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Mission Moment: Reducing Anxiety to Help a Student Stay in the Classroom

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Late in September of 2023, Dorian Villanueva, Skills Development Specialist, received a referral for a student experiencing severe separation anxiety that was impacting their ability to come to school and allow their parents to leave. The student eventually stopped attending school altogether.

During this student’s intake, Dorian involved the student in coming up with a plan to attend school and spend a couple of hours with her for skills sessions. After a challenging first session, they worked out a schedule that utilized classroom visits where the student’s parents remained in the A&C office and Dorian attended class with the student. Over time, they were able to increase the student’s classroom time and school time, while decreasing Dorian’s classroom and session time and the parents’ presence in the building.

“There really wasn’t anything we didn’t try with this student and their family,” Dorian said. She and the student worked together to build up coping skills and implement them into a morning routine to reduce anxiety before school. They modeled a classroom environment and completed activities to improve self-awareness, self-esteem, positive thinking, identifying triggers, self-calming ability, and problem-solving. Dorian was also able to coach the student’s parents on positive and negative reinforcement, extinguishing behaviors, psychoeducation on anxiety, and possible reasons for the student’s increase in anxiety.

As of late January 2024, the student had been attending full school days without reporting any separation anxiety and even asked to go to bed earlier so school could come sooner.

“This is really a testament to how much students across all backgrounds might benefit from our service,” said Dorian of the student’s success.

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Sarah Miller, PMHNP-BC

Sarah Miller works with the addictions team, general psychiatry for adolescents and adults, and the competency restoration team. She is board-certified as a Psychiatric Mental Health Nurse Practitioner. Her specialties are working in addictions and with people who experience serious mental illness.

Miller graduated from Indiana University with a psychology degree and went back to school for nursing. She received her nursing degree from Indiana Wesleyan University and worked in a nursing home and also spent time working in a group home with adolescents. She received her master’s degree from Vanderbilt University.

She enjoys hanging out with her family and her two dogs, and going to sporting events.

Joanna Chambers, MD

Dr. Joanna Chambers is a psychiatrist who began seeing Adult & Child Health patients in November 2021. She graduated from Medical College of Georgia with her Doctorate of Medicine in 1996 and completed her residency in psychiatry at Yale University School of Medicine. In addition to bringing a wealth of experience, she currently serves as an associate professor at Indiana University School of Medicine where she teaches Clinical Psychiatry. She is certified in Addiction Medicine and has a special interest in treating pregnant and postpartum women. She is President of the American Academy of Psychoanalysis and Dynamic Psychiatry Organization as well as a sitting member of many medical association boards. Recently, she has won the Residents’ Award for Teaching Excellence in 2020 from Indiana University and has received “Best Doctors Award” in 2010, 2011, and 2014. Dr. Chambers is incredibly active in the medical, academic, and research realms of medicine. She is currently accepting new patients on Wednesdays.