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Technically you need to combine the 3 papers attached and add 5 more pages to make it 20 pages. FOLLOW EXACT DIRECTIONS AND APA STYLE AND FORMAT. USE THE SAME QUOTATION AND ADD MORE TO MATCH THE REQUIRED AMOUNT. Ask me any questions you might have. All paper needs to be about ANXIETY AMONG CHILDREN FROM K-12.I ATTACHEd: INTRODUCTION AND 2 Papers. Combine them ad add 5 more pages, do not make major changes.The culminating argumentative paper is a strategic reordering of the first four papers, with the addition of an introduction and discussion/conclusion.The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” explained in the first four papers.Revise and re-order each of the informative papers you have composed THE 2 PAPERS ATTACHED for the course, placing them in a strategic arrangement that supports the final section of this final paper, your argument for a “defensible solution” to the health care issue you have studied, researched, and written about. As a result, this final paper will be comprehensive and summative.Important: this final paper should include a newly composed introductory section, and a final conclusion section which presents your discussion of (and argument for) the solution. Your argument for the defensible solution that you propose should be the focus of this paper. Your paper must:Be 15–20 pages in lengthTitle page (1 page)Introduction (1–2 pages)Reworked informative papers (10-15 pages)Conclusion (1–2 pages)References page (1–2 pages)Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)Follow all APA formatting guidelines for this paper, with each of your previous four papers being presented as “sections” of this fifth paper, using Level 1 headings.Use the provided template. Refer to the rubric for evaluation details and to assist in preparing the paper.


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Anxiety Among School Children
Serzh Boynagiryan
West Coast University
Anxiety is apprehension or fears feeling regarding what is expected. Based on the meaning of
anxiety, evidence indicates that anxiety is a critical aspect of chronic pain among pediatrics. It is
commonly found among youth with chronic pain compared to other people. However, school is
considered to be a significant cause of anxiety since students are always not aware of the
conditions that they might experience. Among students, anxiety is composed of various aspects
of interpersonal and academic distress. Some of the sources of stress among students are the fear
of academic performance, peer relationships, and negative evaluations by teachers. Based on the
knowledge concerning anxiety, various aspects of the condition are discussed such as the
common types of the anxiety condition, the body system affected by the situation, and the factors
leading to its development.
Keywords: anxiety, generalized anxiety disorder, obsessive-compulsive disorder, panic
Anxiety among School Children
Anxiety is the natural response of the body to stress. There are several types of anxiety
disorder, but the most common types are the Generalized Anxiety Disorder (GAD), ObsessiveCompulsive Disorder (OCD), and the Panic Disorder. GAD involves chronic anxiety and
worrying condition with little or no specific reason. People experiencing this condition have
problems in controlling their worries such as unable to relax and easily startled. According to the
information obtained from the Center for Disease Control and Preventions (CD), over six million
individuals suffer from this condition in America (Cook et al., 2017). Obsessive-Compulsive
Disorder involves repetitive behaviors such as frequent washing of hands by an individual and
counting or checking things needlessly accompanied by reoccurring unwanted thoughts. The
people suffering from this condition display funny behavior that they are unaware of. According
to the CDC information, American individuals with this condition are estimated to be more than
2.2 million.
When a person is experiencing panic disorder, he or she displays intense fear, panic, or
terror accompanied by weaknesses, faintness, and dizziness. Such individuals seem to be stressed
all through, but the reason behind their condition is sometimes not known. More than six million
individuals in America are considered to be suffering from this condition. There are several body
systems affected by anxiety. Some of the systems include the central nervous system,
cardiovascular system, as well as excretory and digestive systems. The long-term condition of
panic attacks and anxiety may trigger the brain to release some hormones related to stress
regularly. Such hormones increase some feelings to the person such as depression, dizziness, and
headache. When an individual feel stressed and anxious, the brain releases hormones to the
nervous system that help the person to respond to a particular threat. Some of the hormones
produced in such a case are the cortisol and the adrenaline hormones (Cook et al., 2017). The
cardiovascular system is also affected by the anxiety feeling of an individual. Anxiety disorders
tend to increase the rate of the heartbeat, causes chest pain, and palpitations (Poirier et al., 2016).
