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Identifying Anxiety in the School: A Role for School Nurses

something. Some of us may have worried about our grades in school or going on a first date, whereas others may have worried about performing music or acting in a school play. But most of us worried about something, because anxiety is a normal part of child and adolescent development. However, for approximately 1 in 10 children, this anxiety becomes excessive and causes interference in everyday functioning. Anxiety interferes when it prevents children from participating in activities that they would otherwise enjoy or stops children from engaging in other developmentally appropriate activities. For example, a child suffering from clinical anxiety may refuse to spend the night at a friend’s house because of worries that something bad might happen to his or her parents while the child is apart from them. Another anxious child may avoid joining afterschool activities because of fear of being negatively evaluated or ridiculed by his or her peers. Such examples of clinical anxiety cause children and teens significant distress that interferes with day-to-day functioning and requires treatment attention. Clinical anxiety represents one of the most prevalent forms of emotional difficulties in children. Left untreated, these difficulties often persist into adulthood and can lead to other psychological problems, such as depression or substance abuse. Unfortunately, anxiety disorders cause a great deal of internal distress for children and adolescents, and these disorders often go unnoticed and untreated. In the school setting, conduct or attention problems are often