Anxiety disorders in children

What are the signs of anxiety in children?

When young children feel anxious, they cannot always understand or express what they are feeling. You may notice that they:

• become irritable, tearful or clingy
• have difficulty sleeping
• wake in the night
• start wetting the bed
• have bad dreams

In older children you may notice that they:

• lack confidence to try new things or seem unable to face simple, everyday challenges
• find it hard to concentrate
• have problems with sleeping or eating
• have angry outbursts
• have a lot of negative thoughts, or keep thinking that bad things are going to happen
• start avoiding everyday activities, such as seeing friends, going out in public or going to school

Why is my child anxious?

Some children are more likely to have worries and anxiety than others.

Children often find change difficult and may become anxious following a house move or when starting a new school.

Children who have had a distressing or traumatic experience, such as a car accident or house fire, may suffer from anxiety afterwards.

Family arguments and conflict can also make children feel insecure and anxious.

Teenagers are more likely to suffer with social anxiety than other age groups, avoiding social gatherings or making excuses to get out of them.

When should we get help?

If your child's anxiety is severe, persists, and interferes with their everyday life, it's a good idea to get some help.

A visit to a GP is a good place to start. If your child's anxiety is affecting their school life, it's a good idea to talk to their school as well.

How to help an anxious child

If a child is experiencing anxiety, there are things that parents and carers can do to help.

First and foremost, it's important to talk to your child about their anxiety or worries. Reassure them and show them you understand how they feel.

If your child is old enough, it may help to explain what anxiety is and the physical effects it has on our bodies. It may be helpful to describe anxiety as being like a wave that builds up and then ebbs away again.

As well as talking to your child about their worries and anxiety, it's important to help them find solutions.

For example, if your child is worried about going to a sleepover, it is natural to want to tell them not to go. However, this could mean your child feels that their anxiety will stop them from doing things.

It's better to recognise their anxiety and suggest solutions to help them, so they can go to the sleepover with a plan in place.

Other ways to ease anxiety in children

• teach your child to recognise signs of anxiety in themselves
• encourage your child to manage their anxiety and ask for help when they need it
• children of all ages find routines reassuring, so try to stick to regular daily routines where possible
• if your child is anxious because of distressing events, such as a bereavement or separation, look for books or films that will help them to understand their feelings
• if you know a change, such as a house move, is coming up, prepare your child by talking to them about what is going to happen and why
• try not to become overprotective or anxious yourself
• practice simple relaxation techniques with your child, such as taking 3 deep, slow breaths, breathing in for a count of 3 and out for 3. You'll find more guidance for helping children with anxiety on the Young Minds website
• distraction can be helpful for young children. For example, if they are anxious about going to nursery, play games on the way there, such as seeing who can spot the most red cars
• turn an empty tissue box into a "worry" box. Get your child to write about or draw their worries and "post" them into the box. Then you can sort through the box together at the end of the day or week