Dr. Walkup discusses normal vs. pathological anxiety, therapeutic alliance with anxious patients, genetic influences on anxiety, importance of early intervention in children, benefits of CBT over benzodiazepines in treatment, and recognizing anxiety in young patients.
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insights INSIGHT
Severity and Persistence of Normal Anxiety
Normal anxiety can be severe and persistent, but not necessarily pathologic.
Dr. Walkup uses the example of children in war zones experiencing high levels of anxiety as a normal response.
insights INSIGHT
Pathologic vs. Normal Anxiety
Pathologic anxiety differs from normal anxiety in its triggers.
Normal anxiety is triggered by universal stressors, while pathologic anxiety is triggered by normal developmental experiences.
question_answer ANECDOTE
Separation Anxiety in Children
Children with separation anxiety struggle with age-appropriate autonomy.
They exhibit discomfort with normal developmental tasks like leaving the house or going to school.
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Dr. John Walkup, Chair of the Pritzker Department of Psychiatry and Behavioral Health at Ann and Robert H. Lurie Children’s Hospital of Chicago, Professor of Psychiatry at Northwestern Feinberg School of Medicine, and president-elect of the American Academy of Child and Adolescent Psychiatry, introduces us to anxiety disorders.
We discuss the phenomenon of normal, adaptive anxiety and contrast this with symptomatology that may warrant a diagnosis of an anxiety disorder. We learn to appreciate anxiety disorders from a developmental lens, discuss clinical pearls for building a therapeutic alliance with anxious patients, and explore psychotherapies for anxiety disorders. We also discuss psychopharmacological considerations for both SSRIs and benzodiazapines.
Psychiatry Boot Camp