Oleh : dr. Cecelia Estrelia Damayanti
Pernahkah Anda meninggalkan anak hanya sebentar, namun ia langsung menangis kencang? Tidak sedikit orang tua yang pernah mengalami situasi ini ketika anak menangis histeris meskipun hanya ditinggal sebentar. Namun, jika tangisan dan kecemasannya berlangsung terus-menerus atau tampak berlebihan, hal tersebut bisa menjadi tanda adanya separation anxiety disorder (SAD).
Salah satu jenis gangguan kecemasan ini, umumnya dialami oleh anak-anak. Meski perasaan sedih atau cemas saat berpisah dengan orangtua adalah hal yang wajar pada usia dini, kondisi ini perlu diwaspadai jika telah mengganggu aktivitas harian dan perkembangan anak.
Apa itu separation anxiety disorder (SAD)?
Separation anxiety disorder (SAD) adalah salah satu jenis gangguan kecemasan yang biasanya dialami oleh anak-anak dan berpengaruh pada kesehatan mental anak. Kondisi ini muncul ketika seseorang merasa sangat takut atau cemas saat harus berpisah dari orang yang paling dekat dengannya, seperti orang tua atau pengasuhnya.
SAD termasuk gangguan psikologis yang diakui secara medis dan dapat memengaruhi perkembangan emosional dan sosial anak. Diperkirakan sekitar 4% hingga 5% anak-anak di seluruh dunia mengalami gangguan ini. Kondisi ini terutama terjadi saat masih bayi atau di bawah usia lima tahun.
Umumnya, gejala SAD lebih parah terhadap perpisahan yang biasa dialami hampir setiap anak pada tingkat tertentu antara usia 18 bulan hingga 3 tahun. Beberapa anak masih menunjukkan reaksi emosional yang cukup kuat pada setiap kali harus berpisah dari orang tuanya, seperti menangis hingga meraung-raung. Reaksinya bukan hanya sekadar tangisan biasa, tetapi juga disertai dengan perasaan sedih, takut, gelisah, dan cemas yang berlebihan.
Dalam kondisi yang cukup berat, hal ini dapat berdampak pada berbagai aspek kehidupan anak, termasuk mengganggu konsentrasi, kegiatan belajar, dan kenyamanan saat berada di lingkungan sekolah.
Gejala Separation Anxiety Disorder pada Anak
Gejala separation anxiety disorder dapat bervariasi pada tiap anak, namun secara umum mencakup beberapa hal berikut:
-
- Anak terus-menerus menangis atau meraung-raung saat harus berpisah dengan orang tua, meskipun hanya sebentar.
- Anak menunjukkan rasa takut yang tidak wajar dan berlebihan akan hal-hal buruk yang bisa terjadi pada dirinya atau orangtua saat berpisah.
- Anak sering menolak atau bahkan menolak total untuk pergi ke sekolah, les, atau aktivitas lain yang mengharuskan ia berjauhan dari orang tua
- Munculnya keluhan seperti sakit perut, sakit kepala, mual, atau pusing saat waktu perpisahan tiba, padahal tidak ditemukan gangguan fisik yang mendasari.
- Anak enggan tidur di kamar terpisah dan membutuhkan kehadiran orang tua untuk bisa merasa tenang saat tidur.
- Anak sering mengalami mimpi buruk yang berkaitan dengan kehilangan, penculikan, atau ditinggalkan oleh orang tua.
- Anak terlihat terus-menerus khawatir tentang kemungkinan berpisah, meskipun sedang bersama orang tuanya.
Gejala-gejala ini biasanya berlangsung selama minimal empat minggu dan menimbulkan gangguan nyata dalam aktivitas harian anak. Jika tidak ditangani dengan tepat, kondisi ini dapat berdampak jangka panjang terhadap perkembangan emosional dan sosial anak.
Penyebab Separation Anxiety Disorder pada Anak
Penyebab separation anxiety disorder (SAD) bisa berasal dari berbagai faktor yang saling berkaitan. Salah satu penyebab utamanya adalah ikatan emosional yang sangat kuat dengan orang tua, terutama jika anak tidak terbiasa berpisah sejak dini. SAD juga hasil interaksi antara faktor biologis, psikologis, dan lingkungan.
Anak yang memiliki temperamen sensitif atau mudah cemas sejak kecil cenderung lebih berisiko. Pengalaman traumatis seperti kematian orang terdekat, perceraian, atau perubahan besar dalam hidup (misalnya pindah rumah/sekolah) juga bisa memicu gangguan ini.