The person experiencing anxiety may is also likely to experience heart disease and high blood
pressure. For the individuals suffering from heart disease, their chances of developing coronary
problems are very high. Excretory and digestive systems are also significantly affected by the
presence of anxiety in an individual. The patient may develop diarrhea, stomachaches, and
nausea among other digestive problems. The patient tends to lose the appetite, thus unable to
consume anything.
The diagnosis of the anxiety condition can first be checked by the primary caregiver to
determine whether the problem is related to any physical health of the body. Such a person can
check any signs that need attention from the doctor. However, if the situation is severe, the
patient needs to visit a mental health specialist. In this case, a psychiatrist is a specialist that can
test the severity of the anxiety condition. A psychologist among other mental health
professionals may diagnose the disease and offer to counsel when necessary. The mental health
professional may diagnose the problem by providing the patient with a psychological evaluation
or comparing the symptoms based on DSM-5. Psychological evaluation involves discussing the
behavior, feelings, and thoughts that enable the healthcare professional to identify and check the
complications related to anxiety. Anxiety usually develops with other mental health complication
such as substance abuse or depression which brings challenges to the anxiety diagnosis
(Jastrowski, 2017). Mental health professionals can also apply the procedure adopted by the
Diagnostic and Statistical Manual of Mental Disorders, which is commonly abbreviated as DSM5. The manual comprises of several mental problems listed with their signs and symptoms. The
manual was developed by the American Psychiatrist Association to enable doctors to diagnose
various mental disorders. The severity of the condition determines the treatment for anxiety. The
two-primary treatment of the disease includes medication and psychotherapy. The two types of
procedures can be applied in combination. Psychotherapy is also referred to as psychological
counseling or talk therapy. This form of treatment involves associating with a therapist to
minimize the symptoms of the anxiety. Among the methods applied in psychotherapy, cognitive
behavior therapy is considered to be the most effective technique. However, cognitive behavior
therapy is considered to be short-term therapy since it involves teaching the patient some skills
that can manage the condition directly (Stein & Sareen, 2015). The skills enable the person to
manage his or her worries and assist the patient to return to his routine activities gradually. If this
method is applied to the patient for some time, the symptoms of the condition diminish as the
person gain his previous state. Medications are also used as a treatment for anxiety disorders
since there are several drugs associated with the condition. However, the drugs are supposed to
be prescribed by a specialist to avoid any side effects related to the medication. Some of the
drugs that can be applied include the antidepressants, buspirone, and benzodiazepines.
Management of anxiety is very beneficial, especially among children. Proper
management of anxiety ensures that children perform well in schools since they tend to have
minimal mental disturbances. Such children tend to grow health due to low chances of
developing other mental disorders such as depression. Since the methods of preventing
individuals from developing anxiety are still not many, one of the methods applied to avoid an
individual from suffering the condition is through regular exercises. Individuals who spend take
some time to engage themselves in physical activities tend to lower their chances of developing
anxiety. Since anxiety is pervasive among American children, a way of handling the condition
has been established in several schools. Among the teachers who are employed in various
schools to teach children, most of them have undergone psychotherapy training so that they can
handle children with anxiety conditions. Availability of such teachers in educational institutions
has significantly reduced the number of children suffering from anxiety problems. Deep thoughts
on negative things cause anxiety. People who usually think of the severity of their health
conditions, financial instability, bad life experience situations, and their lousy personality aspects
among other negative things tend to suffer from anxiety more quickly (Stein & Sareen, 2015). As
a result, the anxiety disorders deteriorate the health conditions of an individual, and to some
extent, it may cause death.
There are several risk factors associated with the development of anxiety among children.
