I often hear from parents expressing concern that their child is exhibiting anxiety. They are questioning if their child is okay, and if more professional help is needed. To help answer some of your questions, here are notes from a talk I gave on the topic of anxiety:

What is it?
Most people, of all ages occasionally have feelings of anxiety, or stress. A small amount of anxiety is normal and can even motivate us to stay alert, to be focused, and to be aware.

Most anxious kids (and adults) are worried about what MIGHT happen — that something will go wrong, or feeling like danger is just around the corner. Anxiety is felt physically, emotionally, and in the way people view the world around them.

Anxiety disorders are among the most common mental health conditions. And the most commonly diagnosed anxiety disorder is Generalized Anxiety Disorder (GAD).

Children with GAD might worry excessively, be very hard on themselves, strive for perfection, seek constant approval or reassurance, have trouble concentrating, experience sleeping problems, and be irritable. Children and teens may also have physical symptoms such as headaches, stomachaches, or muscle tension. It might cause them to miss school, be late to school, or to avoid social activities.

It is common for children and teens to avoid talking about how they feel, because they’re worried that others (especially their parents) might not understand. They may fear being judged or being considered weak. And the less they talk with someone who can help, the worse they feel.

It is very difficult to know when our children are dealing with typical, normal stress, or when perhaps our child is dealing with an Anxiety Disorder. If you feel that your child’s level of anxiety is lasting a long time, is out of proportion to their real situation, and is affecting your child and family on a daily basis, then I would recommend consulting with your pediatrician.

How can I help?
The goal is to manage anxiety, not to eliminate it. Don’t avoid situations just because they make your child anxious. We can’t remove what makes our child feel anxious, but we can teach them what to do when they feel anxious.

Respect but don’t enforce, your child’s anxiety. “I understand that you are nervous about the doctor’s visit. But I will be with you and we will do this together.”

Learn and teach deep breathing and relaxation techniques. Massage, sound machines, and counting to 10 can help in stressful moments, and when your child feels their anxiety building.

Pay attention to how you respond to and handle your own stress. It’s not fair to put your personal adult stress on your children. Share your own stories of how you overcame your own anxieties.

Be aware of what stress we are putting on our kids. Have reasonable expectations for your children, and remember what it’s like to be a kid. They can’t be perfect – because there’s no such thing as perfection.

Respond with empathy – consider their view. They need to feel heard and understood before they can be ready to listen themselves. “It is hard to speak in front of your class; that can be scary. So let’s practice together so you can feel more confident tomorrow.”

Ask open ended questions. “What do you think your test will be like?” is a more supportive question than “Are you worried about your test?”.

And finally, be calm, be loving, be patient, and be a good listener. Your kids aren’t misbehaving when they are feeling very anxious; they are simply still learning to navigate their lives. And some kids need a little more help, or a little more time.

Have any questions? Please feel free to email or call me.