Selain itu, pola asuh orangtua yang terlalu protektif atau cemas juga dapat memperkuat ketergantungan anak secara emosional. Faktor keturunan juga bisa berperan, terutama jika ada riwayat gangguan kecemasan dalam keluarga.
Tata Laksana dan Penanganan Mudah oleh Orang tua
Secara medis, penanganan SAD dimulai dari evaluasi oleh psikiater atau psikolog anak. Diagnosis ditegakkan berdasarkan wawancara klinis dan gejala yang sesuai dengan kriteria DSM-5.
Terapi utama yang dianjurkan adalah terapi kognitif perilaku (CBT), di mana anak diajarkan untuk mengenali dan mengelola pikiran serta rasa cemasnya secara sehat. Pada kasus yang cukup berat, terutama jika terapi psikologis belum menunjukkan hasil yang signifikan, dokter mungkin akan meresepkan obat antidepresan ringan seperti SSRI, tentu dengan pengawasan ketat.
Bagi orang tua, peran mereka sangat penting dalam proses pemulihan anak. Hal-hal sederhana seperti menjaga rutinitas harian yang konsisten, melatih perpisahan secara bertahap, serta memberikan dukungan emosional yang stabil sangat membantu. Orang tua juga sebaiknya menghindari memberi janji palsu terkait durasi perpisahan, dan bisa memberikan benda transisi seperti boneka atau foto keluarga agar anak merasa aman. Tetap bersikap tenang saat anak cemas adalah kunci, karena sikap orang tua akan mempengaruhi respons emosional anak.
Dengan pendekatan yang tepat, anak dengan SAD memiliki peluang besar untuk pulih dan tumbuh dengan rasa percaya diri yang lebih baik dalam menghadapi perpisahan.
Sumber :
dr. Adetha Hervitri. “Separation Anxiety Disorder pada Anak dan Cara Mengatasinya.” Primaya Hospital, https://primayahospital.com/anak/separation-anxiety-disorder/. 2025.
Dr. Julieta Aguilera Vazquez. “Gejala gangguan kecemasan perpisahan berdasarkan usia dan cara membantu anak Anda.” CHOC, 26 September 2023, https://health.choc.org/age-by-age-symptoms-of-separation-anxiety-disorder-and-how-to-help-your-child/. 2025.
Nurfitriyanie, and Farida Kurniawati. “Program Intervensi pada Anak dengan Separation Anxiety Disorder.” Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, vol. 7, no. 1, 2023, 439-454, https://obsesi.or.id/index.php/obsesi/article/view/2415/pdf. 2025.
What’s up, for all time i used to check web site posts
here in the early hours in the break of day, as i love
to gain knowledge of more and more.
Awesome! Its in fact awesome post, I have got much clear
idea on the topic of from this post.
Wow, superb weblog structure! How lengthy have you ever been running
a blog for? you made running a blog glance easy. The full look of your
website is excellent, as well as the content material!
When I initially commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I get three emails with the same comment.
Is there any way you can remove me from that service?
Bless you!
Hello I am so grateful I found your web site, I really found you by accident, while I was
browsing on Google for something else, Anyways I am here now
and would just like to say many thanks for a incredible post and a all round
entertaining blog (I also love the theme/design),
I don’t have time to browse it all at the moment but I
have saved it and also added your RSS feeds, so when I have time I
will be back to read much more, Please do keep up the awesome b.
If you are going for best contents like I do, only
visit this website every day because it provides quality contents, thanks
I was able to find good advice from your articles.
Very energetic article, I liked that a lot. Will there be a part 2?
Hi there to every single one, it’s really a fastidious for me to go to see this web page, it includes valuable Information.
Hi just wanted to give you a quick heads up
and let you know a few of the pictures aren’t loading properly.
I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same outcome.
It is actually a great and useful piece of information. I’m
satisfied that you shared this helpful info with us. Please keep us up to date like this.
Thank you for sharing.
Thanks very nice blog!
Hello this is somewhat of off topic but I was wondering if blogs use
WYSIWYG editors or if you have to manually code with HTML.
I’m starting a blog soon but have no coding skills so I
wanted to get advice from someone with experience. Any help
would be greatly appreciated!
It’s going to be end of mine day, however before
finish I am reading this fantastic post to increase my know-how.
