How to prepare for a video visit about Generalized Anxiety (Mild to Moderate) in Children

Audience: pediatric

Generalized Anxiety Disorder (GAD) in children often involves persistent and excessive worry about various events or activities. Mild to moderate anxiety can affect a child's daily life, including school, friendships, and family relationships. Preparing for a video visit about generalized anxiety helps caregivers and children get the most from their appointment. This guide explains how to gather information, what to expect during the visit, and how telemedicine can support care. It also highlights warning signs that need urgent attention and steps to take after the visit. Remember, telemedicine is a helpful way to discuss symptoms and get advice but is not a substitute for in-person care when needed.

Red flags — go in person / ER

• Child expresses thoughts of self-harm or suicide — seek emergency care immediately.
• Sudden severe mood changes, withdrawal, or aggressive behavior — contact healthcare provider promptly.
• Physical symptoms like chest pain, difficulty breathing, or fainting — get emergency medical help right away.

What telemedicine can do

• Initial discussions about anxiety symptoms and concerns.
• Providing education on coping strategies and self-care.
• Referrals to mental health specialists for therapy or counseling.
• Follow-up visits for mild to moderate anxiety management.

What telemedicine cannot do

• Emergency situations involving self-harm or severe behavioral changes.
• Comprehensive physical examinations requiring in-person assessment.
• Complex psychiatric evaluations needing detailed testing or observation.
• Medication management requiring close monitoring or adjustments in person.

What is Generalized Anxiety in Children?

Generalized Anxiety Disorder (GAD) means a child often feels worried or nervous about many things, even when there is no clear reason. These worries can last for weeks or months and may affect how the child feels or behaves. Common worries include school performance, family issues, or health concerns. Mild to moderate anxiety can make it hard for children to focus or relax but usually does not stop them from doing daily activities entirely.

How to Prepare for Your Video Visit

Before the video visit, gather information to share with the healthcare provider:

Make sure you have a quiet, private space with good internet connection for the visit. Have a device ready with a camera and microphone, such as a smartphone, tablet, or computer.

What to Expect During the Video Visit

The healthcare provider will ask about your child's feelings, thoughts, and daily activities. They may ask about how anxiety affects school, friendships, and family life. The provider might also ask about sleep, appetite, and any physical symptoms like headaches or stomachaches. You and your child can share concerns and ask questions. The provider will discuss possible next steps, which may include therapy, coping strategies, or follow-up visits.

When to Seek Immediate Help

Some signs need urgent medical attention:

If you notice any of these, seek emergency care immediately or call emergency services.

How Telemedicine Can Help

Telemedicine allows you to connect with healthcare providers from home. It can help:

However, telemedicine may not be suitable for emergencies or complex evaluations that require in-person exams.

After Your Video Visit

After the visit, follow any recommendations given by the provider. This may include:

Contact the provider if symptoms worsen or new concerns arise.

How to prepare for your tele-visit

• Find a quiet, private space with good internet connection for the video visit.
• Have a device ready with a camera and microphone (smartphone, tablet, or computer).
• Write down your child's specific worries and how often they occur.
• Note any changes in sleep, appetite, mood, or behavior.
• List all medications and supplements your child is taking.
• Prepare questions or concerns to discuss with the healthcare provider.
• Ensure your child is comfortable and understands the purpose of the visit.

After your tele-visit

• Follow the healthcare provider's recommendations for therapy or coping strategies.
• Schedule any recommended follow-up appointments.
• Monitor your child's symptoms and behavior regularly.
• Keep a journal of any changes or new symptoms to share in future visits.
• Seek immediate help if red-flag symptoms appear.
• Maintain open communication with your child about their feelings and progress.

FAQs

Can a video visit diagnose my child's anxiety?

A video visit can help healthcare providers understand your child's symptoms and suggest possible diagnoses. However, a full diagnosis may require follow-up visits or in-person assessments.

What should I do if my child feels anxious during the video visit?

It's normal for children to feel nervous. Try to create a calm environment and reassure your child. Let the provider know if your child is uncomfortable so they can adjust the visit accordingly.

Can telemedicine replace therapy for my child?

Telemedicine can be a first step to discuss symptoms and get referrals. Therapy often involves regular sessions, which may be in-person or via telehealth, depending on availability and preference.

What if my internet connection is poor during the visit?

Poor connection can affect the quality of the visit. If possible, try to improve your internet or switch to a different device or location. If issues persist, contact your healthcare provider to reschedule or find alternative options.

Are medications usually needed for mild to moderate anxiety in children?

Medications are not always needed and are typically considered after therapy and coping strategies. The healthcare provider will discuss options based on your child's specific needs.

Sources

1. Generalized Anxiety Disorder in Children — MedlinePlus, U.S. National Library of Medicine.
2. Anxiety Disorders in Children and Adolescents — American Academy of Child & Adolescent Psychiatry.
3. Caring for Children with Mental Health Needs in Primary Care — Centers for Disease Control and Prevention (CDC).
4. Telehealth for Mental Health — World Health Organization (WHO).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent concerns or emergencies, please seek immediate help from a healthcare professional or emergency services.