vomiting before competition

My 7 year old daughter recently started to throw up right before she needs to perform a piano concert, audition for something, or compete in gymnastics. She gets really nervous. Once she starts to competing or performing she does well (and enjoys the activities). What should I do? Do I take her out of situations that cause her to throw up?

[Kevin Kennedy, Ph.D.]

This sort of anxiety disorder can be treated via cognitive-behavior therapy (CBT). No, it is not a good idea to avoid the activities. It's better to help her learn how to manage this form of anticipatory anxiety.