About Youth Anxiety

Children and adolescents with generalized anxiety disorder (GAD) tend to worry about everyday life events with no obvious reasons for worry. The worry is often unrealistic or out of proportion for the situation. They may worry excessively about their performance and competence at school or in sporting events, about personal safety and the safety of family members, or about natural disasters and future events. These children are also frequently anxious and fearful. If left untreated, the anxiety can dominate their thinking so much that it interferes with daily functioning, including school, social activities, and relationships.

If your child is between the ages of 7-17, and you suspect he/she may be suffering from generalized anxiety disorder, please feel free to contact us for more information about this study. You can call our office at 425-453-0404 or complete the questionnaire to the right, and someone from our staff will contact you.


Questionnaire:


Does the child have a history of any of the following? (Please check all that apply)

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

What is the Child's Gender?
 Male Female

How old is your child?

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient Parent Map Seattle’s Child School PTA

Parent's Name (First and Last):

Child's Name (First and Last):

Phone:

Email Address:

Is the child a resident of Washington State?

Zip Code:

What is the best time to contact you?

Please enter any questions or comments in the space below.

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