What’s Happening i am new to this, I stumbled upon this I’ve found It absolutely
helpful and it has aided me out loads. I’m hoping to give a contribution & assist other customers like
its helped me. Great job.
Wow, fantastic blog layout! How long have you been blogging for?
you make blogging look easy. The overall look of your web site is wonderful, let alone the
content!
I delight in, result in I discovered just what I was looking for.
You have ended my 4 day lengthy hunt! God Bless you man. Have a great day.
Bye
Do you have a spam issue on this blog; I also am a blogger, and I was wondering your situation;
we have created some nice practices and we are looking to exchange strategies
with others, why not shoot me an email if interested.
I every time spent my half an hour to read this website’s posts daily along with a mug
of coffee.
I am in fact glad to read this weblog posts which includes lots of useful facts,
thanks for providing such information.
Attractive section of content. I just stumbled upon your
weblog and in accession capital to assert that I get actually enjoyed account your blog posts.
Anyway I will be subscribing to your feeds and even I achievement you
access consistently rapidly.
When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment
is added I get three emails with the same comment. Is
there any way you can remove me from that service?
Appreciate it!
We’re a group of volunteers and opening a new scheme in our community.
Your site provided us with valuable information to work on. You have done a formidable
job and our whole community will be thankful to you.
whoah this weblog is great i like studying your posts. Stay up the good work!
You know, many persons are looking around for this information, you can help them greatly.
I’m not that much of a internet reader to be honest but your
blogs really nice, keep it up! I’ll go ahead and bookmark
your site to come back later on. Cheers
naturally like your web site but you need to take a look at
the spelling on quite a few of your posts.
A number of them are rife with spelling problems and I to find it very bothersome to tell
the reality then again I’ll surely come back again.
It’s wonderful that you are getting thoughts from this
piece of writing as well as from our discussion made at this place.
I’ve been surfing online more than three hours today, yet I never found
any interesting article like yours. It’s pretty worth enough for me.
Personally, if all site owners and bloggers made good content as you did, the internet will be a lot more useful than ever before.
Hello everyone, it’s my first pay a quick visit at this website, and article is genuinely fruitful designed for me, keep up posting such articles.
Thanks for the auspicious writeup. It in reality was a enjoyment account it.
Glance complex to more introduced agreeable from you!
By the way, how could we communicate?
Hello there! I know this is somewhat off topic but I was wondering if you knew where I could get a
captcha plugin for my comment form? I’m using the same
blog platform as yours and I’m having trouble finding one?
Thanks a lot!
Excellent way of describing, and pleasant article to take facts on the topic of my presentation topic, which i am going to deliver in college.
What a information of un-ambiguity and preserveness of
valuable familiarity about unpredicted feelings.
Currently it looks like Drupal is the preferred blogging platform available right now.
(from what I’ve read) Is that what you are using on your blog?
Excellent post. I was checking constantly this blog and
I am impressed! Extremely useful info specifically the last part
🙂 I care for such information a lot. I was seeking this particular info for a very
long time. Thank you and best of luck.
Heya i am for the first time here. I found this board and I
in finding It truly useful & it helped me out a lot.
I’m hoping to present something again and help others such as you aided me.
Hey there I am so glad I found your blog, I really found you
by mistake, while I was looking on Yahoo for something else, Regardless I am here now and would just like to say many thanks
for a tremendous post and a all round entertaining blog (I also love the theme/design),
I don’t have time to read through it all at the moment but I
have book-marked it and also included your RSS feeds, so when I have time I will be back to read much more, Please do keep up
the superb job.
I every time spent my half an hour to read this web site’s
articles or reviews daily along with a cup of coffee.
I’m not positive the place you’re getting your info, however good
topic. I needs to spend a while finding out more or working out more.
Thank you for magnificent info I was on the lookout for this information for my mission.
Very descriptive post, I loved that bit. Will there be a part 2?
This is a good tip especially to those new to the blogosphere.
Brief but very accurate info… Many thanks for sharing this one.
A must read post!
Hello! I know this is sort of off-topic however I needed to
ask. Does operating a well-established website
like yours require a large amount of work? I’m completely new to operating a blog but I do write in my journal every day.
I’d like to start a blog so I can easily share my experience and thoughts online.
Please let me know if you have any ideas or tips for new
aspiring blog owners. Thankyou!
I really like your blog.. very nice colors & theme.
Did you make this website yourself or did you hire someone to do it for you?