One of the risk factors is trauma. Children who experience trauma, abuse or witnessed a
traumatic incident have a higher likelihood of developing anxiety disorders. The traumatic
experience may affect the person from an early age to adulthood. Severe illness can also lead to
anxiety disorder. Some health conditions such as cancer and heart disease can increase the risk to
anxiety disorders since the person may have great worry regarding his or her treatment. Stress
build-up can also result in an anxiety condition. A buildup of small stressful life conditions may
trigger anxiety feelings. For example, financial problems for a longer time, work stress, or death
of a family member can be some of the situations that can build up with time (Poirier et al.,
2016). Besides, personality can increase the chances of developing anxiety since some people
with particular personalities such as stammering ability can be prone to the condition. Other
mental states such as depression are additional risks to anxiety. Since the two primary treatments
for anxiety are medication and psychotherapy, cognitive behavior therapy is the best among
children. Through cognitive behavior therapy, children develop skills or techniques that enable
them to manage the problem. However, medications are not suitable for children since they may
have no impact on them. For example, in a circumstance where a child developed anxiety
disorder due to a traumatic event, the use of medication will not erase the incident that the child
went through (Cook et al., 2017). However, if cognitive behavior therapy is applied, the child
can view the traumatic event as a normal thing, thus erasing it from her minds. In such a case, the
anxiety condition may end. Anxiety can have a significant impact on the academic performance
of a child. The condition affects the memory of a student, making it hard to learn something and
retain the information. Students suffering from such a condition think and work less efficiently,
thus affect the learning capability of the person. According to the study conducted in the United
States to determine the effect of anxiety among children from Kindergarten to Grade 12, various
conclusions were made (Jastrowski, 2017). 1st-grade students with stress during the autumn were
considered to be eight times much likely to have the lowest quartile in reading ability as well as
2.5 times much likely of having the lowest quartile in mathematics performance during the
spring period. This indicates that the condition has a significant impact on children.
According to the various studies conducted, anxiety has been evidenced to be a
significant problem, especially among school children. The children develop the conditions due
to bad life experiences and events such as the death of a family member. However, such
conditions can be minimized through psychotherapy and the use of medications. Failure of
handling the situation effectively may affect the health condition of an individual and cause poor
education performance.
Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., … & Mallah, K.
(2017). Complex trauma in children and adolescents. Psychiatric annals, 35(5), 390-398.
Jastrowski Mano, K. E. (2017). School anxiety in children and adolescents with chronic
pain. Pain Research and Management, 2017.
Poirier, C. S., Brendgen, M., Girard, A., Vitaro, F., Dionne, G., & Boivin, M. (2016). Friendship
experiences and anxiety among children: a genetically informed study. Journal of
Clinical Child & Adolescent Psychology, 45(5), 655-667.
Stein, M. B., & Sareen, J. (2015). Generalized anxiety disorder. New England Journal of
Medicine, 373(21), 2059-2068.
Anxiety Among School Children
Serzh Boynagiryan
West Coast University
Anxiety Among School Children
Anxiety involves feelings of fear over what is expected by a person. Being anxious is
common as everyone may have that feeling once in a while. Anxiety disorder, on the other hand,
involves constant feelings of fear and worry by a person. Anxiety disorders are not healthy for
every person. Children that have anxiety disorders fail to live normal school lives like other kids.
They live with constant fear and worry and may even feel depressed and lonely. Anxiety disorder
in children is not due to poor parenting. Such children do not live happy and normal lives as kids.
The constant fear and worry make them cause trouble before attending school or some of the
refuse to participate in school. While at school, children with anxiety disorder fail to make
friends, concentrate on their education or even participate in any activities carried out in school.
This affects their social lives and also performance.
Keywords: Anxiety, Anxiety disorder, spiritual activities, cultural activities, and religious
Anxiety Among School Children
Anxiety Among School Children
Anxiety disorder is an issue that affects both children and adults. There have been cases
of anxiety disorder in schools affecting school performance and school life of children. The
leading cause of anxiety disorders in school is the fear of poor performance, teacher’s evaluation,
and peer pressure. Children may develop a fear of performing poorly in school as they may think
that they are not capable of achieving the best results. Negative comments and evaluation from
the teachers may also affect the children and make them have an anxiety disorder. The negative
assessment may be due to the child’s behavior or even failure to participate in class activities.
This may increase fear of children leading to increased anxiety levels. Peer pressure in schools
can make the child have low self-esteem. The child may perceive that he or she cannot fit in a
particular group due to various reasons.
