What parents of anxious children should know about anxiety

What is anxiety?

Feeling anxious is a completely normal part of life. When big events or school projects or new social experiences are coming up, it’s natural for your child to feel some degree of anxiety. However, just as in adult, anxiety in children can also become overwhelming. When this anxiety tips over from being a manageable emotion to being a major obstacle in their everyday life, that’s when your child may be struggling to manage an anxiety disorder. 

In general, there are three types of anxiety that are the most common in children. These are: 

1. Generalized Anxiety: when the child experiences pervasive anxiety or distress at everyday occurrences, most often regarding school or sports in children. Typically categorized by “undue distress about a variety of everyday things beyond the scope of more specific anxieties and phobias” (Child Mind Institute)

2. Separation Anxiety: when the child is anxious at the prospect of being separated from someone of significance. (A parent, a sibling, a close friend, a pet, etc.) This type of anxiety is very common in toddlers, but can also appear in school age & adolescent children. 

3. Social Anxiety: when the child is anxious, worried, nervous, etc. in any sort of social situation. This can include playdates, school activities, sports, clubs, etc. There is often an underlying self-consciousness, a fear of being judged, disliked, or embarrassed. 

4. Specific, Severe Phobias: this is when the child has a severe fear of something irrational. They might be afraid of thunder, which could cause them to work themselves into nervousness or an anxiety attack if the sky turns dark or it starts to rain. 

How does it show up in kids?

If you believe your child is struggling with anxiety, there are some key physical, emotional & behavioral symptoms to look out for. Physical symptoms include: 

• Frequent  physical aches: if your child is often getting headaches or stomach aches, it may be a physical manifestation of anxiety. Pay attention to any patterns you can identify when your child starts to complain of these aches. 

• Trouble eating: does your child feel sick or nauseated when it comes time to eat somewhere unfamiliar? Being uncomfortable eating anywhere other than the home is a sign of anxiety that can often spiral into physical sickness when the time to eat at school (or a friend’s house, or a club, etc.) comes along. 

•  Trouble using the bathroom: as with eating, if your child has difficulty using the bathroom anywhere new or outside of your home, that may be a symptom of anxiety. 

• Difficulty sleeping: just as in adults, anxiety can impair a child’s ability to fall asleep, sleep restfully, or stay asleep. 

Emotional & Behavioral symptoms of anxiety in children include: 

• Intense, heightened emotional reactivity: Anxiety is a difficult feeling to process and understand, especially as a child. Instead, they may be more inclined to react with other extreme emotions. If your child seems as though they are crying more than usual, is extremely sensitive, becomes irritable easily, etc. it is likely an emotional manifestation of their anxiety. 

• Continued worry over everyday activities: does your child seem worried or panicked about things you or they do all the time? Are they worried about being dropped off at school? Do they fret about getting out of the car in the right spot, finding the right door to walk through, etc.? These fixated worries are probably a sign of anxiety. 

• Isolation: does your child remove themselves from social situations, even ones you think they may enjoy? Do they participate in class or sports or clubs? Do they try anything to get out of going to school? Do they dread birthday parties, etc.?

• Need for approval: while there is an inherent desire for approval in almost all of us, anxious kids struggle much more with this need. They find themselves looking for approval or permission for everything they do.

• Look out for: the phrase “will you do it for me?” When kids are overwhelmed by anxiety, they can often want their parents to take over. Even if it something you know they are capable of doing on their own, if they are experiencing anxiety, this phrase is likely to crop up. 

What challenges will this create for them?

The ways in which anxiety manifests in children makes it difficult for them socially, academically & developmentally. At this age, learning to form new relationships is crucial, and the foundations of learning and personal development are taking place. 

When children are too anxious to take part in social or school activities, they miss out on critical experiences like: making friends, learning social rules, developing problem solving skills, etc.  

How can you help?

Hope isn’t lost though! There is plenty that can be done to help your child manage their anxiety and thrive, with healthy coping skills. Here are five ways you can help your child learn about & manage their anxiety: 

1. Give it a name: when your child is feeling anxious, have them draw a picture of what that anxiety feels like. Have them give it a face, a body, a name. This can help you teach them that their anxiety is a separate thing from their own identity. Talk about their anxiety monster as if it is it’s own being. When they have anxious thoughts, ask them, “What is Bob (or whatever name they choose) saying to you?” Remind them that there is no judgment, no wrong answer. Be there to help them separate fact from fiction in what their anxiety is telling them. 

2. Give them a chance to slow down: if you can, encourage your child to focus on their breathing. Show them how to breathe in and out slowly, counting breaths, until they are able to slow down. If they are in the midst of an emotional reaction (crying, a tantrum, etc.) give them a glass of water and have them drink the whole thing. In order to drink it, they will have to slow down and focus on breathing while they drink it, which can help calm them down. 

3. Have regular “worry time”: Make space in your schedule to sit with them and discuss what they are worried about. This will help them feel listened to and validated, and allow you to brainstorm solutions to whatever is worrying them. When it’s worry time, sit down with them and tell them “Okay, it’s Worry Time, tell me what you’re worried about.” Let them say anything they need to without cutting them off. Don’t tell them their worries are silly, instead offer a solution. For example: if your child get anxious about speaking in front of others, but knows they have a school project coming up, they will probably feel anxious about it. Teach them to manage their problems in small chunks. First, they can write down what they want to say. Then they can practice it in front of you. Then add a sibling or a friend, but have them turn around and face the other way. Then have them say it while facing you, etc. 

4. Help them find accommodations: if your child is frequently anxious in new social situations, try to expose them to new places + people in small, controlled doses. If there is a birthday party coming up, call the parents of the child and see if your children can get together at their house before the party, so it will be a more familiar environment. If your child is going to summer camp, see if you can visit and meet teachers or counselors or coaches beforehand. 

5. Teach them that worry has a purpose: It isn’t wrong to be worried–in fact that feeling of worry often lets us know that something isn’t right. The problem comes when that worry takes control of their whole life. Remind them that they can always come to you with their worries, and you will help them find a solution. 

If you're looking for support for your anxious child, or if you're not sure where to begin, contact us today for help! 

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therapist in falls church, mclean, tysons corner, merrifield, arlington and vienna, va

Hope+Wellness is a psychotherapy practice serving the Falls Church, McLean, Great Falls, Vienna, Arlington, Alexandria, and the greater Washington DC region. We provide individual therapy to children, teens, and adults with stress, anxiety, and depression. Our practice is in-network with BCBS and provides Cognitive Behavioral Therapy (CBT), mindfulness and acceptance based therapies, and other top, premier evidence-based treatments. Call, email, or schedule an appointment with us online today. We’re happy to help!