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Anxiety in Children

This page has been reviewed by Dr Marielle Quint, March 2025.

What is anxiety?

Anxiety is a natural response to stress, but when it becomes overwhelming and persistent, it can interfere with a child’s daily life and emotional well-being. Anxiety disorders are common in children and can manifest in various ways, including excessive worry, fear, or nervousness about everyday situations. While occasional anxiety is normal, chronic or severe anxiety may require professional support.

What are the signs of anxiety in children?

Anxiety in children often shows up as a mix of emotional, physical, and behavioural symptoms.

Emotional and behavioural signs:

  • Excessive worry or fear about school, friendships, or routine activities
  • Avoidance of social situations, school, or new experiences
  • Clinginess or difficulty separating from caregivers
  • Irritability, restlessness, or frequent reassurance-seeking
  • Trouble concentrating or becoming easily overwhelmed
  • Perfectionism or self-criticism

Physical symptoms:

  • Stomachaches, headaches, or dizziness (especially before stressful events)
  • Rapid heartbeat, shortness of breath, or trembling
  • Sweating or feeling lightheaded
  • Fatigue, difficulty sleeping, or frequent nightmares

How is anxiety diagnosed in children?

Diagnosis involves understanding a child’s symptoms, behaviours, and how these impact their day-to-day life. A healthcare professional may:

  • Talk with the child and family to learn more about the concerns
  • Use validated anxiety screening tools
  • Assess for any related conditions like ADHD or depression. This helps build a clear picture and ensures the child receives the right support.

How to support your child with anxiety

Supporting a child with anxiety starts with understanding their fears and validating their feelings. Encourage open communication, helping them name and understand their emotions. Relaxation techniques, such as deep breathing or mindfulness exercises, can be useful tools to manage anxiety. In some cases, professional therapy, like cognitive-behavioural therapy (CBT), can help children identify and reframe anxious thoughts.

How is anxiety in children treated?

There are several evidence-based treatments to help children manage anxiety effectively.

Cognitive Behavioural Therapy (CBT)

A first-line therapy that teaches children to recognise and challenge unhelpful thoughts. May include:

  • Cognitive restructuring: identifying and reframing anxious thoughts
  • Exposure therapy: gradually facing feared situations
  • Relaxation strategies: deep breathing, progressive muscle relaxation, and mindfulness

Acceptance and Commitment Therapy (ACT)

Focuses on helping children accept difficult feelings and commit to meaningful actions, even when anxious.

Dialectical Behaviour Therapy (DBT)

Originally for emotional regulation, DBT can help with severe anxiety through skills like distress tolerance and emotional regulation.

Play Therapy (for younger children)

Allows children to express and process emotions through guided play.

Family Therapy

Helps families better understand anxiety and support the child. Can also address family dynamics contributing to stress.

Social Skills Training

Especially helpful for children with social anxiety, to build confidence and communication skills.

Medication

In some cases, medication such as selective serotonin reuptake inhibitors (SSRIs) may be recommended alongside therapy.

How we can help

At Kidswell Health, we specialise in recognising and managing anxiety in children and teenagers. Our experienced team offers tailored care – from initial assessment and therapy referrals to practical strategies families can use at home.

Additional resources & crisis support

If your child is experiencing severe anxiety or distress, the following resources offer immediate support and helpful information:

Mind – Getting Help in a Crisis
Kooth – Free Online Mental Health Support for Young People

 

More helpful resources:

Anxiety UK
YoungMinds
Mind – For Young People
HappyMaps
CAMHS Resources

Is your child is showing signs of anxiety?

Book an appointment with one of our experienced professionals today.

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