Plz reply as I’m looking to design my own blog and would like to know where
u got this from. cheers
Hello everyone, it’s my first pay a visit at this website, and piece of writing is truly fruitful in support of me, keep up posting these posts.
Hello, I read your new stuff like every week.
Your writing style is witty, keep it up!
Woah! I’m really enjoying the template/theme of this website.
It’s simple, yet effective. A lot of times it’s tough to
get that “perfect balance” between user friendliness and visual appeal.
I must say that you’ve done a excellent job with this.
Also, the blog loads super fast for me on Firefox.
Superb Blog!
Thanks for sharing your info. I truly appreciate your efforts
and I am waiting for your further post thanks once again.
Wonderful beat ! I would like to apprentice whilst
you amend your website, how can i subscribe for a blog website?
The account helped me a appropriate deal. I have been tiny bit familiar of this your
broadcast provided vivid transparent idea
Hello! I just wanted to ask if you ever have any issues with hackers?
My last blog (wordpress) was hacked and I ended up losing a few months of hard work due to no back up.
Do you have any methods to prevent hackers?
Aw, this was an extremely nice post. Finding the time and actual effort to generate a top notch article… but what can I say… I put things off
a whole lot and never seem to get nearly anything
done.
My brother recommended I would possibly like this blog.
He was once entirely right. This submit
truly made my day. You cann’t consider simply how so much
time I had spent for this info! Thank you!
What’s up Dear, are you genuinely visiting this web site on a regular basis, if so afterward you will definitely
obtain fastidious know-how.
It’s amazing designed for me to have a website, which is useful designed for my know-how.
thanks admin
Hello to all, how is the whole thing, I think every
one is getting more from this website, and your views are fastidious in support of new viewers.
Appreciating the commitment you put into your website and in depth information you
present. It’s good to come across a blog every once in a while
that isn’t the same out of date rehashed information. Wonderful read!
I’ve saved your site and I’m adding your RSS feeds to my Google account.
Hello, its nice paragraph concerning media print, we all be aware of media is a fantastic source of facts.
I enjoy, lead to I discovered exactly what I was taking a look
for. You’ve ended my four day long hunt! God Bless you
man. Have a nice day. Bye
When someone writes an post he/she keeps the plan of a user in his/her brain that how
a user can know it. Thus that’s why this piece of writing is perfect.
Thanks!
Hey there would you mind sharing which blog platform you’re
working with? I’m going to start my own blog in the near future but I’m having a tough time making a decision between BlogEngine/Wordpress/B2evolution and
Drupal. The reason I ask is because your design and style seems
different then most blogs and I’m looking for something completely unique.
P.S My apologies for being off-topic but I had to ask!
I am genuinely thankful to the owner of this website who
has shared this impressive piece of writing at here.
You actually make it seem so easy with your presentation but I find this matter to be really something which I think I would never understand.
It seems too complicated and extremely broad
for me. I am looking forward for your next post, I will try to get
the hang of it!
Spot on with this write-up, I seriously feel this web site
needs far more attention. I’ll probably be returning to see more, thanks for
the information!
I’m gone to say to my little brother, that he should also pay a visit this
weblog on regular basis to get updated from most up-to-date news.
It’s an remarkable paragraph for all the online users; they
will obtain advantage from it I am sure.
Hi, i read your blog occasionally and i own a
similar one and i was just curious if you get a lot of spam remarks?
If so how do you stop it, any plugin or anything you can suggest?
I get so much lately it’s driving me mad so any
help is very much appreciated.
I do believe all the concepts you’ve offered for your post.
They’re really convincing and will definitely work.
Still, the posts are very brief for newbies. May you please lengthen them a little from next time?
Thanks for the post.
Today, I went to the beach front with my children. I found a sea shell and gave it
to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed
the shell to her ear and screamed. There was a hermit crab
inside and it pinched her ear. She never wants to go back!
LoL I know this is completely off topic but I had to tell someone!
This is a topic which is close to my heart… Cheers! Where are your contact details though?
Your style is so unique compared to other people I’ve
read stuff from. I appreciate you for posting when you have the opportunity, Guess I will just bookmark this page.
I must thank you for the efforts you’ve put in writing this website.
I am hoping to check out the same high-grade content by you later on as well.
In fact, your creative writing abilities has inspired me to get my
own, personal blog now 😉
Hi there, its fastidious paragraph regarding media print, we all be aware of media is a fantastic source of facts.
