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22 Nisan 2022
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27 Nisan 2022
Çocuklarda Kaygı
Neredeyse her çocuk, normal gelişim sürecinin bir parçası olarak korkular ve endişeler yaşamaktadır
Yaygın olarak görülen ve genellikle yaş ilerledikçe terk edilen korkular, karanlıktan, hayali yaratıklardan (5 yaşından küçük çocuklarda) ve ebeveynlerinden ayrılmaktan (10 yaşının altındaki çocuklarda) korkmadır.
Korkular, yetişkinlerde olduğu gibi, genellikle kızlar tarafından erkeklere göre daha fazla ifade edilmektedir. Ancak bu cinsiyet farkı, kısmen de olsa erkek çocuklar üzerindeki sosyal baskıların erkek çocukların korktuklarını kabul etmek istememelerine neden olmasından kaynaklanabilir.
Çocukluk döneminde yaşanan bazı kaygı sorunlarının önemi hafife alınmamalıdır. Çocuklar, yetişkinler gibi sadece kaygılı olmanın yarattığı olumsuz durumdan dolayı – basitçe söylemek gerekirse kaygı iyi hissettirmez- sıkıntı çekmezler.
Aynı zamanda kaygıları, gelişim dönemlerine uygun becerileri kazanmalarında onlara engel oluşturabilmektedir. Örneğin, çok fazla utangaç olan ve akranları ile yüz yüze iletişime geçmekte çok fazla sıkıntı yaşayan bir çocuk büyük ihtimalle önemli sosyal becerileri öğrenemeyecektir. Bu eksiklik, çocuk ergenliğe geçtiğinde de sürebilir ve ileride hala devam eden sosyal zorluklarının temelini oluşturabilir.
İleriki yıllarda, iş yerindeyken ya da üniversitedeyken diğerlerine karşı yaptığı garip hatta itici davranışların onun reddedilmesine ve görmezden gelinmesine neden olacağı için ergenin en büyük korkusu ‘insanlar benden hoşlanmayacaklar ve beni dışlayacaklar’ korkusu- muhtemelen gerçek olacaktır.
Çocuklukta ve ergenlikte görülen kaygı bozuklukları gelişimin diğer alanlarını engelleyebilmektedir. Korkuların ve endişelerin bir bozukluk olarak sınıflandırılabilmesi için, çocukların işlevselliklerinin bozulması gerekmektedir.
Ancak yetişkinlerin aksine, çocukların korkularını aşırı ya da mantıksız olarak değerlendirmelerine gerek yoktur. Çünkü çocuklar bazen bu tür yargılara varamamaktadır. Bu ölçüte dayanarak çocukların ve ergenlerin yaklaşık %3’ü ile %5’inin kaygı bozukluğu tanısı alacağı söylenebilir.
Gerçekçi olmayan çocukluk dönemi korkularının çoğu, zamanla yok olsa da en kaygılı yetişkinlerin kaygılarının kökenlerini çocukluklarına dayandırdıkları bilinen bir durumdur.
Bir çocukta kaygı bozukluğu belirtileri ortaya çıktığında aile bu belirtileri çok iyi gözlemlemeli ve takip etmelidir
Çocuk sadece olumsuz ihtimaller ve endişeleri üzerine konuşuyor, ancak davranışsal ya da fiziksel olarak başka belirti göstermiyorsa hafif seyreden bir süreç söz konusudur.
Bu durumda aile, çocuğa anlayışla yaklaşmalı, söylediklerini sabırla dinlemeli, onu anlamaya çalıştığını ifade etmeli, olumsuz düşünce ve duygularının ne kadarının gerçekçi, ne kadarının gerçek dışı olduğunu birlikte değerlendirmelidir. Ancak hiçbir zaman çocuğa “bunlar boş kaygılar, saçmalık” gibi mesajlar verilmemelidir.
Eğer çocukta duygu ve düşünce boyutuna ek olarak, çarpıntı, terleme, mide bulantısı, karın ağrısı gibi fiziksel; kaçınma, tırnak yeme, alt ıslatma, hırçınlık gibi davranışsal belirtiler de varsa aile mutlaka bir uzman desteğine başvurmalıdır.
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