Nhân viên xã hội có trình độ và một số có thể cung cấp cho các hình thức tâm lý trị liệu như liệu pháp gia đình, tư vấn cá nhân (như có thể bác sĩ tâm thần, nhà tâm lý học, y tá sức khỏe tâm thần và tâm lý trị liệu), nếu họ đã đào tạo bổ sung. | WHEN THE CHILD IS SEVERELY AFFECTED BY ANXIETY. 189 The social worker Social workers have a degree and some can provide forms of psychotherapy such as family therapy or individual counselling as can psychiatrists psychologists mental health nurses and psychotherapists if they have had additional training. Counsellors therapists and psychotherapists Parents may decide to pay for help privately from counsellors therapists and psychotherapists if their child s difficulties are of long duration while waiting for an NHS referral. For difficulties of short duration a referral may only take a month as these children tend to be prioritised. Recovery is more likely with younger children with children whose symptoms are less severe and with children who receive professional help early on. Some children will go on to have further emotional difficulties later in life. Therapy for anxiety disorders In general a multi-pronged approach to treatment for a child with an anxiety disorder is likely to give a better result. Parents need to understand anxiety and what causes the child s symptoms and fears in order to be supportive and help educate the child about the nature of her problem. A number of therapies are outlined below. I have given most weight to cognitive behavioural therapy as I feel this can be very effective in treating anxiety disorders and I had unwittingly used techniques from cognitive and behavioural therapies when helping my daughter. Cognitive behavioural therapy Cognitive behavioural therapy CBT combines two very effective kinds of psychotherapy cognitive therapy and behavioural therapy. The way the child feels about something such as going to school cannot be changed directly. One can t simply say to a child You don t like school. I want you to like it and then expect this to work. Indirect methods have to be used that are a combination of cognitive techniques related to the thoughts the child has and how she perceives the world 190 SCHOOL PHOBIA PANIC ATTACKS
