How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5095
Experience:  Dr. Mark is a PhD in psychology in private practice
Type Your Mental Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

My ten year old daughter suffers debilitating panic attacks.

Resolved Question:

My ten year old daughter suffers debilitating panic attacks. When she attempts to talk to an adult about anything she is not comfortable with she has a panic attack. When she has to speak to others sometimes in group settings at her school, she has a panic attack. She did not know what was happening to her. I suffer from panic attacks too and have been prescribed with anti anxiety medications that help me greatly. I want to find a psychiatrist who can help my child with medical therapy in the form of age appropriate anti anxiety medications that she can use when she feels the anxiety attack coming on. I am very worried for her because I know from my own experience how awful a panic attack feels.
My email address XXXXX@XXXXXX.XXX
Submitted: 1 year ago.
Category: Mental Health
Expert:  Dr. Mark replied 1 year ago.

Hi! You know, to give you the best answer, I think I should ask you a few questions first that will help define the problem and the situation with your daughter.


It sounds as if your daughter indeed has an anxiety and phobic problem. I am very concerned, however, about starting her off on medications so young. There are a number of medications approved for children. However, the psychological community is becoming increasingly concerned about overmedicating and children not gaining the skills to learn how to cope with these anxiety and phobia issues. Because medications don't give the kids tools to work with, they just reduce the feeling stress.

Therefore, would you be interested in finding a child psychologist or psychotherapist to work with your daughter on these problems?

If you are unfamiliar with how therapy would work, I'll be glad to help.

Also, what area do you live in? I'll look in my directories to see if there are psychiatrists working with kids in that area to recommend to you.

Any extra information that will help, feel free to share.


Dr. Mark

Customer: replied 1 year ago.

Dr.Mark,


Thank you for your comments. My child is experiencing debilitating anxiety attacks. In the long run I certainly want her to learn coping skills to deal with anxiety attacks.


However she is in need help in the form of immediate of anti-anxiety medication to help her now. Many thanks,


Kristina fowler

Customer: replied 1 year ago.

PS, we live in Raleigh, NC. Thanks!


Kristina

Expert:  Dr. Mark replied 1 year ago.

Thank you, Kristina, for the replies to the questions and the added information. It helps a lot in understanding what the situation is.

I can imagine how worrisome this situation must be for you. You are clearly a loving and caring mom and to see your daughter go through this when you yourself go through it must be very difficult. It's really good that you are seeking help for her.

Much in terms of finding the right psychiatrist to treat your daughter will be determined by your insurance and how long each psychiatrist's waiting time is for seeing new patients. This problem of waiting times that can stretch from 6 weeks up to even months is a serious issue as there is a shortage of psychiatrists, especially those specializing in children's issues.

Therefore, your first referral source should be her pediatrician. The pediatrician would know the status of the psychiatrists that he/she feels will be able to see your daughter and that he/she trusts with kids.

If there is a university hospital in your area, they may have a pediatric psychiatry section. And that may give you the opportunity to see one of the doctors in that practice. They would have a lot of experience in dealing with child anxiety issues. If so, talk to your pediatrician about referring your daughter there. I have found that the docs in the university hospital pediatric psychiatry units are very experienced in a wider range of issues and have had a lot more experience with a range of medications.

If there is no university hospital in your area, then another informed referral source may be your psychiatrist or doctor who is prescribing your medications for your anxiety issues. Hopefully you have a good relationship with your doctor and can ask him/her who would be the psychiatrist that he/she would send their child relative to for treatment of anxiety issues. This, in my experience, is often a very useful referral source. If the doctor doesn't know of anyone right away, ask the doctor to network with other doctors in the area to see if he/she can give you a suggestion.

I'd like to link for you some guidelines from the American Academy of Child and Adolescent Psychiatry about medications. It's general information, but these are good things to keep in mind and an introduction to the medications themselves that are approved for kids:

http://www.aacap.org/galleries/FactsForFamilies/29_psychiatric_medication_for_children_and_adolescents_part_two.pdf

And also an article by Dr. John Walkup who is very respected nationally in the children's psychiatric field. It is an excellent introduction to the medications by a true expert:

http://www.childmind.org/en/posts/articles/2012-1-26-best-medications-kids-anxiety

So, stay hopeful. You're doing good things for your daughter and I hope there is a university hospital in your area and if not, that your or her doctor can refer you to someone who accepts your insurance and will see her quickly.

Okay, I wish you the very best!

My goal is for you to feel like you've gotten Great Service from me and the site. If we need to continue the discussion for that to happen, then please feel free to reply and we'll continue working on this. If the answer has given you the help you need, please remember to give a rating of 5 (Great Service) or 4 (Informative and helpful), or even 3 (Got the job done) button. This will make sure that I am credited for the answer and you are not charged anything more than the deposit you already made by pressing any of these buttons. Bonuses are always appreciated! If I can be of further help with any issue now or in the future, just put "For Dr. Mark" in the front of your new question, and I'll be the one to answer it. All the best, XXXXX XXXXX

Dr. Mark, Psychotherapist
Category: Mental Health
Satisfied Customers: 5095
Experience: Dr. Mark is a PhD in psychology in private practice
Dr. Mark and 2 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education