Anxiety disorders in children are a group of mental health disorders that cause excessive fear, worry, or unease in a child. These feelings are beyond the usual, age-appropriate levels. Unlike adults, children may not realize their fear is irrational and they cannot just get over it.

Anxiety disorder

There are several types of anxiety disorders that can affect children, including:

1. Generalized Anxiety Disorder (GAD): Children with GAD worry excessively about many things, such as health, homework, or friendships. They may be perfectionists and overly self-critical.

2. Panic Disorder: This involves repeated episodes of sudden, intense fear, accompanied with symptoms like rapid heartbeat, shortness of breath, or dizziness.

3. Separation Anxiety Disorder: This is characterized by excessive fear about being away from home or parents. It’s common in younger children.

4. Social Anxiety Disorder (or Social Phobia): This involves intense fear of social or performance situations, hindering a child’s ability to go to school or even play with friends.

5. Specific Phobias: These are extreme fears about specific things, such as spiders, darkness, needles, or heights.

6. Selective Mutism: Some children fail to speak in certain social situations when there is an expectation for speaking, it often co-occurs with social phobia.

7. Obsessive-Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD) are also considered anxiety disorders in children, though they have unique symptoms and causes.

Any child may experience anxiety, but it becomes a disorder when it starts to interfere with their daily life, schoolwork, or friendships. If ignored or untreated, anxiety disorders can lead to more severe issues like depression or substance abuse later in life. It’s important to reach out to a healthcare provider if you think a child might have an anxiety disorder. With proper treatment, most children can learn to manage their anxiety and live a healthy life.

Causes of Anxiety disorders in children

Several factors can lead to the development of anxiety disorders in children:

1. Genetics: Anxiety disorders tend to run in families. If a child has a close relative who suffers from an anxiety disorder, they may be more susceptible to developing one themselves.

2. Brain chemistry: Research has shown that imbalances in neurotransmitters, the chemicals that transmit signals in the brain, can contribute to anxiety disorders. If these chemicals are not working properly, signals may not be delivered properly which can cause anxiety.

3. Environmental Factors: Environmental stressors such as physical, emotional, or sexual abuse, neglect, or witnessing a traumatic event can cause a child to develop an anxiety disorder.

4. Learned Behavior: Children may develop anxiety disorders by observing the anxious behavior of others, particularly their parents or primary caregivers.

5. Physical Health Issues: Certain physical health issues, such as heart conditions or hormonal imbalances, may trigger anxiety disorders in children.

6. Personality Type: Children who have certain personality traits, such as being very shy or withdrawn, may be at an increased risk for developing anxiety disorders.

It’s important to note that having one or more of these factors does not guarantee a child will develop an anxiety disorder – it simply increases the risk. A combination of factors is usually at play when a child develops an anxiety disorder. Finally, it’s crucial to remember that children who are exhibiting signs of anxiety should be evaluated by a healthcare professional who can provide an accurate diagnosis and appropriate treatment.

Risk Factors of Anxiety disorders in children

Anxiety disorders in children can be influenced by a range of risk factors, including both environmental and genetic components.

1. Genetic factors: The children who have a family history of anxiety or other mental health disorders are at an increased risk of developing an anxiety disorder.

2. Temperament: Children with a certain kind of temperament, especially those with a more inhibited, fearful or negative personality may be more prone to develop anxiety disorders.

3. Environmental factors: Children who have experienced traumatic events or sustained abuse, whether physical or psychological, may develop anxiety disorders. This may include bullying at school, parental separation, or the death of a loved one.

4. Other mental health disorders: Children with other mental health disorders like depression, ADHD, etc., are also at a higher risk of experiencing an anxiety disorder.

5. Physical health issues: Children with chronic physical health conditions, such as diabetes or heart conditions, may also be at risk, due to the stress associated with managing their condition.

6. Parenting style: Overprotective or excessively critical parenting style can also contribute to anxiety disorders in children.

Remember, it’s important to consult with a mental health professional if you believe your child may be experiencing an anxiety disorder. With proper treatment, children with these disorders can lead healthy, normal lives.

Signs and Symptoms of Anxiety disorders in children

Anxiety disorders in children can manifest in various ways, and they might be different from those in adults. Here are some signs and symptoms to watch out for:

1. Excessive Worry: Children with anxiety disorders may worry excessively about a variety of things such as being apart from their parents or caregivers, school, health, safety, and future events.

