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Refusal to Eat or Drink in Young Children with Anxiety Disorders

Our Lady's Hospital for Sick Children, Dublin

Case histories are presented of three young children with anxiety disorders whose symptoms involved refusal to eat or drink. These symptoms were severe enough to need inpatient treatment in order to ensure adequate hydration and to reduce family distress. Management involved anxiety reduction in the child and in the system around the child. This was achieved by admission to a paediatric ward, the use of a behavioural approach combined with individual and family therapy, and medication. Differential diagnosis included adjustment reactions, obsessive-compulsive disorders and eating disorders.

Key Words: anxiety disorders • children • obsessive-compulsive disorder • refusal to drink • refusal to eat

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