When separated, the child may have nightmares and sleep problems. Physical symptoms such as nausea, headaches and abdominal pain may occur before or during a separation. The diagnosis is not made if the symptoms are part of another disorder such as Pervasive Developmental Disorder, or a psychotic disorder. Parent education and family therapy are often beneficial. In some cases, the child may also benefit from individual play therapy.
Coordination is a key factor.
The family should make sure that the mental health provider is willing to make the effort to coordinate between the pediatrician, the school and the family. Extended family may also need to be involved. The parents need to develop a consistent morning plan to help support the child in going to school. The school or day care providers and the school nurse are often included in the plan so that the responses to the child are consistent. If the child frequently complains of physical symptoms in the morning, the pediatrician should do a thorough physical exam to rule out any physical causes.