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What tools can we apply during an anxiety crisis manifested by stomach pain, vomiting, or crying that can cause a rapid mood improvement in a 12-year-old adolescent girl?

Silvia Rosado Figuerola
Sílvia Rosado Figuerola
Mental Health Nurse Specialist. Anxiety Unit
Parc de Salut Mar

Anxiety in childhood and adolescence is generally manifested through cognitive symptoms, such as fears, negative or unpleasant thoughts, or more physical symptoms, such as gastrointestinal discomfort (abdominal pain, vomiting, diarrhea, loss of appetite, or sometimes overeating), when children and adolescents are unable to put words to or identify their discomfort. Therefore, it is very important that parents first recognize this emotional distress.

In the event of a crisis, it's important to support the teenager by naming each of the physical symptoms that appear and linking them to possible psychological distress (worry, restlessness, anxiety). Do this openly. If the teenager seems overwhelmed, you can help them breathe deeply, focusing their attention on the rhythm of their breath.

Although seeing their children suffer may lead parents to seek a quick solution, it's important for them to convey a message of reassurance, explaining that these episodes will subside, and remaining with them at all times, maintaining a trusting and secure demeanor. It's best not to overreact to this distress or try to find a quick fix.

In any case, it is important to contact the reference health professional (pediatrician, if under 15 years of age, or family doctor, from 15 years of age onwards) to assess what type of intervention should be carried out.

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Manel Montserrat
Manel Montserrat Martínez
Mental Health Nurse Specialist. Adult Mental Health Center. Esplugues de Llobregat
Parc Sanitari Sant Joan de Déu
Silvia Rosado Figuerola
Sílvia Rosado Figuerola
Mental Health Nurse Specialist. Anxiety Unit
Parc de Salut Mar