Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)

Separation Anxiety Disorder (SAD) in a 5-year-old Child: A Case Report

Authors
Riri Putria1, Nazli Mahdinasari Nasution1, *
1Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
*Corresponding author. Email: its_nazli@yahoo.com
Corresponding Author
Nazli Mahdinasari Nasution
Available Online 18 December 2023.
DOI
10.2991/978-94-6463-310-8_23How to use a DOI?
Keywords
Separation anxiety disorder; SAD; psychoeducation; cognitive behavioural therapy (CBT)
Abstract

Background: One of the most frequent emotional disorders in children is Separation Anxiety Disorder (SAD), which can lead to poorer mental and physical health and is estimated at 50% of anxiety disorders. But based on the facts, many adults think that many symptoms of SAD are normal. When suffering from this illness at a young onset, it increases the suicide possibility, morbidity and mortality. Furthermore, early-onset anxiety disorders are also potent indicators of later psychiatric diseases, such as depression, substance use disorders and other anxiety disorders, impairing physical health and academic and social functioning.

Case Report: A 5-year-old girl is taken to a primary care clinic by her mother with complaints of not wanting to go to school for the last two months and has started to be too lazy to go to school four months ago. She always cries at home whenever her mother is not around. According to the patient, she is afraid of being left alone, being kidnapped by others or having an accident or death happen to her or her mother. Her social relationships with her friends and academics at school were not optimal because she could not concentrate. Initially, she often complained of abdominal pain, nausea, headache and tantrums every morning when it was approaching the time for school. She also often complained of frequent nightmares during sleep. Her mother also complained that she could not control her bowels and bladder at night recently, even though she could do it on her own back then. Previously, the patient lived with her parents in Pekanbaru but then moved to Batusangkar because her mother moved for work, so the patient had to move house, change school and be far away from her father.

Conclusion: The criteria for SAD are exaggerated anxiety and development inappropriate upon separation from an attachment figure, as manifested by the following three items at a minimum: Repeated severe distress with actual or threatened separation from home or an attachment figure, lasting for four weeks in children and adolescents, resulting in clinically significant disturbance in a substantial life function (academic or work performance). Treatments for SAD are psychoeducation (parenting), psychotherapy and pharmacotherapy.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
Series
Advances in Health Sciences Research
Publication Date
18 December 2023
ISBN
978-94-6463-310-8
ISSN
2468-5739
DOI
10.2991/978-94-6463-310-8_23How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

TY  - CONF
AU  - Riri Putria
AU  - Nazli Mahdinasari Nasution
PY  - 2023
DA  - 2023/12/18
TI  - Separation Anxiety Disorder (SAD) in a 5-year-old Child: A Case Report
BT  - Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
PB  - Atlantis Press
SP  - 152
EP  - 159
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-310-8_23
DO  - 10.2991/978-94-6463-310-8_23
ID  - Putria2023
ER  -