Fear, Anxiety, and Panic in Children

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Why Fear?

Fear is a natural and basic instinct we have as human beings. In children, fear is very pronounced and characteristic, and sometimes we as parents refer to it as “childhood fear.” When we are not balanced as danger approaches, the body enters a state of stress and immediately activates the body’s emergency nervous system—the sympathetic system. The system operates automatically without our control over the sensations and processes required for the body’s activity in stressful situations. Activation of the system requires a great deal of energy from the body and is meant to function for only a short time. When a child is frightened on a daily and systematic basis, the sympathetic system operates for an extended period and causes a drain of energy and resources from the child, weakening them.

Functioning in a state of fear and stress over time causes many problems in the child’s daily functioning and interferes with their basic physiological and social functions. A good example of this is when the sympathetic system is active, the immune system functions in a very basic way to the point of dysfunction—all resources are diverted to dealing with the “danger.” Most blood flow is directed to the legs and arms (to flee or fight) and to the head. The result of this situation leads to weakening of the body and allows pathogens to invade the body easily without significant resistance from your children’s immune system. In Chinese medicine, constant stress leads to internal heat which can damage many tissues of the body and create numerous manifestations of illness.

80% of illness manifestations in children at our clinic are characterized by excess internal heat (high stress in children). Children are characterized by many types of fears: fear of darkness, fear of noise, fear of people, fear of being alone, fear of transitions and changes, and more. These descriptions also appear in adults who have greater tools, abilities, and resources to cope with the situation. Helping young children is critical—these are the ages when the child’s personality is being shaped and many neurological connections are formed, which leads to improvement in their quality of life and normal development. A young child looks to their parents as an example of behaviors in different situations and their reactions—they sense them without understanding the reason. When one of the parents suffers from anxiety, the child senses the anxiety that the parent projects and reflects it back to the parent, creating a feedback loop between the parent’s anxiety and the child’s and back. This can be clearly seen in children who experience anxiety only when their parents are in their environment.

The Difference Between Fear and Anxiety

Fear is of something defined (darkness, a large dog). Anxiety is a frequency that creates a general apprehension without form, and therefore is difficult to address. In Chinese medicine, we relate to the frequency that is created rather than to the manifestation.

How Do We Treat It?

The treatment for anxiety that works excellently in children is talk therapy such as CBT adapted for children, delivered in a pleasant manner according to the child’s needs and progress. Another excellent treatment is Chinese medicine through acupuncture at points that calm the sympathetic system and points that help treat the root of the fear. If the imbalance is chronic, there is the option of customized herbal medicine—a natural formula personally adapted to the child that can provide a good foundation for balance and relief for the child’s well-being. Tuina—Chinese massage adapted for children, working on the soles of the feet, accelerates relief of symptoms, most of which manifest in the upper part of the body, and through foot massage brings balance and regulation between all parts of the body.

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Lee Mishania

Behavior Analyst (ABA), Adapted Education Teacher, Parent Coach

Behavior Analyst (ABA) | Adapted Education Teacher | Parent Coach. She is a certified behavior analyst (ABA), adapted education teacher, and parent coach, with approximately ten years of experience supporting children and families facing behavioral challenges, attention deficit and hyperactivity disorder (ADHD), and needs on the autism spectrum.

Lee’s work focuses on a deep understanding of the child’s social and emotional world – social situations, social norms, theory of mind, and developing interpersonal skills that enable children to create meaningful connections and strengthen their sense of competence and self-confidence.

Treatment takes place in individual, paired, or group sessions, according to the child’s unique needs and developmental stage, and is based on building a personal connection, in-depth observation, and gradual work that leads to meaningful and stable change over time.

Lee believes that quality behavioral therapy is not only about the behavior itself, but about understanding the child within their environment – the family, the educational setting, and social relationships. Working with parents and the teams surrounding the child is an integral part of the therapeutic process, and enables genuine integration of change into daily life.

Lee Mishania - Behavior Analyst (ABA) Adapted Education | Parent Coach at Tiptipul Clinic

Yaniv Bar

Chinese Medicine Practitioner and Hydrotherapist, Founder of TipTipul

Yaniv is a Chinese medicine and hydrotherapy practitioner with over 20 years of experience, and the founder and owner of TipTipul—a clinic born from a personal dream that developed over years of thinking, doing, learning, and developing. Working with children, infants, and parents is at the heart of Yaniv’s practice.
He wakes up every morning with a sense of mission and excitement, knowing that a day awaits him filled with encounters with families facing complex challenges—sometimes frustrating and sometimes unclear—and seeking a deep, calm, and containing response. Even after many years in the profession, curiosity continues to drive him.
Yaniv seeks to understand the root of the problem, learns every day from the children and parents, and believes that good treatment begins with listening, observation, and the ability to ask questions—not just providing quick solutions. Chinese medicine treatment is carried out with patience and containment of the entire family and the child in particular. The goal is to connect with the child’s world, at a pace that suits them, and create a safe space that enables trust and cooperation.
Sometimes this means arriving for a session, but no actual treatment takes place.
For Yaniv, this is a natural and proper part of the process—a stage in which the child learns to trust and develops the ability to meet therapeutic figures outside the immediate family circle.
Yaniv’s perspective is broad and deep, addressing the small details that tell a big story:
body odor, skin color, muscle tone, sleep patterns, movement, and emotional response—always in the context of the child’s and parents’ needs. In hydrotherapy, which is his “second hat,” Yaniv creates a positive, playful, and safe environment,
even for children who cannot swim or experience insecurity in water.
Through building a personalized goal bank, a gradual process begins of developing independence and confidence in water—and from this, also strengthening the sense of security in daily life, social relationships, and family circles.

Yaniv Bar - Owner of TipTipul Clinic