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Anxiety and School Refusal

Teenager anxiety, particularly in the context of school refusal, has emerged as a significant concern for parents, educators, and mental health professionals.

With a rising number of cases, understanding the complexities of this issue is crucial for developing effective strategies to support our youth.

The Prevalence of Anxiety and School Refusal

Recent studies highlight that anxiety is a prevalent issue among children and adolescents, directly influencing school refusal behavior. Factors such as family dynamics, academic pressure, and social interactions play a critical role in exacerbating anxiety, leading to increased instances of school refusal. Those involved in teen mental health need to recognize these patterns early to intervene effectively.

The Association Between Anxiety and Poor Attendance

A systematic review has drawn a significant correlation between anxiety disorders and poor attendance at school, shedding light on the adverse outcomes associated with untreated anxiety. This evidence underscores the necessity of early identification and support for teens struggling with anxiety to prevent a decline in their academic performance and attendance.

"As we see more and more teens struggling with anxiety and school avoidance, it's clear that we need to come together as a community of parents, educators, and mental health professionals to offer support and resources. Every teenager deserves the chance to thrive, academically and personally, and we can make that happen by working together and showing compassion and understanding."

Impact on Academic and Social Functioning

The impact of anxiety on adolescents extends beyond the classroom. Studies indicate that teens with anxiety disorders often face significant social and academic challenges, including difficulties in maintaining relationships, lower social competence, and a higher risk of school refusal. These findings call for a comprehensive approach to address the multifaceted effects of anxiety on teenagers’ lives.

Effective Interventions and Therapies

Cognitive-behavioral therapy (CBT) has shown promise in treating school refusal behaviors linked to anxiety. Incorporating family involvement in these interventions has proven to enhance the effectiveness of treatment, highlighting the importance of a supportive environment in the recovery process. Engaging in these therapies can significantly improve school attendance and overall well-being.

References

  •         de Lijster, J. D., Dieleman, G., Utens, E., Dierckx, B., Wierenga, M., Verhulst, F., & Legerstee, J. (2018). Social and academic functioning in adolescents with anxiety disorders: A systematic review. Journal of Affective Disorders, 230, 108-117.
  •         Finning, K., Ukoumunne, O., Ford, T., Danielsson-Waters, E., Shaw, L., Romero De Jager, I., Stentiford, L., & Moore, D. (2019). The association between anxiety and poor attendance at school – a systematic review. Child and Adolescent Mental Health, 24(3), 205-216.
  •         Şanal Güngör, B., & Koçtürk, N. (2023). School Refusal and Cognitive Behavioral Therapy: A Review. Psikiyatride Guncel Yaklasimlar – Current Approaches in Psychiatry.
  •         Tekin, I., & Aydın, S. (2022). School refusal and anxiety among children and adolescents: A systematic scoping review. New Directions for Child and Adolescent Development.
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Tatiana Shiber - Therapist (Davie)

Tatiana Lourenco Shiber, MS, RMHCI is a Registered Mental Health Counselor Intern with a Master’s degree in Clinical Mental Health Counseling from Nova Southeastern University. She has extensive experience working with adolescents navigating intellectual disabilities, trauma, self-harm, family conflict, depression, and anxiety. Tatiana has also worked with diverse populations providing culturally responsive and affirming care.
 
Tatiana’s therapeutic approach is strength-based and incorporates evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Trauma-Focused CBT (TF-CBT) and Narrative therapy. Tatiana is passionate about creating a safe and supportive environment where clients feel empowered to build resilience, develop healthy coping skills, and foster meaningful change. She is dedicated to walking alongside her clients in their healing journey with compassion, authenticity, and respect.

Tiffany Rivera - Therapist (Davie)

Tiffany Rivera holds a Master’s degree in Clinical Mental Health Counseling from Walden University and a Bachelor’s degree in Psychology from Florida Atlantic University.

With a passion for empowering young people, Tiffany specializes in client-centered approaches that foster trust, growth, and resilience. She brings a strong background in mentoring youth and supporting individuals struggling with substance use, always meeting clients with empathy, patience, and genuine care.

Tiffany is known for her compassionate nature, strong communication skills, and unwavering commitment to helping adolescents navigate life’s challenges.

Ornella Barille - Therapist (Davie)

Ornella is a Registered Mental Health Counselor Intern and holds a Master’s in Clinical Mental Health Counseling from Nova Southeastern University. She is bilingual in English and Spanish and has extensive experience working with diverse populations, including children, families, and young adults. Ornella has worked in both K-12 schools and at the college level, where she has developed a strong commitment to helping adolescents thrive by supporting their personal and academic growth and empowering them to reach their full potential.

Her therapeutic approach centers on creating a safe and welcoming environment where clients can feel comfortable exploring their needs and expressing themselves authentically. Ornella utilizes a blend of mindfulness, existential therapy, and cognitive-behavioral techniques to empower clients in navigating life’s challenges.

Ornella’s compassionate approach fosters self-awareness and encourages clients to build effective coping strategies to achieve their therapeutic goals.

Jamie Namer - Therapist (Davie)

Jamie specializes in Marriage and Family Therapy (MFT) guiding individuals and families toward healthier, more fulfilling lives. With a focus on positivity, self-growth, and holistic healing, Jamie integrates spiritual perspectives and deep empathy into the therapeutic process. Using solution-based methods and emotionally focused therapy, Jamie helps clients navigate past trauma, enhance self-discovery, and strengthen relationships.

