Separation Anxiety Symptoms Research Articles

Can nomophobia be a contemporary and novel cluster of symptoms of adult separation anxiety disorder?

Objective: The connection between adult separation anxiety disorder (ASAD) and nomophobia has been poorly investigated. The aim of this study is to evaluate whether there is a relationship between ASAD and nomophobia. Method: The sample consisted of 68 university students diagnosed with ASAD and 77 university students without ASAD. All participants were evaluated by a structured clinical interview, Adult Separation Anxiety Questionnaire (ASA), Separation Anxiety Symptom Inventory (SASI), Nomophobia Questionnaire (NMP-Q), and Smartphone Addiction Scale-Short Version (SAS-SV). Result: Participants with ASAD had longer daily phone usage times and had a higher frequency of checking the phone during the day and the rates of carrying a charger than controls. Compared to the control group, participants with ASAD had significantly higher ASA, SASI, NMP-Q, and SAS-SV scores and more severe nomophobia levels. The ASA scores were significantly positively correlated with SASI, NMP-Q, and SAS-SV. Regarding predictors of nomophobia, ASA, SASI, and SAS-SV scores had a positive and significant effect on nomophobia, and predicted nomophobia. Conclusion: Our research adds to the body of knowledge on nomophobia by demonstrating that people with ASAD are susceptible to developing nomophobia. Clinicians should be aware of the association between ASAD and nomophobia, and nomophobia may be an important concept that should be considered in the therapy approach to patients with ASAD.

Depression and anxiety in transgender and non-binary adolescents: prevalence and associations between adolescent and caregiver reports.

Though adolescent and caregiver reports were low to moderately correlated, youth reports were consistently higher, suggesting the importance of interventions to increase caregiver understanding of TNB adolescent mental health. • Transgender/non-binary adolescents are at high risk for mental health concerns and caregivers are essential to coordinate care. • This study expands the diagnostic mental health sub-categories examined in transgender/non-binary adolescents, noting elevated symptoms of separation and social anxiety. • Transgender/non-binary adolescents reported more symptoms of depression, generalized anxiety, separation anxiety, and social anxiety than caregivers.

Association between developmental patterns of single and concurrent externalizing behaviors and internalizing problems over the preschool years.

The present study investigated whether distinct developmental patterns of externalizing behaviors (EBs: hyperactivity-impulsivity, noncompliance, physical aggression) based on parent reports were repeatedly and differentially associated with separate dimensions of internalizing problems such as general anxiety, separation anxiety, and depressive symptoms across the early, middle, and late preschool years in a population birth cohort (N = 2,057, 50.7% boys). Six high trajectory classes obtained by latent growth modeling were used as longitudinal indicators of single EB and co-occurrent EBs. Children following low or moderate trajectories for all EBs served as the reference class. Results revealed that children in trajectory classes reflecting high levels of co-occurring EBs showed higher levels of general anxiety, separation anxiety, and depressive symptoms across the preschool years. In contrast, children in trajectory classes reflecting single EB manifested higher levels of some, but not all, dimensions of internalizing problems. In addition, their scores varied from one period to another. No sex differences were observed in the above associations. These results underline the need for comprehensive assessments across distinct types of EBs and internalizing problems to better reflect the characteristics that distinguish individual children. Finally, results suggest that children showing early co-occurrent EBs and internalizing symptoms may be an important group to target for in-depth assessment and possibly preventive intervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The mediational role of cognitive emotion regulation and mindfulness in the relationship between adult separation anxiety and partner-related obsessive compulsive symptoms

Aims: This study aims to investigate the mediating role of cognitive emotion regulation and mindfulness in the relationship between adult separation anxiety and partner-focused obsessive-compulsive symptoms. Methods: The study includes a total of 502 adult participants aged over 18, consisting of 293 women and 209 men, who participated on a voluntary basis. The personal information form, partner-related obsessive-compulsive symptoms scale, cognitive emotion regulation questionnaire, adult separation anxiety questionnaire, and mindful attention awareness scale were used in this research. Statistical analyses were conducted using SPSS 27 software. Results: The results indicate that the self-blame and focusing on thought subscales of the cognitive emotion regulation questionnaire have a mediating role between adult separation anxiety and partner-related obsessive-compulsive symptoms. Conclusion: Mindfulness serves as a mediator in the relationship between adult separation anxiety and partner-related obsessive-compulsive symptoms.

Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment.

