Overcoming Separation Anxiety: Treatment Options and Support

Learn about separation anxiety disorder, a debilitating condition characterized by excessive fear or worry about separation from loved ones or home.

Separation anxiety is a condition in which a person experiences excessive fear or worry when separated from their loved ones or familiar environment. While it’s normal for infants and young children to experience separation anxiety, it can become a problem when it persists into adulthood and interferes with daily activities. In this blog post, we’ll explore the causes, symptoms, and treatments for separation anxiety disorder.

What is Separation Anxiety Disorder?

Separation Anxiety Disorder

Separation anxiety disorder is a type of anxiety disorder that is characterized by excessive fear or worry about separation from attachment figures or home. People with a separation anxiety disorder may avoid going out or leaving their loved ones for fear of something bad happening to them. This fear can be so intense that it affects their daily functioning and quality of life.

Causes of Separation Anxiety Disorder

Separation anxiety disorder can develop as a result of genetic, environmental, and psychological factors. People with a family history of anxiety disorders may be at a higher risk of developing a separation anxiety disorder. Environmental factors such as a traumatic event, such as the death of a loved one or parental divorce, can also trigger the development of the condition. Psychological factors such as insecure attachment styles can also contribute to the development of separation anxiety disorder.

There are several possible causes of separation anxiety disorder, including environmental, genetic, and neurobiological factors. Environmental factors can include a traumatic event or a major life change, such as a move or a divorce, that can trigger anxiety symptoms. Additionally, children who have experienced inconsistent or unpredictable care-giving may develop a separation anxiety disorder as a result of a lack of trust in caregivers.

Genetic factors can also play a role in the development of separation anxiety. Studies have found that the disorder can run in families, suggesting that there may be a genetic predisposition to anxiety disorders.

Neurobiological factors may also be involved in the development of separation anxiety. Research has shown that individuals with anxiety disorders have altered levels of certain neurotransmitters in the brain, such as serotonin and norepinephrine, which are involved in regulating mood and anxiety levels. Additionally, studies have found that children with separation anxiety have increased activity in the amygdala, a part of the brain that is involved in processing emotions.

It is important to note that while these factors may contribute to the development of separation anxiety, not all individuals who experience these factors will develop the disorder, and some individuals may develop the disorder without any identifiable cause.

Symptoms of Separation Anxiety Disorder

The symptoms of separation anxiety disorder can vary from person to person. Common symptoms include excessive fear or worry about separation from attachment figures or home, persistent reluctance or refusal to go out or leave home, and persistent nightmares about separation. Physical symptoms such as nausea, headaches, and panic attacks can also occur in response to separation anxiety.

Diagnosis of Separation Anxiety Disorder

A mental health professional can diagnose separation anxiety based on a clinical assessment of the person’s symptoms and history. The clinician will also rule out any physical conditions that may be causing the symptoms. In some cases, the clinician may also conduct psychological tests to help with the diagnosis.

Diagnosing separation anxiety typically involves a thorough assessment by a mental health professional such as a psychologist or psychiatrist. The professional may begin by conducting a clinical interview with the individual and their parents or caregivers to gather information about the individual’s symptoms, their duration, and the impact they have on the individual’s life. The professional may also use standardized questionnaires or assessments to evaluate the severity of symptoms.

It’s essential to rule out other mental health conditions that could be causing or contributing to the individual’s symptoms, such as social anxiety disorder, generalized anxiety disorder, or specific phobias. A medical evaluation may also be necessary to determine if any physical health conditions could be contributing to the individual’s anxiety symptoms.

In some cases, the professional may recommend observing the individual’s behavior in a school or daycare setting to assess their reaction when separated from a parent or caregiver. The professional may also ask the parents or caregivers to keep a diary of the individual’s symptoms and behaviors.

Overall, a diagnosis of separation anxiety is made based on the presence of persistent and excessive fear or distress related to separation from attachment figures, and the symptoms must last for at least four weeks in children and adolescents, and six months in adults.


The treatment of separation anxiety disorder typically involves a combination of medication and psychotherapy. Antidepressants, anti-anxiety medications, and beta-blockers may be prescribed to help manage symptoms. Psychotherapy can help people with separation anxiety to learn coping skills and strategies to manage their anxiety. Cognitive-behavioral therapy, exposure therapy, and family therapy are all effective treatment options for separation anxiety disorder.

There are several effective treatments for separation anxiety, including:

  1. Cognitive-behavioral therapy (CBT): This therapy focuses on identifying and changing negative thought patterns and behaviors related to separation anxiety. CBT can help individuals develop coping skills and increase their self-confidence.
  2. Exposure therapy: This treatment involves gradually exposing the individual to situations that trigger their separation anxiety, with the goal of desensitizing them to these situations over time.
  3. Relaxation techniques: Techniques such as deep breathing, progressive muscle relaxation, and visualization can help individuals manage their anxiety symptoms.
  4. Medications: In some cases, medications such as antidepressants or anti-anxiety medications may be prescribed to help manage separation anxiety symptoms.

It is important to note that treatment should be individualized based on the person’s specific needs and the severity of their symptoms. A mental health professional can help determine the best course of treatment for each person.

There are also steps that can be taken at home to help manage separation anxiety. These may include:

  1. Gradual exposure: Slowly exposing the individual to separation triggers, such as leaving for short periods of time and gradually increasing the duration of separation.
  2. Positive reinforcement: Praising and rewarding the individual for coping with separation, such as staying calm during a short separation.
  3. Consistency: Establishing a consistent routine and sticking to it can help individuals feel more secure and reduce anxiety.
  4. Communication: Openly communicating with the individual about their feelings and concerns can help them feel heard and understood.

It is important to remember that overcoming separation anxiety takes time and patience. With the right treatment and support, individuals with separation anxiety can learn to manage their symptoms and lead fulfilling lives.

Tips for Coping

There are several things that people with separation anxiety disorder can do to cope with their symptoms. These include building a support system, practicing relaxation techniques such as deep breathing and mindfulness, setting realistic goals, and gradually exposing themselves to situations that trigger their anxiety.

Separation anxiety disorder is a debilitating condition that can interfere with a person’s daily functioning and quality of life. However, with the right treatment and support, people with separation anxiety disorder can learn to manage their symptoms and lead fulfilling lives. If you or someone you know is struggling with separation anxiety disorder, it’s important to seek professional help.

Serin Center experts have been utilizing applied neuroscience to enhance the lives of children, adolescents, adults, families, and executives with effective and innovative therapy.

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