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Pediatrics/separation anxiety disorder

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QUESTION: Hi,
I have a 6 years old son.he has started preschool from last Month(he will start grade 1 from Sept)..he has separation anxiety disorder ,the anxiety doesn't let him to get connected easily.I have been in his school for 2 weeks but nothing has changed!!!I am told that I should stay more,but I can't get too many days off from my work.what should I do?please advise me.

ANSWER: Hi, sara,

In the USA, we would say take him to his pediatrician, get a good history, including family history of anxiety, check some basic labs to be sure his thyroid gland and other things are functioning well and then refer him to a pediatric counselor.  This is what I would suggest.  I'm not sure what resources like this you have available.

Good luck, Dr. Olson

---------- FOLLOW-UP ----------

QUESTION: Dear Dr.oslon
Thanks for your kind reply.thyroid gland and which others may not function well?

Answer
Hi, sara,

Generally in the USA, I would look at a complete blood count for anemia, check a TSH for thyroid, check a lead level, and might get a strep antibody titer, to rule out what is called PANDAS.  Google it! It is highly likely all this will be normal.

Good luck, dr. Olson

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David Olson, MD

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I would be happy to attempt to answer any questions about general pediatric topics, either medical issues or behavioral issues. This would include all the various questions one receives in a busy pediatric practice. I`m a board certified pediatrician in northern Michigan and have been in practice for over 15 years. I enjoy the teaching role I have in our practice and would enjoy the opportunity to help others with their pediatric problems.

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