Family accommodation, or changes in parental behavior aimed at avoiding or alleviating child anxiety-related distress, contributes to the severity of anxiety symptoms, and is most strongly associated with separation anxiety. This study examined whether child attachment security, characterized as the degree to which children perceive their parents to be reliable, available, and communicative, moderates the association between family accommodation and separation anxiety symptoms, and whether this moderation is specific to separation anxiety among other anxiety symptoms. In a sample of clinically anxious children (N = 243, 6-12years), family accommodation was significantly positively associated with separation anxiety symptoms across levels of attachment security. Family accommodation was more strongly associated with parent-reported separation anxiety symptoms in children with lower attachment security compared with those with higher attachment security. No significant moderation effect emerged for other anxiety symptoms. Findings enhance understanding of the role of attachment within family accommodation of child anxiety.

Longitudinal study of peer victimization, social support, and mental health during early adolescence.

Peer victimization predicts the development of mental health symptoms in the transition to adolescence, but it is unclear whether and how parents and school environments can buffer this link. We analyzed two-year longitudinal data from the Adolescent Brain Cognitive Development (ABCD) study, involving a diverse sample of 11 844 children across the United States (average at baseline = 9.91 years; standard deviation = 0.63; range = 8.92-11.08; complete case sample = 8385). Longitudinal associations between peer victimization and two-year changes in mental health symptoms of major depression disorder (MDD), separation anxiety (SA), prodromal psychosis (PP), and attention-deficit/hyperactivity disorder (ADHD) were examined including a wide range of covariates. Mixed linear models were used to test for the moderating effects of parental warmth and prosocial school environment. 20% of children experienced peer victimization. Higher exposure to peer victimization was associated with increases in MDD, SA, and ADHD symptoms. Parental warmth was associated with decreases in MDD symptoms but did not robustly buffer the link between peer victimization and mental health symptoms. Prosocial school environment predicted decreases in PP symptoms and buffered the link between peer victimization and MDD symptoms but amplified the link between peer victimization and SA and ADHD symptoms. Peer victimization is associated with increases in mental health symptoms during the transition to adolescence. Parental warmth and prosocial school environments might not be enough to counter the negative consequences of peer victimization on all mental health outcomes.

Exploring Overlooked Anxiety Disorders: A Study on the Prevalence of Adult Separation Anxiety Disorder and Specific Phobia in the General Population

Objective: The current study aimed to investigate the prevalence of adult separation anxiety disorder and specific phobia in the general population, along with identifying the factors associated with these two disorders. Material and Method: The study was carried out in the Selçuklu district, encompassing 28 of the 34 family health centers selected through a simple random sampling method. The study sample included 1,218 individuals over 18, chosen using a systematic sampling approach by skipping one resident from each neighborhood covered by the family health unit. After collecting the sociodemographic data, face-to-face diagnostic interviews were performed using the Structured Clinical Interviews for Separation Anxiety Symptoms (SCI-SAS) for ASAD and the Structured Clinical Interview for DSM-5 (SCID-5) for specific phobia assessment. Results: The study revealed that the lifetime prevalence of ASAD was 5.9%, with a point prevalence of 1.5%, while the lifetime prevalence of specific phobia was 11.3%. The application rates for the treatment of both disorders were very low and clinicians demonstrated limited recognition of ASAD. ASAD was correlated with female gender, low income, childhood traumatic experiences, migraine presence, and family history of serious illness. On the other hand, specific phobia was associated with female gender and family history of psychiatric disease. Conclusion: Despite the high prevalence of both disorders, the alarming rates of clinical recognition and treatment underscore the need to develop health policies and awareness programs aimed at promoting early diagnosis and treatment.

Asthma and anxiety in children and adolescents: characteristics and treatment outcomes

Objective This study (a) examined anxious youth with and without asthma on measures of negative self-talk, parental psychopathology, worry content, physical symptoms, panic symptoms, generalized symptoms, and separation anxiety symptoms, and (b) tested if outpatient CBT or medication were differentially effective in reducing anxiety for youth with asthma and anxiety. Methods This secondary analysis separated youth with an anxiety disorder into asthma and non-asthma groups. Youth were also compared on response to treatments (i.e. CBT, sertraline, combined, and placebo). Results A total of 488 participants participated in the original study, with an average age of 10 years (SD 2.87). Youth with comorbid asthma and anxiety demonstrated higher rates of negative self-talk. Youth with comorbid asthma and anxiety did not differ from the non-asthma group on measures of physical symptoms, anxiety disorder specific symptoms, parental psychopathology, or worry content. Youth with asthma and anxiety responded similarly to the non-asthma group to treatment across treatment conditions. Conclusions Treatment was comparably effective for youth with comorbid asthma and anxiety and youth with anxiety. Future research could examine the effects of psychopharmaceuticals on asthma and anxiety comorbidity.

