Understanding Childhood Anxiety: When to Seek Help and How to Manage It…

Anxiety is a common experience for people of all ages, including children. While it’s normal for kids to have worries and fears, there are instances when anxiety becomes excessive and starts interfering with their daily lives. As a parent, it’s important to know when to seek help for your child’s anxiety and how to effectively manage it. In this comprehensive guide, we will explore the signs of anxiety in children, when it becomes a cause for concern, and strategies to help your child cope with their anxiety.

Normal Childhood Anxieties

Children go through various stages of development, and with each stage comes age-appropriate fears and worries. For example, infants may cry when approached by strangers, while toddlers may have a fear of clowns or people in costumes. Elementary school-aged children might experience anxiety about starting a new school or being in new situations. These normal fears are usually transient and fade away with time.

Recognizing Excessive Anxiety

While some level of anxiety is normal, it becomes a problem when it becomes disproportionate to the situation or persists over an extended period. Excessive anxiety can manifest in different ways depending on the child’s age. Younger children may exhibit irritability, avoidance of specific places or activities, or a need for constant reassurance. They may also experience physical symptoms such as recurring headaches or upset stomachs.

Older children, on the other hand, may be able to express their anxiety more clearly. They may show signs of irritability, have difficulty concentrating, or experience physical symptoms like shakiness. It’s important to pay attention to these signs and assess whether your child’s anxiety is interfering with their daily functioning.

When Anxiety Disrupts Daily Life

Anxiety becomes problematic when it starts significantly impacting a child’s life and prevents them from engaging in normal activities. Examples of this include a child refusing to go to school, avoiding social interactions, or experiencing extreme distress when separated from their parent or caregiver. Other signs to watch out for include excessive worrying about illness, persistent trouble sleeping, and a preoccupation with negative outcomes.

If your child’s anxiety is disrupting their ability to participate in everyday activities or causing significant distress, it may be time to seek professional help.

Seeking Professional Help

Determining when to seek help for your child’s anxiety can be challenging. As a general guideline, if your child’s anxiety persists for several weeks and significantly impairs their daily functioning, it’s advisable to consult a healthcare professional. Start by scheduling an appointment with your child’s pediatrician. They can help assess the severity of the anxiety and provide appropriate recommendations.

During the appointment, the pediatrician may conduct a thorough evaluation, ruling out any underlying medical conditions that could be contributing to the anxiety. If necessary, they may refer you to a mental health professional, such as a child therapist or psychologist, who specializes in working with children with anxiety disorders.

Treatment Approaches

The goal of treatment for childhood anxiety is to help your child develop effective coping skills and strategies to manage their anxiety. The specific treatment plan will depend on the severity of the anxiety and the individual needs of the child. Here are some common approaches to treating childhood anxiety:

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is a widely used and evidence-based approach for treating childhood anxiety disorders. CBT helps children identify and challenge negative thought patterns that contribute to their anxiety. It focuses on teaching children practical skills to manage their anxiety, such as relaxation techniques and problem-solving strategies. CBT is often conducted through individual therapy sessions, but group therapy can also be beneficial for some children.

Parental Involvement

Parents play a crucial role in supporting their child’s journey to manage anxiety. By understanding the nature of anxiety and learning effective parenting strategies, you can provide much-needed support and guidance. This may involve creating a calm and nurturing environment, offering praise and reassurance, and modeling healthy coping mechanisms.


In some cases, medication may be recommended as part of the treatment plan for childhood anxiety. Medications such as selective serotonin reuptake inhibitors (SSRIs) can help alleviate symptoms and make it easier for children to engage in therapy. It’s important to note that medication should always be used under the guidance of a healthcare professional, and its use should be carefully monitored.

Coping Strategies for Children

In addition to professional treatment, there are several coping strategies and techniques that you can teach your child to help manage their anxiety. These strategies can be used in conjunction with therapy or as standalone techniques to promote emotional well-being. Here are some effective coping strategies for children:

Deep Breathing Exercises

Deep breathing exercises are a simple yet powerful tool for managing anxiety. Teach your child how to take slow, deep breaths, focusing on inhaling deeply through their nose and exhaling slowly through their mouth. Encourage them to practice this technique whenever they feel anxious or overwhelmed.

Positive Self-Talk

Help your child develop positive self-talk by challenging negative thoughts and replacing them with more realistic and positive ones. Teach them to identify negative thought patterns and reframe them in a more positive and rational way. Encourage them to use affirmations and remind themselves of their strengths and abilities.

Gradual Exposure

Gradual exposure is a technique commonly used in therapy to help children confront their fears and anxieties in a controlled and manageable way. Start by identifying the specific situations or triggers that cause anxiety for your child. Then, create a step-by-step plan to gradually expose them to these situations, starting with less anxiety-provoking scenarios and gradually progressing to more challenging ones.

Relaxation Techniques

Teaching your child relaxation techniques can help them calm their mind and body during moments of anxiety. Techniques such as progressive muscle relaxation, guided imagery, and mindfulness exercises can help promote a sense of relaxation and reduce anxiety levels. Practice these techniques together with your child to make it a shared experience.

The Importance of Early Intervention

Early intervention is crucial when it comes to addressing childhood anxiety. By recognizing the signs and seeking help promptly, you can prevent the anxiety from escalating and significantly impacting your child’s life. Remember that anxiety disorders are manageable, and with the right support and treatment, your child can learn to effectively manage their anxiety and lead a happy and fulfilling life.

Childhood anxiety is a common issue that many children and their families face. While some level of anxiety is normal, it’s important to recognize when it becomes excessive and interferes with a child’s daily life. By understanding the signs of anxiety, seeking professional help when necessary, and teaching your child effective coping strategies, you can help them manage their anxiety and thrive. Remember, you are not alone in this journey, and there are resources and professionals available to support you and your child every step of the way.


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We believe that children are more than just “little adults.” They have unique personalities, challenges, and life circumstances and we have made every effort to make our offices and care as “kid friendly” as possible. We have an aquatic theme in the waiting rooms (separated for sick and well children) as well as themed examination rooms. All of our physicians are Board Certified Pediatricians and members of the American Academy of Pediatrics and our nurse practitioners are all licensed Pediatric Nurse Practitioners and are available to see both well and sick children.
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