Anxiety Based Disorders

Anxiety Based Disorders, Generalised anxiety
Social Anxiety and Panic Attacks

Anxiety is the feeling of fear or panic. It is quite normal to feel anxiety when faced with something stressful, or a problematic situation however once the difficult situation is over you usually feel better. Anxiety becomes a problem when the worry, fear and feelings of panic do not go away once the fearful situation is gone, where it leads to feelings of depression, poor sleep and eating difficulties.

Physical symptoms of nausea, trembling, dry mouth etc are often associated with anxiety.

Anxiety can be linked to a family history of anxiety, a trauma or a physical or additional mental health difficulty.

Initial intervention from other Tier 1/2 services (Universal and Targeted services) prior to specialist CAMHS involvement:

Self help literature 

NHS Self Help Guide Royal College of Psychiatrists

Guided Self help literature NHS Inform

Mindful online counselling

Support and intervention from Pastoral Support, Public Health Nurse or School counsellor where one is available.  Involvement of an Educational Psychologist.

Togetherall – moderated peer support for 16yrs and above.

Where it refers to universal (tier 1) and targeted services (tier 2) these include the following:

  • My Time
  • Health Visiting
  • Strengthening Families
  • Parent and Family support services – Family Action or Barnardos (available via most Children’s Centre’s)
  • Promoting Autonomy and Change (PAC)
  • Child Bereavement UK
  • Safety Net and Early Help Services.

Service provided by specialist child and adolescent mental health service – Tier 3

Where there are severe and persistent symptoms that have not responded to intervention at tier 2 or that are having a significant impact on the life of the young person, will be assessed by Specialist CAMHS.  May be offered Cognitive Behavioural Therapy (CBT) / behavioural/ solution Focussed based intervention.