Coaching practices for Helping a Child Who Panics and Runs Away at the Mere Mention of 'doctor'

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Does this sound like the set of challenges you might be facing?

  • I’ve built up all these little rituals to get through it
  • The instant it hits in a store or a meeting, the only thought is get out now
  • I’ll force myself into the scary thing, but the second the panic peaks I bolt for the exit because it feels unbearable
  • The moment I notice a flutter or a tingle, my mind instantly slaps a catastrophe on it
  • Now I’m scared of the feelings themselves

Practices that may help

  1. Identify and reduce safety behaviors
    Notice the things you do to prevent catastrophe during panic — and experiment with dropping them.
    The Clark Panic Model, Made Practical
  2. Stay in the situation for the full arc
    Leave only after the attack has peaked and begun to subside — not in the middle, no matter how strong the urge.
    Panic Surfing
  3. Stay in the situation until anxiety drops
    Remain in the feared situation long enough for distress to fall — leaving early teaches the wrong lesson.
    The Fear Ladder: Graded Exposure Made Practical
  4. Post-induction body scan to observe without catastrophizing
    After inducing sensations, scan the body with curiosity rather than alarm.
    Interoceptive Exposure for Panic
  5. Interoceptive exposure: deliberately induce the feared sensations
    Reproduce the physical sensations of panic in a safe, controlled way to break the sensation-fear link.
    The Clark Panic Model, Made Practical
  6. Name it to tame it: tell the story of the big feeling
    Help the child narrate what happened and how it felt — storytelling is brain integration.
    The Whole-Brain Child (Siegel & Bryson)
  7. Gradually drop safety behaviors
    Safety behaviors (a phone, a companion, a pill) reduce distress in the moment but prevent the learning that exposure is meant to produce.
    The Fear Ladder: Graded Exposure Made Practical
  8. Drop the safety behaviors
    Let go of the small avoidances and crutches you use to feel "safe" from anxiety.
    The DARE Response to Anxiety, Made Practical
  9. Identify the catastrophic misinterpretation
    Name exactly which bodily sensation you are having and exactly what you fear it means.
    The Clark Panic Model, Made Practical
  10. Interoceptive exposure for physical anxiety sensations
    Deliberately produce feared bodily sensations (racing heart, dizziness) to learn they are tolerable.
    Exposure Therapy: Facing Fears to Shrink Them

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