76 | Staying True to the Model: Child-Centered Feedback for Pandemic-Related Anxiety

Episode summary

Listener Yanna, in MA, emailed me asking about a client who has severe anxiety related to germs, possibly related to the pandemic. I've posted her email below. "I am hoping you could provide some child-centered strategies and feedback on how to best support my client. I have been working with a 7-year female since February for anxiety. The presenting problems consist of fear of vomit, germs, mold in food, and getting sick. Based on my clinician assessment, I believe this trauma response from the pandemic as this child lost a couple of family members. However, I am feeling lots of pressure from parents as her anxiety symptoms have worsened since summer is approaching. More specifically, a child is refusing to go to summer camp, eating lunch in the cafeteria, and at times refusing to go outside. Parents also shared that clients began to wash their hands constantly throughout the day because of germs. Parents also reported client requires lots of reassurance that she will not get sick. I am concerned about an OCD diagnosis but have not discussed it with parents yet. In the playroom, we have established great rapport and trust however I am concerned the client remains in the resistance