Cognitive behavioral therapy (CBT) can be helpful for children with food allergy-related anxiety. CBT is a type of therapy that aims to help people change negative patterns of thought and behavior. It can help children with food allergies learn how to manage their anxiety and cope with the challenges of living with a food allergy.
CBT can involve a range of techniques, such as identifying and challenging negative thoughts, learning relaxation techniques, and gradually exposing the child to feared situations. By learning these skills, children can develop a sense of control over their anxiety and feel more confident in managing their food allergies.
It’s important to note that CBT is just one approach that may be helpful for children with food allergy-related anxiety. Other approaches, such as family therapy or medication, may also be helpful in some cases. It’s always best to work with a mental health professional who can help determine the best treatment plan for the individual child.
Children with food allergies, as well as their parents, frequently experience increased anxiety about the risks of accidental contact with food allergens. They also wonder if they should avoid food-related social situations and if medical interventions such as oral food challenges and oral immunotherapy are safe. According to a new study published in Annals of Allergy, Asthma, and Immunology, the scientific journal of the American College of Allergy, Asthma, and Immunology (ACAAI), targeted cognitive behavioral therapy (CBT) can significantly reduce food allergy-related anxiety (FAA) in both children and parents.
A variety of graded exposures such as sniffing their allergen, touching their allergen, or eating a needlessly feared and avoided food were performed in each session by the whole group, and assigned for homework.
Katherine Dahlsgaard
“To our knowledge, this is the first study of an outpatient use of CBT in a sample of children diagnosed with an anxiety disorder related to their food allergy,” said allergist Jonathan Spergel, MD, Ph.D., ACAAI member and co-author of the study. “We found that, although it was a small sample of 10 children, 100% of the children and their parents showed symptom improvement as reported by multiple sources (child, parent, therapist) and across multiple domains (food allergy-specific anxiety, general anxiety and health-related quality of life.)” The study included a follow-up assessment 2-4 months past the active treatment with results suggesting the gains were maintained.
The study participants were 10 children aged 8-12 years (80% female) referred by their allergists specifically for evaluation and treatment of FAA. The children had to have confirmed IgE-mediated food allergy/allergies that were well-controlled, as well as excessive anxiety and medically unnecessary and impairing anxious avoidance related specifically to their food allergy. The CBT included 5-8 “proximity exposure sessions” with the patient, with each session typically lasting between 30 and 90 minutes depending on whether it was a group or individual session. An allergist or mental health provider led the sessions.
“A variety of graded exposures such as sniffing their allergen, touching their allergen, or eating a needlessly feared and avoided food were performed in each session by the whole group, and assigned for homework,” said Katherine Dahlsgaard, Ph.D., CBT therapist who worked with the families, and lead author of the study. “One or both parents of 100% of the children completed a treatment satisfaction questionnaire posttreatment. Parents rated the treatment as highly satisfactory and helpful, and all 10 children were rated as much improved or very much improved.”
Although the sample size was small and randomized trials still need to be performed, allergists and others who work with children with FAA, including mental health professionals, may be assisted by CBT in their treatment efforts. “This manualized treatment was brief – just 6 sessions and can be given in allergists’ offices by nurse practitioners or other providers,” said Megan Lewis, CRNP and co-author of the study.
Allergists are specially trained to test for, diagnose and manage food allergies. To find an allergist near you who can help create a personal plan to deal with your child’s food allergies, and help them live their best life, use the ACAAI allergist locator.