2. Restlessness and Fatigue: The child may seem constantly on edge, restless and may tire easily.

3. Concentration Problems: They may have trouble concentrating or their mind may go blank frequently.

4. Sleep Disturbances: Insomnia or nightmares can be signs of an anxiety disorder. The child might have trouble falling asleep or staying asleep, or might frequently wake up in the night due to nightmares or fears.

5. Physical Symptoms: Children may also exhibit physical symptoms such as stomachaches, headaches, or unexplained aches and pains. They may also feel a fast heart rate or palpitations, sweating, and shaking.

6. Irritability: Regular episodes of irritability and anger can also be a sign of an anxiety disorder.

7. Avoidance and Fear: Avoiding places, activities or people due to irrational fears can be a significant sign. For instance, a child with social anxiety disorder may avoid social activities and become noticeably distressed or uncomfortable in social situations

8. Panic Attacks: Repeated episodes of sudden, intense fear that trigger severe physical reactions when there is no real danger or apparent cause can be a symptom of panic disorder.

Remember, the persistence and the effect it has on their daily lives differentiates anxiety disorder from normal feelings of anxiety. If your child’s worry, fear or anxiety is causing significant distress or is interfering with their normal daily activities, it might be time to seek professional help. If you suspect your child has an anxiety disorder, it’s crucial to seek appropriate medical advice for diagnosis and treatment.

Diagnosis Anxiety disorders in children

Anxiety disorders in children are a group of mental health disorders that cause excessive worry, fear, or general unease. They’re common in children and can be present in various forms, such as generalized anxiety disorder, panic disorder, separation anxiety disorder, social anxiety disorder, and specific phobias.

Generalized Anxiety Disorder (GAD):
Children with GAD worry excessively about a variety of things such as grades, family issues, relationships with peers, and performance in sports. Their worries are often unrealistic or out of proportion for the situation.

Panic Disorder:
Children with panic disorder may experience sudden episodes of intense fear or dread, along with physical symptoms like sweating, chest pain, heart palpitations, or shortness of breath. These panic attacks can be frightening and confusing for the child.

Separation Anxiety Disorder:
This is common in younger children. They exhibit excessive anxiety even in safe situations, typically around being away from home or their parents. They may worry about getting lost, getting sick, or that something bad will happen to a loved one while they’re separated.

Social Anxiety Disorder:
Children with this disorder have a persistent fear of social or performance situations. They worry about embarrassment or humiliation and may avoid social activities as a result.

Specific Phobias:
These are intense, irrational fears of specific things or situations, such as dogs, insects, or needles. The fear is so strong that it can interfere with a child’s daily activities.

These disorders can often cause children to try to avoid situations that trigger or worsen their symptoms. It’s important to remember that while many children experience fear or worry at some point, anxiety disorders involve more than temporary worry or fear, they interfere with a child’s normal daily activities and functioning. Treatment for anxiety disorders in children typically involves cognitive-behavioral therapy and, in some cases, medication. Therefore, early detection and intervention are essential to reducing the impact of the disorder on the child’s life.

Treatment of Anxiety disorders in children

Treatment of anxiety disorders in children primarily involves psychotherapy and, in some cases, medication. Here are the most commonly used treatments:

1. Cognitive Behavioral Therapy (CBT): This is the most widely-used treatment for anxiety disorders in children. CBT helps children understand their thoughts and feelings and how they influence their behaviors. It focuses on identifying, understanding, and changing thought and behavior patterns, enabling children to manage their anxiety. Techniques include exposure therapy and cognitive restructuring.

2. Family Therapy: This form of therapy involves the child’s family and helps them understand the child’s anxiety, provides support for the child, and teaches family members about effective communication and problem-solving techniques that could reduce the symptoms of the disorder.

3. Group Therapy: Here, children interact with others who have the same disorder. This helps them realise they’re not alone and can boost their self-esteem. They also learn effective strategies to manage their anxiety from peers.

4. Play Therapy: It is used primarily with young children as it provides them with a comfortable and safe setting to express their feelings and thoughts, often using toys and play.

5. Relaxation Techniques: Therapists may teach children relaxation techniques like deep breathing, progressive muscle relaxation, or visualization. These techniques can help reduce their symptoms and manage their anxiety.

6. Medication: Depending on the severity of the disorder, a psychiatrist may prescribe anti-anxiety medications or antidepressants. These are usually used in combination with therapy.

7. School-Based Intervention: Teachers can play an active role in treating a child’s anxiety disorder. They can provide accommodations to ease the child’s anxiety and foster a supportive educational environment.

It’s important to consult with a mental health professional to determine the most appropriate treatment plan for a child with an anxiety disorder.