Hi, I do think this is a great blog. I stumbledupon it 😉 I am going to come back once again since
i have book marked it. Money and freedom is the best way
to change, may you be rich and continue to guide other people.
I got this web site from my pal who informed me concerning
this web site and at the moment this time I am browsing this
web page and reading very informative articles at this place.
Excellent post! We will be linking to this particularly great content on our website.
Keep up the good writing.
you are in reality a just right webmaster. The web site loading velocity is incredible.
It seems that you’re doing any distinctive trick.
Moreover, The contents are masterpiece. you have
performed a wonderful process in this matter!
Normally I don’t read post on blogs, however I would like to say that this write-up very
pressured me to take a look at and do it! Your writing taste has been amazed me.
Thank you, quite great article.
Wow, amazing weblog layout! How long have you been running a blog for?
you made running a blog look easy. The overall glance of your site is
great, as well as the content!
日本は、高度な技術において世界的に有名されています。特に、自動車産業では、ホンダなどの大手企業が世界市場をリードしており、高性能車や電気自動車など、さまざまな革新技術が進化しています。自動車技術の進展により、安全性が大きく向上し、利用者にとってより良いライフスタイルが提供されています。
車の所有は、車検といった日本特有の制度に密接に関連しており、日本の交通システムは、これらの制度に従い、交通安全を確保しています。さらに、車両保険の普及が進んでおり、事故やトラブルの際に迅速に対応できるようになっています。これにより、国内では、安全性が提供され、安全運転の問題にも積極的に取り組んでいます。
一方で、人口減少という重要な問題が日本において進行しています。高齢者の増加に伴い、介護分野での需要が急増し、医療スタッフの不足が深刻な問題となっています。このため、看護師求人が増加しており、さらに看護師転職の需要も高まっています。政府は、AI技術を活用した支援策を導入し、患者への支援を強化しています。
また、福祉の分野では、医療機器が急速に進化し、健康管理に対する対応が向上しています。日本は、治療の最前線を提供し、特に高齢者医療において多くの技術革新が導入されています。さらに、医師の専門性を高めるため、看護師国家試験が重要視され、技術研修の充実が求められています。
社会的な課題に対して、日本のボランティア団体は積極的に取り組んでおり、環境保護を推進しています。これにより、地域住民や高齢者に対する支援が強化され、社会貢献が日常的に行われています。災害支援活動も重要な役割を果たしており、特に日本では、台風などの自然災害時に、ボランティアが迅速に対応し、避難所の設営が行われています。
さらに、デジタル化が進展する中で、スマホゲームなどの新たな娯楽の形態が広がり、健康管理への関心が高まっています。日本では、ジムの利用が増加し、健康維持に向けたライフスタイルが注目されています。また、サプリメントが重要な役割を果たし、ボディメイクのためのアイテムが多く流通しています。
ファッションや美容においても、日本の市場は、常に新しいトレンドを追い求めています。アクセサリーにおいては、ファッションデザイナーが注目され、特にスポーツウェアが人気です。美容業界では、ヘアケアが進化し、美容整形などのサービスも充実しています。ネイルアートやジェルネイルもトレンドとなり、ネイルデザインが活況を呈しています。
このように、日本社会は、課題とともに進化しており、文化が密接に関わり合っています。未来に向けて、進化する社会の実現に向けた取り組みが進んでおり、これらの挑戦を乗り越えるための準備が整いつつあります。
I’m not sure why but this blog is loading extremely slow for me.
Is anyone else having this issue or is it a problem on my end?
I’ll check back later and see if the problem still
exists.
Appreciation to my father who told me about this web site, this weblog is actually amazing.
You really make it appear so easy along with your presentation but I find this topic to be actually
something which I believe I would never understand.
It seems too complex and very vast for me. I’m taking a look ahead in your next publish, I’ll try to get the grasp of it!
Wow that was strange. I just wrote an very long comment but after I clicked submit my comment didn’t appear.
Grrrr… well I’m not writing all that over again. Anyway, just wanted to say excellent blog!
Hi, all the time i used to check blog posts here in the early hours in the break of day, because
i love to gain knowledge of more and more.
Fantastic website. A lot of useful information here.
I’m sending it to some pals ans additionally sharing in delicious.
And certainly, thanks on your sweat!
Thanks for your marvelous posting! I definitely enjoyed reading it,
you are a great author. I will make sure to
bookmark your blog and may come back very soon.
I want to encourage continue your great writing, have a nice evening!