Impact of the Age at Distal Hypospadias Surgery on Behavioral Problems, Somatic Symptoms and Irritability Levels in Children

BackgroundTo assess the effect of age at hypospadias surgery on emotional and behavioural problems, somatic symptoms, irritability, and penile perception. MethodsWe retrospectively identified the patients who underwent single distal hypospadias surgery and age-matched healthy controls were included. There were two further subgroups according to the age at the time of hypospadias repair (<2 vs. >2 years). The Strengths and Difficulties Questionnaire (SDQ), Revised Children's Anxiety and Depression Scale (RCADS), Affective Reactivity Index (ARI), Level 2 Somatic Symptom Scale, and Penile Perception Score (PPS) scale were used. The groups were compared using multivariate variance analysis (MANOVA). ResultsBoth groups consisted of 70 patients (mean age 14.0 ± 0.2 years, for both), while there were 34 patients in the hypospadias groups who underwent surgery at <2 years of age. Depressive, panic, separation anxiety, social phobia, and somatic complaint symptom scores of the hypospadias group were lower than those of the control group. Obsessive-compulsive symptom levels were significantly higher in patients who underwent hypospadias surgery at >2 vs. <2 years of age. Additionally, PPSs rated by the surgeon were significantly higher in the former. A multivariate linear regression model indicated that panic disorder symptom scores predicted child PPS in the hypospadias group. Limitations include retrospective design. ConclusionsSingle hypospadias surgery seems not to have a negative impact on emotional and behavioural status. Children who underwent distal hypospadias surgery after 2 years of age had higher levels of obsessive-compulsive symptoms. Following emotional status may help the early diagnosis of future psychopathologies. Type of StudyRetrospective comparative study. Level of EvidenceIII.

Profiles of intolerance of uncertainty, separation anxiety, and negative affectivity in emerging adulthood: A person-centered approach

BackgroundAlthough Intolerance of uncertainty (IU), separation anxiety, and negative affectivity seem theoretically interrelated, no empirical study has considered them jointly so far. However, deepening this topic is clinically relevant, especially during the delicate phase of emerging adulthood. This study aimed to pinpoint psychological profiles based on IU, separation anxiety symptoms, and negative affectivity in a group of Italian non-clinical emerging adults. Such profiles were then compared in terms of key psychological and psychosocial characteristics. Methods868 young adults (73 % women) aged 18–26 years entered the study. They completed a socio-demographic survey and self-report tools assessing IU, separation anxiety symptomatology, and personality traits. Subgroups exhibiting distinctive patterns of IU, separation anxiety symptoms, and negative affectivity were identified using latent profile analysis. To deepen disparities in psychological and psychosocial features by profile, analyses of variance and chi-square tests were performed. ResultsThree profiles were detected, respectively with high, low, and moderate levels of the variables considered. In each profile, IU, separation anxiety symptoms, and negative affectivity had a consistent trend. The “High-level” profile had the greatest proportion of women and people who had not spent infancy with both parents. LimitationsThe sample included mainly women and university students, and data were collected using self-report questionnaires only. ConclusionsIU, separation anxiety symptoms, and negative affectivity can co-occur, highlighting the importance of transdiagnostic interventions. Preventive efforts should be directed to emerging adult women and those who did not spend infancy with both parents, as they may be particularly vulnerable to internalizing distress.

Maternal Labor Force Participation During the Child's First Year and Later Separation Anxiety Symptoms.