Medications commonly used for Anxiety disorders in children

While I am an AI and not a doctor, I can list some of the types of medicines that are commonly used for treating anxiety disorders in children, as per general medical literature. Always remember to seek advice from a healthcare professional for any medical decisions.

1. Selective Serotonin Reuptake Inhibitors (SSRIs): These are commonly prescribed for children with anxiety disorders. SSRIs increase the level of serotonin in the brain and can help balance mood. Some SSRIs that are indicated for use in children include drugs such as Fluoxetine (Prozac) and Sertraline (Zoloft).

2. Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs): These increase the levels of serotonin and norepinephrine, which are neurotransmitters known to influence mood. They may be used in treating anxiety disorders in children. Example of SNRI is Venlafaxine (Effexor).

3. Benzodiazepines: These drugs are often used for short-term relief of acute symptoms, such as reducing the physical symptoms of an anxiety attack.

4. Beta-Blockers: These are also sometimes used for children to treat the physical symptoms of anxiety.

5. Atypical Antidepressants: Drugs such as Buspirone (Buspar) can also be used in certain cases for treating anxiety disorders in children.

Psychotherapy (for example, cognitive-behavioral therapy (CBT)) is considered the first line of treatment for anxiety disorders in children. Medications are typically used when there’s no response to psychotherapy or in severe cases.

Please remember that the decision to medicate should always be made with guidance from a healthcare professional who can take the specific needs and health history of the child into account. Also, medications can have side effects and their use needs careful monitoring. Furthermore, in some cases, the American Academy of Child and Adolescent Psychiatry recommends that SSRIs should be paired with therapy.

Prevention of Anxiety disorders in children

Preventing anxiety disorders in children mainly involves promoting healthy development and resilience. This can take several forms:

1. Open Communication: Always encourage your child to communicate their feelings, worries or fears. This way problematic thoughts can be addressed early.

2. Healthy Lifestyle: A nutritious diet, plenty of physical activity, and enough sleep can all contribute to warding off anxiety symptoms.

3. Role Modeling: It’s important for parents to model healthy coping strategies in front of their children.

4. Social Support: Encourage positive relationships with peers and adults, which can help reduce anxiety. Socializing often and fostering a supportive network can contribute to preventing anxiety disorders.

5. Teaching Coping Skills: Teaching your child healthy ways to cope with stress can go a long way in preventing anxiety disorders. This includes relaxation techniques, mindfulness, and problem-solving skills.

6. Limit Media Exposure: Excessive exposure to news and social media can lead to anxiety. It is important to limit this especially around anxiety-provoking stories.

7. Professional Help: Seek professional help when necessary. If you observe prolonged signs of anxiety in your child, don’t hesitate to meet with a mental health professional for guidance and treatment options.

Remember, it’s just as important to promote emotional health as physical health. With the right strategies, parents can play a powerful role in preventing anxiety disorders in their children.

FAQ’s about Anxiety disorders in children

1. What is an anxiety disorder in a child?
Anxiety disorder in a child refers to a significant degree of fear, nervousness, or worry that impedes normal functioning. It can affect a child’s thinking, feelings, and behavior, impacting their daily activities, school performance, and relationships.

2. What are the common types of anxiety disorders in children?
Common types of anxiety disorders in children include generalized anxiety disorder, separation anxiety disorder, social anxiety disorder, specific phobias, panic disorder, and selective mutism.

3. What are the causes of anxiety disorders in children?
Anxiety disorders can be caused by various factors, including genetic predisposition, brain chemistry, personality traits, and environmental factors such as traumatic events or abuse.

4. What are the common symptoms of anxiety disorders in children?
The symptoms include excessive worry or fear, difficulty in concentrating, restlessness, sleep issues, avoiding certain situations that may cause anxiety, frequent headaches or stomach aches, and irritability.

5. How are anxiety disorders in children diagnosed?
Diagnosis is typically made after a detailed evaluation by a mental health professional. They may use interviews, symptom checklists, and possibly psychological testing to assess the nature and severity of the anxiety.

6. What treatment options are available for children with anxiety disorders?
Treatment usually involves cognitive-behavioral therapy (CBT), which helps children identify and manage their worries and fears. In some severe cases, medication may be used.

7. What can parents or caregivers do to help a child with an anxiety disorder?
Parents and caregivers can play a vital role by offering emotional support, patience, and understanding. They can work with health professionals to follow through with treatment recommendations, encourage their child to express their feelings, and promote positive coping mechanisms.

