How to spot anxiety in your child – and how to help them

·Contributor, Yahoo Life UK
·6-min read
Little boy with his mother. Shyness, fears, anxiety. Hyper-attachment to mother.� (Getty Images)
Anxiety can present in many different ways in your child. (Getty Images)

One in six children and young people have a diagnosable mental health problem and many more struggle with challenges from bullying to bereavement. This week (Feb 7-13) is Children’s Mental Health week, created by the charity Place2Be which encourages children not to suffer alone.

Here, Dr Melanie Smart of Chichester Child Psychology reveals the different ways anxiety in children can manifest – and what parents can do to help.

Generalised anxiety

Sometimes giving your child too much reassurance can help generalised anxiety thrive. (Getty Images)
Sometimes giving your child too much reassurance can help generalised anxiety thrive. (Getty Images)

Children can be anxious about lots of things from school to relationships, but generalised anxiety means they worry about most things in a non-specific way. Generalised anxiety tends to be about abstract things that have happened in the past or future– terrorism, COVID, even things they hear on the news about politicians like Donald Trump. The child might hear it then worry about whether they are safe or is someone going to hurt them?

PARENT TIP: What often happens with generalised anxiety is that it sucks the family into doing the very thing that anxiety thrives on – reassurance. By reassuring a child that something won’t happen, the message you’re sending is that it might happen. Instead, help them find out for themselves and reassure themselves. This might mean checking the locks on the doors before they go to bed if they’re afraid of someone breaking in or researching something on the internet to find out what the chances are of something happening. Then ask them to reassure themselves and feel more confident.

Read more: 'Anxiety' chosen by children as word of the year 2021

Fears and phobias

Mixed race mommy holding hand of upset little cute girl sitting on bed, wiping tears. African american worried woman talking, supporting, comforting small adopted daughter, suffering from bullying.
Covid-19 has increased the number of children sufferying from fears or phobias. (Getty Images)

These can often develop because something HAS happened such as an illness or death. These kinds of fears are – unsurprisingly – on the rise since the pandemic started. I’m seeing children who are more fearful of germs or illness due to Covid and some are more agoraphobic, frightened of going outside or mixing with crowds of people.

PARENT TIP: Don’t avoid doing the things that children are frightened of as a gentle exposure approach is best. If they’re fearful of going outside, encourage them to venture into the garden, perhaps with a friend. Activities like baking or gardening expose children to mess and help with fears around germs and illness. If they feel the need to keep washing their hands, ask them to wait for a minute before they clean up. Also use ‘modelling’ – that’s showing how comfortable you are with flour or dirt on your hands.

Read more: The pandemic's left 86% of parents overwhelmed: Here's where to find help

Separation anxiety

Child with rucksack and with mother in front of a school building. Concept of motherhood and beginning of primary school.
Being at home more due to the pandemic has made children very used to being around their parents or carers. (Getty Images)

This is a huge issue at the moment and is leading to school refusal in older children and in little ones we’re seeing anxiety about starting school, nursery or even going to parties.

Separation anxiety about going TO somewhere is a fear of the unknown while anxiety about leaving somewhere or someone is a fear that something will happen while they’re away. You might notice that your child stalls for time when they are getting ready or indeed might refuse to get ready at all. They might complain of tummy or headaches before they go somewhere or may be openly distressed about going and argue with you. They may seek reassurance and ask you to go with them and stay with them.

Watch: Tackling children's anxiety by making worries come to life

PARENT TIP: When the anxiety is about going TO somewhere, give the child as much information as possible about the place beforehand. If it’s a new school, ask if you can visit it beforehand, look it up online or ask to go into school with a friend. If the anxiety is more about leaving someone or somewhere, reassure them that you will be fine and that nothing is going to happen. Perhaps give the child an item from you – a hair clip or keyring – so they have some kind of connection to you. Or draw a heart or smiley hand on your hand and theirs so they can look at it and feel close to you while you’re separated.

Read more: Primary schools introduce 9-5 workday so pupils can 'catch up' post-lockdown

Social phobia

Worried loving young single father holding hand talking comforting upset little kid son sharing helping with problem, caring dad foster parent give support apologizing supporting listening child boy
Gently encourage your child to have friendships with otheer children. (Getty Images)

More common in pre-teen to teenage children and in neurodiverse children, these are very specific anxieties about friendships, relationships or how others perceive you. The child might feel judged or ashamed and won’t feel safe in a relationship and is not able to trust people. They may struggle to understand relationship dynamics and so avoid them.

PARENT TIP: Lots of validation is required. Let them know that it’s perfectly normal to be worried about friendships and try to expose your child to different friendships, perhaps by finding a club for an activity they really love. It’s great for children to have friendships with older children so look out for schools with buddy systems, where older children buddy up with one of the younger kids.


Upset problem child with head in hands sitting on staircase concept for childhood bullying, depression stress or frustration
Panic attacks can be very scary – for both adults and children. (Getty Images)

Around 15 per cent of the children I see with anxiety suffer from panic attacks and it tends to show up mostly in older children. The signs are breathlessness, hyperventilation and raised blood pressure and there tends to be a very specific trigger such as having to go to a certain place or be with a certain person. But many of the children I speak to don’t know why they are being triggered and interestingly, I’ve noticed that children who have had Covid who suffered from palpitations or breathlessness, have gone on to have panic attacks in a kind of biological feedback phenomenon.

Read more: Stacey Dooley urges mental health discussion and shares coping strategies

PARENT TIP: It’s important to manage the physiological symptoms – slowing the breathing, opening up the posture and relaxing the muscles. Then it might be worth trying to identify what might have triggered the attack so you can prepare next time. Panic attacks are never pleasant, but most people get over them fairly quickly.

With any anxiety issue, it is important to normalise and encourage exposure and confidence. It’s only when people are suffering to a debilitating level that is affecting daily functioning that they should seek professional help. However, if you are concerned about a child or someone you know, it is never too early to ask for support.

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