Separation anxiety symptoms are frequent among preschool-aged children, but it is also a possible gateway for diagnosis of separation anxiety disorder. Early maternal employment after childbirth can increase the risk for the development of separation anxiety symptoms. From an economic perspective, however, securing employment is one effective strategy to ensure child well-being. This study investigated how mothers' participation in the labor force (vs. maternal leave) and the financial state of families when the child was 5 months old was prospectively associated with separation anxiety symptoms. This study is based on 1,295 Canadian families with children assessed longitudinally from 17 months to age 6 on their levels of separation anxiety. Separation anxiety was measured during face-to-face interviews with the mothers. Maternal labor force participation, financial status, and risk factors were measured at 5 months. Results adjusted for propensity scores and for sample weight revealed that children of working mothers, despite having sufficient income (n = 245, 18.9%), were at higher risk of separation anxiety during early childhood. In contrast, maternity leave was most beneficial for children's separation anxiety, whether they were in a family with sufficient income (n = 950, 73.4%) or temporary low income (n = 100, 7.7%). Children of mothers in maternity leave were at risk of heightened separation anxiety only if they experienced chronic economic hardship. Therefore, maternity leave uptake could help prevent the development of separation anxiety. Providing families with opportunity to care for the baby as their main occupation during this sensitive developmental period could help improve children's mental health.

Mental health problems, stressful life events and new-onset urinary incontinence in primary school-age children: a prospective cohort study

Emotional/behaviour problems and exposure to stressful life events are thought to contribute to new onset of urinary incontinence (UI) amongst children who have attained bladder control. However, very few prospective studies have examined these associations. We assessed whether mental health problems and stressful life events were associated with subsequent new onset in UI using multivariable logistic regression in a prospective UK cohort (n = 6408). Mothers provided information on their child’s symptoms of common mental disorders (Development and Wellbeing Assessment, 7 years), stressful life events (7–8 years) and wetting (day and night, 9 years). There was strong evidence that separation anxiety symptoms were associated with new-onset UI in the fully adjusted model (OR (95% CI) = 2.08 (1.39, 3.13), p < 0.001). Social anxiety, attention-deficit hyperactivity disorder and oppositional defiant disorder symptoms were associated with new-onset UI, but these associations attenuated following adjustment for child developmental level and earlier emotional/behaviour problems. There was weak evidence for a sex interaction with stressful life events (p = 0.065), such that females experiencing more stressful life events were at higher risk of new-onset UI (fully adjusted model OR (95% CI) = 1.66 (1.05, 2.61), p = 0.029), but there was no association in males (fully adjusted model OR (95% CI) = 0.87 (0.52, 1.47), p = 0.608). These results suggest that separation anxiety and stressful life events in girls may lead to an increase in UI.

To Leave is to Die a Little: Assessing the Symptom Structure of Separation Anxiety Disorder in Left-Behind Emerging Adults.

The literature on separation anxiety disorder (SAD) presented two contentious issues relating to its assessment. First, studies are scarce in assessing the symptom structure of DSM-5 SAD among the adult population. Second, the accuracy in assessing the severity of SAD through measuring the intensity of disturbance and the frequency of occurrence of symptoms is yet to be studied. To address these limitations, the present study aimed to: (1) examine the latent factor structure of the newly developed separation anxiety disorder symptom severity inventory (SADSSI); (2) evaluate the necessity of using frequency or intensity formats through comparison of differences in the latent level; and (3) investigate SAD latent class analysis. Utilizing 425 left-behind emerging adults (LBA), the findings showed that a general factor with two dimensions (i.e., response formats) measuring frequency and intensity symptom severity separately has excellent fit and good reliability. Finally, the latent class analysis yielded a three-class solution best fitting to the data. Overall, the data provided evidence for the psychometric soundness of SADSSI as an assessment tool for separation anxiety symptoms among LBA.

Inattention symptom severity and cognitive processes in children at risk of ADHD: the moderating role of separation anxiety

ABSTRACT Impairments in cognitive processes and their associations with dimensional measures of inattention, hyperactivity-impulsivity and anxiety were examined in children at risk of Attention-Deficit Hyperactivity Disorder. Children referred by teachers for exhibiting ADHD-type problems (n = 116; 43 meeting full diagnostic criteria for ADHD; 4–8 years) completed computerized tasks measuring episodic memory, response inhibition, visuomotor control and sustained attention, while parents were interviewed (DAWBA) to assess ADHD and anxiety symptoms. Of the 116 children assessed, 72% exhibited impaired cognitive processes; 47% had impaired visuomotor control, 37% impaired response inhibition, and 35% had impaired episodic memory. Correlational and hierarchical regression analyses using our final analytic sample (i.e., children who completed all cognitive tasks and a vocabulary assessment, n = 114) showed that poorer task performance and greater within-subject variability were significantly associated with more severe inattention symptoms but not with hyperactivity-impulsivity severity. Symptoms of separation anxiety, which were reported in over half of the sample, moderated associations between inattention and episodic memory, and between inattention and inhibition. Only children without separation anxiety showed significant correlations between ADHD symptoms and poor performance. However, separation anxiety had no moderating effect on associations between inattention and visuomotor control or sustaining attention. Children exhibiting signs of ADHD show impairments across a range of cognitive tasks. Further research to improve our understanding of these processes may be useful in the development of early interventions. Our results suggest that separation anxiety should be taken into account when considering interventions to address emerging neuropsychological deficits associated with this disorder.