The paper will address the level one and level two research questions based on the
anxiety disorder levels in school (Cook et al., 2017). The Level on questions that will be
addressed includes how do personal or family religious preferences affect on anxiety level at
school? Will cultural or sports activities reduce the anxiety level among students? Does spiritual
education reflect on anxiety level during academic activities? The level two research questions
that will be addressed in the paper include how cultural or spiritual activities effect on anxiety
treatment can? Can cultural or lifestyle preferences become a way of reducing anxiety and
outcome to higher results on tests? Will marijuana or smoking as a cultural preference become a
legal treatment against anxiety at schools?
Anxiety Among School Children
Personal and religious preferences affect the anxiety level at school in different ways.
Personal and religious preferences involve religious beliefs and practices as part of a person’s
life. A child’s religious beliefs and practices depend on the religious background of the family
that the child is coming from. When school children and teens participate in religious activities at
their home, they end up building the confidence of associating with other people (Agorastos,
Cuneyt, and Christian, 2014). Their anxiety levels, therefore, reduce while at school. Such
students are encouraged and motivated on how to face life issues giving them boldness in every
situation they are in. Research has indicated that students that participate in church ministries or
any other religious activities have lower anxiety levels. The situation is however different
depending on the type of person. The anxiety levels of some students may be increased after
participating in religious activities. This is in most cases, children that are expected to join the
kinder garden (Agorastos, Cuneyt, and Christian, 2014). When such children get familiarized
with the church environment, they may find it difficult to transform into the school environment.
Some of them can react by refusing to attend school or even staying alone in school. Therefore,
family and personal religious activities have both positive and negative impacts on anxiety levels
at school.
Participating in cultural activities and sports activities will help in reducing the levels of
anxiety among the students. Sports activities and cultural activities enable the students to interact
with other individuals minimizing the chances of being lonely and depressed. Participating in
cultural and sports activities is also essential as it distracts the anxiety feelings that are in the
students. This is because of their concentration shifts from the fears that they have to the cultural
and sports events. Such events are also crucial for developing the confidence of a student (Nail et
al., 2015). When a student’s confidence is developed through sports and cultural activities, the
Anxiety Among School Children
students become less anxious about what may happen in schools. Parents should encourage their
children to take part in games and cultural activities as it may be a solution to the anxiety
disorders in their kids.
Spiritual education reduces the levels of anxiety in schools. Spiritual intelligence is one
of the most critical factors connected to human existence. Spiritual knowledge and growth
enhance an individual’s health and his or her evolution (Zarafshan et al., 2015). Providing
religious education to children will reduce anxiety levels as they will be able to obtain useful
information relating to the way of life. Their levels of fear will decrease as their spiritual
intelligence increases. Religious education reduces pressure on students. It enables the student to
appreciate the person he or she is, and it also makes the child want to utilize his or her abilities to
the fullest. This is important in preventing the development of anxiety and depression. Spiritual
education enhances the character of the student in that he or she may control the feelings of
anger and feeling irritated. This contributes to reducing the levels of anxiety at schools (Nail et
al., 2015).
Spiritual activities enhance coping among patients with anxiety disorder. When patients
with an anxiety disorder may recover quickly when they focus more on spiritual activities, this is
because spiritual activities enable the patient to obtain their real identities and to discover the
most important things in life. It makes the patient focus on the important things and not on the
fears that he or she might have. Some of the cultural and spiritual activities may, however,
negatively hinder anxiety treatment. This could be through certain beliefs in particular religion
regarding the use of medicine to reduce anxiety levels (Agorastos, Cuneyt, and Christian, 2014).
Cultural and spiritual beliefs that may hinder the patient with an anxiety disorder will make the
Anxiety Among School Children
signs and symptoms of the patient not to be suppressed by medicine or medical care. This may
worsen the condition of the patient. Patients with an anxiety disorder should be careful with the
type of cultural or spiritual activities they take part in when they are under medical treatment.
The cultural and religious activities should not affect the medication or treatment process of the
Cultural and lifestyle preferences can contribute to reducing anxiety and can lead to
higher results on the test. Cultural preferences may include certain cultural beliefs and social
norms. Participating in cultural activities has been found out …
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