Erika Krumbeck, ND

Erika Krumbeck, ND is founder of Naturopathic Pediatrics.com and the owner of Montana Whole Health, a naturopathic clinic in Missoula, Montana. She received her Doctorate of Naturopathic Medicine from Bastyr University and is a licensed physician in the state of Montana.

Dr. Krumbeck is one of few physicians specializing in the treatment of chronic health conditions in children.

Dr. Krumbeck likes to practice her own healthy lifestyle with her wonderful husband Jason, a physical therapist, and their children Annika and Leopold. 

She is a professional member of the Pediatric Association of Naturopathic Physicians.

Looking for more natural medicine resources, including how to treat ADHD naturally?

Are you a parent or provider looking for some good resources to help an anxious child?  Are you wondering when worry is considered abnormal?  Are you needing some tips for how to encourage your own anxious child?

You’ve come to the right place! This blog post will share with you the BEST websites and books this naturopathic doctor has found to help calm your anxious child.

Dr. Erika’s introduction

Anxiety in kids is common.  Very common!  Research shows that up to 12% of children will have problematic anxiety by the age of 18.  By problematic we mean that the child doesn’t just have the normal worries and concerns of childhood, but that their anxiety is prolonged and interferes with daily activities.  This is serious stuff!

Research shows us that

  • Untreated anxiety tends to worsen over time, or at least to recur in worsening cycles.
  • Untreated anxiety disorders tend to lead to adult psychiatric disorders including substance abuse and depression.
  • Untreated anxiety in kids is associated with poor school performance and missed class days.

As a naturopathic physician, who recognizes that our mental health affects our WHOLE body, I believe that untreated anxiety can have negative consequences in other body systems as well.  I frequently see anxious kids with “tummy aches,” headaches, behavioral problems and ADHD.

The average age of anxiety diagnosis is 11.  But in my humble opinion most children are symptomatic years earlier, they simply can’t tell you that they are anxious or worried!  Most young children feel the effects of anxiety as abnormal body sensations – hence the stomachaches, headaches, dizziness, or feeling “tired.” Many young children can’t even tell you precisely what they are worried about until you, the parent, point it out. 

Treating anxiety

For more information about anxiety in kids you may want to check out some of our other articles:

8 Naturopathic Approaches to Addressing Your Child’s Anxiety  This article also includes the warning signs of anxiety, if you’re not sure your child’s worries are normal or abnormal.

Does Your Child Have Social Anxiety?

3 Herbs for Kids with Anxiety (and their parents)

Naturopathic treatment of anxiety follows the principles of naturopathic medicine:

  1. Treat the CAUSE.  The cause of anxiety in children can be physiologic or behavioral.  I very frequently see parents with anxiety who have children with troublesome anxiety as well.  This makes me think of a genetic link.  Many times simple things like iron deficiency or lead toxicity can worsen anxiety as well.  And of course insomnia and anxiety go hand-in-hand and need to be treated together.  Many picky eaters have a magnesium deficiency which can lead to anxiety.  
  2. Treat the WHOLE.  This means we need to treat the whole child AND the whole family.  (And sometimes the whole school and whole community too!) 
  3. PREVENTION.  Physicians, mental health providers, teachers and parents need to come together to help prevent anxiety and worsening of anxiety in kids.  (Phew, that’s a big task!)

For more information on iron deficiency, lead toxicity, insomnia or magnesium see the following articles: 

7 tips to improve your child’s iron status (without supplementation!)

What You Need to Know About Lead Exposure in Children

The 5 Best Natural Sleep Remedies for Kids

Magnesium for mental health: is your child getting enough?

 

Doctor Recommended best books & resources to help #anxious kids. #Naturopathic.

For all of these principles the following books and resources will be enormously helpful to parents and providers. 

So here’s my review:

Websites:

Anxiety Canada  anxietycanada.com and youth.anxietycanada.com

There are lots of different parts to this interactive website.  The children/adolescent specific portion of the website can be found at youth.anxietycanada.com (or click on Youth under the general website).

This site is geared toward older kids and teens, in my opinion.  It is more of an information site, with listings of things like: “what is anxiety” and “when is it a problem?” It includes very basic tips for self regulation, including “thinking right” – like how to deal with automatic thoughts (this is a term used in cognitive behavioral therapy). It also includes some simple breathing tips.

I didn’t find the treatment portion of this site to be hugely helpful.  But to gain a frame of reference for anxiety in kids this is a really good starting place for parents or teenagers. 

Recommended for: a first starting place when a teenager needs some resources for anxiety.

Worry Wise Kids.  www.worrywisekids.org

Worry Wise Kids is another overview website of what worry is and when to be concerned.   I especially like their summary: “Even in the best of situations, all children experience some anxiety in the form of worry, apprehension, dread, fear or distress”…”Anxiety is considered a disorder not based on what a child is worrying about, but rather how that worry is impacting a child’s functioning.

Worry Wise Kids is geared toward parents of children with anxiety, which is really great.  (There are very few websites meant for children with anxiety!)