Impact of Childhood Trauma and Adult Separation Anxiety Disorder on Quality of Life in Individuals with Schizophrenia.

Childhood trauma and anxiety disorders are common in individuals with schizophrenia. This study aimed to investigate the effects of childhood trauma and adult separation anxiety disorder on the quality of life of individuals with schizophrenia. This cross-sectional study included 111 individuals with schizophrenia and 85 control subjects. The separation anxiety symptom inventory (SASI), adult separation anxiety questionnaire (ASAQ), Positive and Negative Syndrome Scale (PANSS), childhood trauma questionnaire (CTQ), and World Health Organization quality of life questionnaire (WHOQoL-BREF) were administered to the participants. More individuals with schizophrenia than control subjects were unemployed and single (p<0.05). Individuals with schizophrenia scored significantly higher on the SASI, ASAQ, and CTQ (p<0.05), whereas the control subjects scored significantly higher on the WHOQoL-BREF (p<0.05). ASAQ scores had mild positive correlations with total PANSS and PANSS subscale scores, and moderate positive correlations with total CTQ, CTQ emotional subscale scores, and CTQ physical abuse subscale scores. A negative moderate correlation was found between ASAQ and total WHOQoL-BREF scores. Mediation analysis revealed that CTQ scores significantly affected total WHOQoL-BREF and ASAQ scores. The model pathway for ASAQ scores showed a significant direct and indirect effect of CTQ on the total WHOQoL-BREF scores. Childhood trauma predicts adult separation anxiety disorder, which partially mediates the impact of childhood trauma on quality of life in individuals with schizophrenia. Therapeutic interventions for adult separation anxiety disorder in individuals with schizophrenia and a history of childhood trauma may help increase their quality of life.

Relationship Between Adult Separation Anxiety Disorder and Suicide in Patients with Bipolar Disorder

The present study aimed to investigate the comorbidity of Adult Separation Anxiety Disorder (ASAD) and the relationship between this comorbidity and suicide in patients with bipolar disorder (BD). A total of 138 outpatients with BD at remission between the ages of 18-65 years and 63 healthy controls were included in our study. All participants were administered a sociodemographic data form, Hamilton Depression Scale (HMDS), Young Mania Rating Scale (YMRS), Adult Separation Anxiety Questionnaire, and Structured Clinical Interview for Separation Anxiety Symptoms (ASAD-SCI). The age and gender of the participants did not differ significantly between the control group, the BD and BD+ASAD groups. The mean age of the participants was 42.3±11.9 years. When categorized according to gender, 42.3% of the participants were male and 57.7% were female. ASAD was detected in 46.3% of the participants. The suicide attempt rate was significantly higher in the BD and BD+ASAD groups than in the control group. The rate of suicide attempt was significantly higher in the BD+ASAD group than in the BD group. We demonstrated that the comorbidity of ASAD was associated with previous suicide attempts in patients with BD. Recognizing and treating ASAD in patients with BD may reduce suicide attempts in these patients.

THE RELATIONSHIP BETWEEN EARLY MALADAPTIVE SCHEMAS, SEPARATION ANXIETY AND EMERGING ADULT INDIVIDUATION LEVEL

The aim of this study is to determine the relationship between early maladaptive schemas, individuation, childhood and adulthood separation anxiety. The sample of the study was consisted of 400 emerging adults, 265 (66.3%) women and 135 (33.8%) men, and determined according to the definition of emerging adulthood so the ages of partipants are between 18-25. Sociodemographic Information Form, Young Schema Questionnaire-Short Form 3 (YSQ-SF3), Separation Anxiety Symptom Inventory (SASI), Adult Separation Anxiety Questionnaire (ASAQ) were given to the participants. The data obtained from the scales were analyzed using Pearson Correlation Analysis and Multiple Linear Regression Analysis Stepwise Method. As a result of the study findings, all schema domains were found to be associated with separation anxiety in both childhood and adulthood. It was determined that childhood separation anxiety predicted adult separation anxiety (R=71, R2=.50, p

Attachment Style and Its Relationships with Early Memories of Separation Anxiety and Adult Separation Anxiety Symptoms among Emerging Adults.

