agrees. In an editorial published along with the study, he writes: "If the ills of our societies, including trauma, are to be tackled seriously, then injustice must be held accountable."

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The policy implications are clear, says Jonathan Purtle, a mental health policy researcher and assistant professor at Drexel University's Dornsife School of Public Health. "We need to prevent these things from happening to children and support family and community so that people can be more resilient," he says. Policymakers can create coalitions around issues like mental health and trauma-informed approaches in contexts like education and healthcare, he says.

One step in that direction comes with the SUPPORT for Patients and Communities Act, a bipartisan bill to address the opioid crisis that was signed into law October 24. The law recognizes links between early childhood trauma and substance abuse. It includes grants to improve trauma support services in schools, created a task force to provide recommendations on how the federal government can help families whose lives have been impacted by trauma and substance abuse, and requires the Department of Health and Human Services to help early childhood and education providers spot and address trauma.

Bills like the SUPPORT Act enjoy bipartisan and are a promising start, says Purtle — but they don't go far enough. To really reduce trauma and mitigate its effects, he says, policymakers must pursue community investment and policies like minimum wage laws that reduce economic pressure on people who are struggling.

"It's more than just 'toughen up and deal with it,' " he says. "A lot of it comes down to people not having to live their lives in a state of chronic and constant stress."

Erin Blakemore is a science writer based in Boulder, Colo.