Anxiety in Children and Teens

Do you notice your child worrying a lot or struggling with a phobia? An anxiety disorder is a common mental health condition affecting many children and adolescents. While it’s normal for kids to feel anxious from time to time, such as before a test or a presentation in class, an anxiety disorder is when the fear is constant and intense to the point that it interferes with daily life. In recent years, anxiety has increased among children and teens. Pressures from school and peers, social media, and negative news in the media can contribute to anxiety in kids. Understanding the signs and addressing the disorder early can help your child get the support they need. 

Signs of Anxiety in Kids 

Common symptoms of anxiety include recurring fears, irritability, avoiding certain activities or situations such as school or social interactions, a drop in school grades and academic performance, trouble sleeping and concentrating, headaches, stomachaches, or substance use. Kids may shake or sweat often, feel their heart racing, or struggle with sitting still. If you notice these signs, it’s important to talk to your child right away. Start by discussing the potential triggers for their anxiety to get to the source. You can then help them manage their fears by using methods such as deep breathing, meditation, muscle relaxation, or positive self-talk.

Below is information on the different types of anxiety disorders that can affect children and teens. 

Generalized Anxiety Disorder: 

Generalized anxiety disorder involves excessive worry about everyday things, like school, events in the news, or family issues. Kids with generalized anxiety disorder may constantly seek reassurance or may struggle to relax. They may feel that their worries are difficult to control and that they disrupt their day-to-day functioning. 

 

Social Anxiety Disorder:

Social anxiety disorder occurs when kids are excessively afraid of being judged, embarrassed, or rejected in social situations. As a result, they might avoid social situations such as parties or school events. They might also be afraid to speak up in class or participate in extracurricular activities. Social anxiety disorder can make it difficult for kids to make friends or connect with their peers.

 

Separation Anxiety Disorder:

Separation anxiety disorder causes kids to have an intense fear of being separated from their parents or caregivers. Children may refuse to go to school, sleep alone, or attend playdates out of fear that something bad will happen when they’re away from their family. While separation anxiety disorder is more common in younger children, it can also occur in older kids.

 

Phobias:

Phobias occur when kids have an irrational fear of a specific object, situation, or activity, like the dark, dogs, needles, thunderstorms, clowns, or heights. Phobias can cause kids to panic when faced with their fears and lead to avoidance behaviors. 

 

Panic Disorder:

Panic disorder causes kids to have panic attacks when triggered by their anxiety or phobia. Children may feel short of breath, dizzy, or lightheaded. They may also hyperventilate and suffer from heart palpitations. 

 

Treating Anxiety in Kids

Anxiety disorders are diagnosed by a mental health specialist or a pediatrician during well-check visits. The diagnosis is done through a comprehensive evaluation where children and families are asked questions about mood, thoughts, behaviors, and activities. The most effective and common type of treatment for anxiety is cognitive behavioral therapy (CBT), which can help kids understand where their anxious thoughts come from and learn coping strategies for managing those thoughts. Through CBT, kids can learn to manage their fears through gradual exposure in a safe environment. In some cases, however, children may need medication in addition to therapy. 

 

While your child is being treated for anxiety, it’s important to take care of the other aspects of their health, such as diet, exercise, and sleep. Although these are not substitutes for therapy and medication, they can aid in the process and support your child’s mental health. 

 

If you have any questions or concerns about your child’s anxiety, call our office. Our pediatrician is here to support your family.



Suicide Prevention and Mental Health

The suicidal rate among children and adolescents has increased in the past few years. School pressures, social media, upsetting news in the media, discrimination, and bullying (including cyberbullying) are some of the contributing factors for depression and anxiety among youth. We know many families have concerns about their child’s emotional well-being and we always recommend paying close attention to the signs of mental health conditions so that you can take the appropriate actions.

While all kids will experience their bad or moody days at times, long periods of sadness and withdrawal could be a sign of mental health struggles. There is usually a range of symptoms that indicate depression or anxiety, such as changes in sleep and eating patterns, loss of interest in activities your child used to enjoy, academic struggles, or signs of substance or alcohol abuse. Often, your child will show more than one sign that they’re dealing with mental health challenges. 

If you do notice any of these symptoms, it’s important to start a conversation with your child right away. You might feel hesitant to bring up the topic of suicide in fear that talking about it might lead to your child having suicidal thoughts. However, it actually lowers the risk and sends the message to your child that you are there for them, and that they have a loving and caring adult they can turn to. 

When you talk to your child about their mental health, avoid any judgmental or accusatory tone. You want to come from a place of empathy so that your child trusts you and feels comfortable opening up to you about their thoughts and feelings. The majority of kids who are suicidal will say something before making any attempt. It could be something along the lines of “I don’t care about life anymore, “I’m better off dead,” “I hate living,” or “I’m just a burden.” They may express feelings of hopelessness or being trapped. All of these should be taken seriously and never brushed off as teenage moodiness. 

Avoid telling your child to not feel a certain way or anything that might invalidate their feelings. Instead, show them understanding and compassion while helping them put things into perspective and offer ways to reframe their thoughts or beliefs. Let them know that you are there for them to help in any way and remind them that you love them even if you think they already know this. It’s reassuring to hear this in times of distress and can stop someone from trying to take away their life. 

Even after engaging in conversations with your child, it is beneficial to seek treatment if they’re struggling with depression or anxiety. There are different types of therapy such as cognitive behavior therapy (CBT), as well as medications that can help. But it’s important to talk to a healthcare provider and mental health specialist before deciding on the appropriate treatment plan for your child. For more information on treatment options, check out this resource from Child Mind Institute. 

If you ever believe that your child is at immediate risk for suicide, take action to get them help right away. Call or text 988 for the Lifeline which provides 24/7 free and confidential support to anyone considering suicide. If there are any weapons, lethal tools, or substances that are easily accessible, remove them out of your child’s reach.  

Having a child who is suicidal or struggling with their mental health can feel frightening and worrisome. But remember, you and your child don’t have to go through this alone. We are here for you to provide the support, treatment, and resources your family needs. Call our office if you have any concerns.