8. Can children outgrow anxiety disorders?
While some children may outgrow their anxiety, others may continue to experience symptoms into adolescence and adulthood. Early intervention and treatment can help manage symptoms and improve the child’s quality of life.

9. Is it normal for children to feel anxious?
It’s normal for children to have fears and worries. However, when these feelings persist over time and impair their daily functioning, it could be a sign of an anxiety disorder.

10. Does school contribute to child anxiety?
School can be a common trigger for anxiety in children, due to pressures of grades, social situations, or fear of failure. However, it’s important to understand that anxiety is a comprehensive issue and can be influenced by various factors, not just school.

Remember that while this information provides a general overview, each child’s experience with anxiety disorders will be unique. Regular consultations with mental health professionals are crucial in managing this condition.

Useful links

Anxiety disorders in children are characterized by persistent fear, worry, or discomfort that interferes with their normal functioning. There are several types of anxiety disorders that can affect children, including Generalized Anxiety Disorder (GAD), Separation Anxiety Disorder (SAD), Social Anxiety Disorder (SAD), Panic Disorder (PD), and Selective Mutism.

Here are useful links to journals and articles about anxiety disorders in children:


Remember, the above links may be behind a paywall. You may need a subscription to the journal or purchase of the article to access the full text. However, you can often access at least the abstract for free and can sometimes access a PDF of the article through a university library if you are associated with one.

Complications of Anxiety disorders in children

Anxiety disorders in children can have a range of complications which affect not just their mental but also physical health, social interactions, and academic performance. These complications include:

1. Poor School Performance: Anxiety can cause children to have trouble concentrating and performing in school. They may miss school more often due to their symptoms.

Anxiety disorder

2. Impaired Social Relationships: Children with anxiety disorders may have difficulty forming and maintaining relationships. They may be socially withdrawn, have fewer friends, and be less involved in activities.

3. Decreased self-esteem: Due to frequent feelings of fear, worry, and self-doubt, these children may have a negative self-image and low self-esteem.

4. Risk of Substance Abuse: To cope with their symptoms, some older children and teenagers may turn to alcohol, tobacco, or other drugs.

5. High Risk for Other Mental Health Disorders: Children with an anxiety disorder are at higher risk for developing other mental health disorders, such as depression and eating disorders, later in life.

6. Sleep disorders: Anxiety disorders can often lead to sleep issues like insomnia or frequent nightmares.

7. Physical health issues: Unresolved anxiety disorders can contribute to physical health issues, such as headaches, digestive issues, and chronic pain.

8. Impaired development: Continuous anxiety can interfere with the normal development of the child, because instead of learning new skills and gaining new experiences, they are preoccupied with their worries.

Treatment is usually recommended to reduce or manage the symptoms, as well as to prevent these complications. This may involve cognitive-behavioral therapy, medication, or a combination of both. It’s very important to consult a pediatrician or mental health professional for proper diagnosis and treatment.

Home remedies of Anxiety disorders in children

Coping with anxiety disorders in children can be challenging. However, there are a number of home remedies that could help your child cope better:

1. Physical Activity: Encouraging your child to engage in physical activities and sports can help reduce anxiety. Exercise is known to release endorphins, which act as natural painkillers and mood elevators.

2. Balanced Diet: A well-balanced diet is crucial for children’s mental and physical development. Limit your child’s intake of caffeine, sugar, and processed foods. Include whole grains, lean protein, fruits and vegetables in your child’s diet.

3. Adequate Sleep: Make sure your child gets plenty of sleep. A lack of sleep can exacerbate anxiety. Create a consistent bedtime routine to help improve sleep quality.

4. Stress Management Techniques: Teach your child relaxation techniques such as deep breathing, meditation, and yoga. These can help them manage their reactions to stressful situations.

5. Unstructured Time: Give your child some free time each day to do anything they want. This can be a great stress reliever.

6. Encourage Communication: Encourage your child to openly talk about their feelings and concerns. Reassure them it’s okay to be upset and it’s important to express what they’re feeling.

7. Provide Comfort: Let your child know it’s okay to feel anxious and that you’re there to support them. Providing comfort and reassurance can be very beneficial.

8. Environment: Keep a calm and peaceful environment at home. Make sure it’s free from unnecessary stresses and pressures.

9. Natural Remedies: Some natural ingredients like chamomile tea, valerian root, and lemon balm are known for their calming effects.

Remember, while these remedies are helpful, professional help may be needed if anxiety symptoms persist or interfere with your child’s daily life. It’s also important to consult with your child’s doctor before starting any new treatment or remedy.

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Last Update: January 11, 2024