Emerging adulthood concerns the transition from adolescence to adulthood. It foresees the separation from the family and the creation of new significant relationships, whereby specific attachment styles might be triggered when facing these challenges. The present study investigates the influence of retrospective memories associated with childhood separation anxiety symptoms upon emerging adults’ romantic avoidant vs. anxious attachment styles including adult separation anxiety symptoms as mediators. Age and gender were included as covariates. A community sample of N = 394 Italian emerging adults (Mage = 23.64, SD = 4.00, 70% females) completed self-report measures. The results showed that the participants presented a greater anxious attachment rather than an avoidant attachment style. Moreover, both adult separation anxiety and the memories of early separation anxiety were positively and significantly associated with anxious attachment and not with avoidant attachment. A mediation model conducted and focused on anxious attachment showed that, although not directly associated, child separation anxiety did show a significant positive indirect effect on anxious attachment as mediated by adult separation anxiety symptoms. Thus, the findings highlighted the influence of adult separation anxiety symptoms and retrospective childhood memories of separation anxiety upon anxious adult romantic attachment, yet not on avoidant attachment style. Clinical implications are discussed and suggestions for future research are provided.

The relationships between separation anxiety disorder, childhood traumas, and anxiety sensitivity in a sample of medical students

• SEPAD is very common in early years medical students. • The rate of childhood SEPAD criteria is found as 14.9% (n: 55). • The rate of adult SEPAD criteria is found as 20.1% (n: 74). • Adult SEPAD patients have much more childhood traumatic life experiences than others. • Adult SEPAD patients have higher anxiety sensitivity scores than others. The present article aims to investigate the relationships between Separation Anxiety Disorder (SEPAD), anxiety sensitivity, and childhood traumatic life experiences (CTLE) in a sample of medical students. The sample of this study consisted of 369 young adults. The Structured Clinical Interview for Separation Anxiety Symptoms (SCI-SAS) was applied for all participants by researchers. Participants were asked to fill in the socio-demographic form, Separation Anxiety Symptoms Inventory, Adult Separation Anxiety Questionnaire, Anxiety Sensitivity Index-3, and Childhood Trauma Questionnaire. The rate of those with significant childhood SEPAD is 14.9% (n: 55), the rate of those with adult SEPAD is 20.1% (n: 74) in the present study. A statistically significant difference was found in emotional abuse, sexual abuse, and physical abuse sub-scores between participants who met childhood or adult SEPAD criteria of SCI-SAS and those who did not. Moreover, all anxiety sensitivity scores were significantly higher in both groups who met childhood or adult SEPAD criteria than those who did not meet the childhood or adult SEPAD criteria. A limitation of our study is that since we investigated participants based on retrospective recall of childhood SEPAD criteria, this lead to being subject to memory and reporting biases. Second, we measure anxiety sensitivity and CTLE on scales by self-report, sometimes it can cause misinformation. SEPAD may be diagnosed commonly in a medical student sample. Moreover, CTLE and anxiety sensitivity may have a key role in the progress of SEPAD.

Jasmine: Feminine healing qualities related to the wisdom of salt-With a focus on sandplay therapy-

This study examined the symbolism of Jasmine, a character in Disney’s Aladdin films, whose archetype emerged as a compensation for what was lacking in a child’s consciousness through sandplay therapy. To understand the symbolism of Jasmine, this study was conducted regarding Jasmine’s origin and background by watching two films and reading related stories before analyzing the client’s sandpictures. A 7-year-old girl with symptoms of separation anxiety was the client in this study. The symbol of Jasmine, or the feminine healing qualities that help form a relationship through the wisdom of salt, emerged in the client’s sandpictures as the possibility of growth, light of consciousness, healing power, harmony with masculine energy, and a new image of family. The feminine principles that engage in relationships through the wisdom of salt is a value, encompssing all of us, that penetrates the times. The wisdom is discovered as an outcome of the pain that lead to growth. The sandplay process healed the client’s psychological difficulties while the Jasmine symbol gave her the strength and courage that she needed to form a relationship with the world through a new wisdom of life.