carer. They will worry about losing their loved one or about harm happening to them. Young people with separation anxiety may be reluctant to leave home without their loved one or fear being left alone. They may refuse to go to school or work because of fear of separation. Separation anxiety is most common in young children and pre- adolescents but can occur during adolescence as well (195). Obsessive-compulsive disorder (OCD) OCD comprises of obsessive thoughts and compulsive behaviours accompanied with feelings of anxiety. OCD is often misunderstood, treated with humour, and trivialised. The condition can be extremely debilitating. A young person with OCD carries out certain behaviours in an attempt to reduce anxiety. They may develop ritualistic patterns that interfere greatly with their routine. OCD usually begins in adolescence, though it can present earlier (196). Obsessive thoughts are recurrent thoughts, impulses, or images that a person cannot dispel. These thoughts are unwanted and cause marked anxiety. Most obsessive thoughts are about harm, or about something awful happening to themselves or others. Compulsive behaviours are repetitive behaviours or mental activities and can include counting, or repeating certain words or phrases internally. It may not be obvious that someone is engaging in compulsive behaviour just by appearance (196).
Youth MHFA considerations for anxiety Revisit the Youth MHFA action plan in full.
Create a calming space. Try to talk in a calm and private environment away from distractions, loud noises, and bright lights. Be mindful of the young person’s personal space – they may be more sensitive to maintaining their own space and feel uncomfortable if you come close.
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