What happens after a telemedicine visit for Social Anxiety Disorder - Mild to Moderate

Audience: pediatric

After a telemedicine visit for mild to moderate social anxiety disorder in children or teens, families often receive guidance on managing symptoms and improving daily life. The healthcare provider may suggest therapy options like cognitive-behavioral therapy (CBT), coping strategies, and sometimes recommend follow-up visits. Medication might be discussed but is usually not the first step. Families typically get advice on how to support their child at home and school. Telemedicine allows for convenient check-ins to monitor progress and adjust care as needed. It’s important to watch for signs that need urgent help, such as worsening anxiety, trouble with daily activities, or thoughts of self-harm. This guide helps families understand what to expect after the visit and how to prepare for ongoing care.

Red flags — go in person / ER

• Your child talks about hurting themselves or others — get emergency help immediately.
• Severe worsening of anxiety leading to inability to eat, sleep, or attend school — contact healthcare provider promptly.
• Signs of depression such as persistent sadness, withdrawal, or loss of interest in activities — seek professional support soon.

What telemedicine can do

• Initial evaluation and education about social anxiety symptoms.
• Providing guidance on coping strategies and therapy options.
• Regular follow-up visits to monitor progress and adjust care plans.
• Answering questions and offering emotional support.

What telemedicine cannot do

• Emergency mental health crises or suicidal thoughts requiring immediate intervention.
• Severe psychiatric conditions needing in-person assessment or hospitalization.
• Physical examinations or administering treatments that require hands-on care.

What to Expect Right After Your Telemedicine Visit

After your telemedicine visit, the healthcare provider may summarize the discussion and recommend next steps. This often includes strategies to manage anxiety, such as practicing relaxation techniques or gradually facing social situations. You might receive referrals to therapists who specialize in social anxiety or be advised to schedule follow-up appointments to track progress.

Common Recommendations for Managing Social Anxiety

Treatment for mild to moderate social anxiety usually focuses on therapy, especially cognitive-behavioral therapy (CBT), which helps change negative thought patterns. Providers may also suggest lifestyle changes like regular exercise, healthy sleep habits, and avoiding caffeine. Medication is generally considered only if therapy alone is not enough.

How Telemedicine Helps in Ongoing Care

Telemedicine allows for regular check-ins without needing to travel. This can help your child stay connected with their healthcare team, discuss challenges, and adjust treatment plans as needed. It also provides a safe space to talk about feelings and progress.

When to Seek In-Person Care or Emergency Help

If your child’s anxiety worsens significantly, they have trouble doing daily activities, or express thoughts of self-harm, seek in-person care or emergency help immediately. Telemedicine is not equipped to handle urgent mental health crises.

Supporting Your Child at Home and School

Encourage open conversations about feelings and fears. Help your child practice social skills gradually and celebrate small successes. Inform teachers or school counselors about your child's needs to create a supportive environment.

How to prepare for your tele-visit

• Find a quiet, private space for the telemedicine visit.
• Have a list of your child's symptoms, concerns, and questions ready.
• Ensure your device (phone, tablet, or computer) is charged and connected to the internet.
• Have paper and pen ready to take notes during the visit.
• Make sure your child is present and comfortable to talk during the appointment.

After your tele-visit

• Follow the provider’s recommendations for therapy or coping strategies.
• Schedule any suggested follow-up telemedicine or in-person visits.
• Monitor your child's symptoms and note any changes to discuss later.
• Communicate with your child’s school or support systems if advised.
• Reach out to healthcare providers promptly if red flag symptoms appear.

FAQs

Can telemedicine visits replace all in-person visits for social anxiety?

Telemedicine visits are helpful for many parts of care, like initial assessments and follow-ups. However, some situations, especially emergencies or severe symptoms, require in-person visits for safety and thorough evaluation.

What if my child feels too shy to talk during a video visit?

It's common for children with social anxiety to feel nervous. Providers are experienced in making children comfortable. You can help by being supportive and encouraging your child to share at their own pace.

Will my child need medication for social anxiety?

Medication is not usually the first step for mild to moderate social anxiety. Therapy and coping strategies are often effective. Medication may be considered if symptoms do not improve with therapy alone.

How often should follow-up visits happen?

The frequency varies based on your child's needs. Often, follow-ups occur every few weeks to months to monitor progress and adjust treatment as needed.

Can parents be involved in the telemedicine visits?

Yes, parents or guardians are usually encouraged to participate, especially with younger children, to provide support and help communicate information.

Sources

1. Social Anxiety Disorder — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Social Anxiety Disorder in Children and Teens — American Academy of Child & Adolescent Psychiatry (AACAP).
3. Mental Health: Social Anxiety Disorder — Centers for Disease Control and Prevention (CDC).
4. Telemedicine and Mental Health — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have concerns about your child's health or mental well-being, seek professional help promptly.