Hi Aubrey--
I am SO sorry to hear about what you and your family are going through. I have tremendous empathy for you, for several reasons: I have experienced panic disorder, as has my daughter (now age 12). I am also a child counselor (LISW) in private practice in Beachwood, and a very large part of my caseload involves this type of childhood anxiety. I am not sure if it is becoming more frequent, but is seems so...at any rate, I have had success treating a lot of these children with a variety of modalites. The suggestion for medication is a good one if your child is truly not able to function on a daily basis, e.g., if he is not eating, sleeping well or is unable to function at all in school. The good news about anxiety disorders is that there are numerous "tools" the individual can be taught to deal with the symptoms. I teach deep breathing, relaxation and guided imagery to children; we also work together through age-appropriate anxiety workbooks; we learn basic feelings "vocabulary" and teach comfort with the expression of feelings in general, so they are able to vocalize much of what is worrying them; they can learn techniques to work through anxiety through art and play-based therapies;then children (and adults) can learn how their thinking is affecting their moods and emotions, and how to change dysfunctional thought patterns. With my own daughter, the symptoms of anxiety also came on very suddenly after the start of last school year; it turned out that a classmate vomited in the classroom, and she became terrified that she would vomit in front of others, as well. This led to her avoiding food and almost continual stomach aches, trips to the school nurse, avoiding play dates and sleep-overs, etc. It seemed as though my sweet, sensitive, happy little girl had been taken over by a monster. We have been able to get these symptoms very much under control; she found the process of educating herself about anxiety disorders very liberating. She had to take Prozac for a period of time due to being unable to eat or sleep for a period of time, but was able to transition off of the medication after about 8 months. All is well now...when issues do come up for her, she can handle them now with all that she has learned. Good luck to you in your search for a provider....it is very, very important for you to find help for you and your family (the therapist should have you in most, if not all, of the sessions, in my opinion, so you know what to do at home with your son...knowledge is really power in the case of severe anxiety). On the plus side, anxiety disorders seem quite common in very bright, creative, sensitive individuals. This WILL get better....
E.