This website also lists anxiety “red flags” – which are the signs of when anxiety is very concerning.  It includes a list of the different types of anxiety.  (And hey, it even recognizes PANDAS as a legitimate condition! Check out our article: When a Tic isn’t a Nervous Habit (PANDAs – Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections)

Cons to this site: it looks like it hasn’t been updated in a number of years, so some of the links are broken.  It does have an updated link to a class that parents can take called Coping Cats Parents (www.copingcatsparents.com) – I didn’t get a chance to review it, so if any of you have completed that course please comment below.

Recommended for: a first starting place when a child or parent isn’t sure if their child’s anxiety is normal.

Books

David and the Worry Beast

David and the Worry Beast! #Naturopathic doctor recommended.

This is a sweet little book about a worried boy (David).  It shares the story of how David could not stop thinking about his worries (missing the basket in the big basketball game, failing his math test).  It is a great little story that many anxious kids will relate to.  It includes a few short pages at the end of the book to give kids and parents coping tips.  Mostly it is a book that shows how a child can overcome his/her anxiety.

Recommended for: any child who needs a story to help them understand that anxiety is common and treatable.  Best for younger children, approximately elementary-school aged.

What to Do When You Worry Too Much: A Kid’s Guide to Overcoming Anxiety (What to Do Guides for Kids)

What to do when you worry too much. #Naturopathic doctor recommended for anxiety in kids.

This is a great workbook with a large font size, perfect for elementary school kids with anxiety.  I LOVE their introduction: “Parents and caregivers find themselves spending huge amounts of time reassuring, coaxing, accommodating, and doing whatever else they can think of to minimize their child’s distress.  But it doesn’t work.  Their anxiety remains in control.  As you have undoubtedly discovered, simply telling an anxious child to stop worrying doesn’t help at all.”  This book gives some real, specific techniques to help parents break out of the habit of coaxing or reassuring kids – which sometimes only makes anxiety worse!)

This book speaks real kid language.  It uses examples, illustrations and words that kids relate to and understand easily.  It is also a workbook, so there are places to draw pictures or write sentences or lists.  It also gives some good, concrete ways for kids to overcome their worries.

Recommended for: any elementary school child with anxiety who is ready to engage in the process of overcoming worries.

Anxiety Relief for Kids: On-the-Spot Strategies to Help Your Child Overcome Worry, Panic, and Avoidance

Anxiety Relief For Kids. #Naturopathic doctor recommended.

Wow.  This book is incredible.  If I could recommend one single resource to families who have an anxious child I would strongly recommend this one.

This book uses Cognitive Behavioral Therapy techniques in a simple, easy to understand way.  This book (unlike the book above) is geared toward parents.  The main point of this book is to give parents a “toolbox” of techniques to use with their anxious child. These tools include things like using a “Fear Thermometer,” a “worry hill” and a “nickname game.”  These are all techniques that are appropriate for children (though they work on adults too!) and are concepts that kids quickly grasp.

Most importantly, this book helps parents break the cycle of enabling avoidance and safety behaviors, which only makes anxiety worse. One of the main principles of Cognitive Behavioral Therapy is gradual and repeated exposure to situations that your child may be avoiding due to anxiety.  I talk to my patients and parents about this a lot, but I’ll tell you – patients hate this part!  My favorite part about this book is how the author teaches you how to introduce exposures in a way that is empowering rather than frightening.

Recommended for: parents of anxious children of any age.  (Note, this book has lots of great tools for adults who are anxious too!)

 

Looking for more natural medicine resources, including how to treat ADHD naturally?

 

Extra resources for healthcare providers

If you are a healthcare provider or naturopathic doctor reading this article I highly recommend spending some time with these excellent summaries of childhood anxiety:

Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agenda.

Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-V

 

Also, here is a PDF handout-version of this blog post to hand to your patients in your office.  Anxiety resources PDF

 

Resources:

Ramsawh HJ, Chavira DA, Stein MB. Burden of anxiety disorders in pediatric medical settings: prevalence, phenomenology, and a research agendaArch Pediatr Adolesc Med. 2010;164(10):965-72.

Beesdo K, Knappe S, Pine DS. Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am. 2009;32(3):483-524.

Kessler RC, Avenevoli S, Costello EJ, et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry 2012; 69:372.

Shear K, Jin R, Ruscio AM, et al. Prevalence and correlates of estimated DSM-IV child and adult separation anxiety disorder in the National Comorbidity Survey Replication. Am J Psychiatry 2006; 163:1074.

Walkup JT, Albano AM, Piacentini J, et al. Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 2008; 359:2753.

 

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Erika Krumbeck, ND
Erika Krumbeck, ND
Erika Krumbeck, ND is founder of Naturopathic Pediatrics.com and the owner of Montana Whole Health, a naturopathic clinic in Missoula, Montana. She received her Doctorate of Naturopathic Medicine from Bastyr University and is a licensed physician in the state of Montana. Dr. Krumbeck is one of few physicians specializing in the treatment of chronic health conditions in children. 

Dr. Krumbeck likes to practice her own healthy lifestyle with her wonderful husband Jason, a physical therapist, and their children Annika and Leopold. 

She is a professional member of the Pediatric Association of Naturopathic Physicians.

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