Jamie’s approach combines therapeutic techniques with mind-body healing practices such as meditation, mindfulness, and visualization. Experienced in working with children, adolescents, adults, families, and groups, Jamie specializes in addressing issues like anxiety, grief, self-confidence, burnout, family dynamics, depression, PTSD, and life transitions. The goal is to promote overall well-being and support clients in living a balanced, healthy lifestyle.

Dr. Maria Angelica Mejia – Clinical Director (Davie)

Dr. Maria Angelica Mejia’s therapeutic approach is rooted in empathy, resilience-building, and collaboration. As the Clinical Director for Adolescent Wellness Academy, she is dedicated to supporting high-risk teens in navigating trauma, emotional distress, and life’s challenges with a holistic and trauma-informed lens. Dr. Mejia specializes in working with adolescents facing issues such as suicide risk, self-harm, anxiety, depression, and family conflict, utilizing techniques like CBT, DBT, mindfulness, and strength-based therapy. With extensive experience in community mental health, private practice, and clinical supervision, Dr. Mejia has a proven track record of empowering teens to overcome obstacles and thrive. She holds a PhD in Marriage and Family Therapy bringing a depth of knowledge and compassion to her leadership role.

Kimberly Geller

Kimberly Geller - Primary Therapist (Davie)

Kimberly is a compassionate and dedicated therapist with a Master’s degree in Social Work from Florida International University. Kimberly creates a nurturing and secure environment where clients can freely explore their emotions and embark on their journey toward healing and growth. Kimberly specializes in client-centered approaches that helps tailor her therapeutic methods to meet unique needs and goals. By fostering a collaborative therapeutic relationship, she empowers clients to develop effective coping skills and achieve meaningful progress in their mental health journey. Kimberly ensures that each person she works with feels understood and valued throughout their therapeutic process.

Zainub Fatta - Therapist (Davie)

Zainub holds a Master’s degree in Marriage and Family Therapy from Nova Southeastern University and has extensive experience treating a wide range of mental health issues in adults, teens, and children. She specializes in treating diverse mental health struggles such as anxiety, depression, trauma, bipolar disorder, social anxiety, anger management, etc. She also has a lot of experience treating addiction and substance abuse problems within various treatment centers. Zainub views mental health from a systemic perspective, emphasizing the significance of how one’s environment and childhood impacts them, which is why she also specializes in family therapy and couples therapy, when it comes to achieving holistic well-being. Passionate about empowering individuals to find their voice, she considers it a privilege to listen to their vulnerable stories and provide the support they need. Her therapeutic approach focuses on uplifting clients by building their confidence and challenging them to break old, negative patterns of thinking and behavior.

Krystine Garay

Krystine Garay – Licensed Mental Health Counselor

Krystine Garay is a licensed mental health counselor, marriage family therapist, and certified telehealth practitioner. Raised in Miami, Florida, and a member of the Hispanic community, she provides services in both English and Spanish. With five years of experience, she has worked with children, adolescents, and adults, focusing on domestic violence, substance abuse, family conflicts, co-occurring disorders, and mental health issues.
Krystine holds a bachelor’s degree in Psychology from Florida International University and a master’s degree with dual specializations in mental health and marriage and family counseling from Barry University. She is pursuing a doctorate in clinical psychology with a concentration in health psychology from Carlos Albizu University.
Her clinical experience includes rotations at Nicklaus Children’s Hospital, where she assisted children with co-occurring disorders using mindfulness exercises, cognitive-behavioral strategies, and dialectical-behavioral techniques.
Krystine believes in the power of personal growth and progress, and she is dedicated to fostering positive change in her clients’ lives.

Alyssa Mencucci – Therapist (Miami)

Alyssa is a dedicated master’s level clinician specializing in providing compassionate
therapy for adolescents and children facing severe mental health challenges. With a
deep understanding of the developmental stages and psychological needs of
adolescents and children, Alyssa offers expertise in addressing trauma-related issues,
guiding individuals through the complexities of grief, managing anxiety and depression,
navigating personality disorders, and supporting those dealing with PTSD. Alyssa uses
evidence-based techniques such as cognitive-behavioral therapy, DBT, play therapy,
and trauma-focused interventions to create a safe and nurturing environment for
healing. Alyssa believes in a client-centered approach, tailoring therapy to meet the
unique needs and circumstances of each individual. She creates a safe and nurturing
environment where adolescents and children can explore their emotions, develop
coping skills, and embark on a journey of healing and growth.

Dr. Jacqueline Pablos – Clinical Director

Vulnerability and connection are at the heart of Dr. Pablos’ therapeutic approach. As the
Clinical Director for Adolescent Wellness Academy, she aims to create a safe space for
clients to embrace their emotions and express their needs in healthier ways. Dr. Pablos
specializes in treating depression, anxiety, body image issues, bullying, eating
disorders, and self-harm behaviors using techniques like CBT, DBT, mindfulness, and
ACT.
With extensive training in hospitals and counseling centers, Dr. Pablos has a strong
background in helping teens and adults with co-occurring mental and physical health
disorders. She holds a Doctoral Degree in Clinical Psychology, with specialized training
at institutions like Florida International University, Jackson Memorial Hospital,
Clementine Monte Nido, and Nicklaus Children’s Hospital.

Kimberly

Kimberly Carlesi – Therapist (Miami)

Kimberly, a dedicated therapist with a Master’s Degree in Clinical Mental Health
Counseling from Florida International University, specializes in supporting individuals
with eating disorders, trauma, and substance abuse. She creates a safe, nurturing
environment for her clients’ healing journeys, drawing from diverse therapeutic
modalities like cognitive-behavioral therapy and dialectical behavior therapy. With a
focus on trust and collaboration, Kimberly empowers clients through personalized
interventions, fostering self-awareness and resilience.