Recognising Anxiety In Kids

As parents, you only want the best for your children, including their mental and emotional well-being. However, understanding and identifying signs of anxiety in children can be challenging, especially since anxiety may present differently in kids compared to adults. Early recognition is key to providing the support your child needs to navigate their emotions and develop healthy coping mechanisms. In this guide, we’ll explore the early signs of anxiety in children, how to differentiate between normal behaviour and anxiety, and when it’s time to seek professional help.

What is Anxiety in Children?

Anxiety is a normal response to stress or unfamiliar situations, and everyone, including children, can experience it from time to time. It can manifest as worry, fear, or uneasiness about an event or situation. However, when anxiety becomes persistent, intense, and starts affecting a child’s day-to-day activities, it may indicate an anxiety disorder. 

Childhood anxiety can stem from various sources: school pressure, social interactions, family dynamics, or even genetic predispositions. Understanding the early warning signs can empower you to take action before the anxiety escalates.

Common Triggers of Anxiety in Children

Before diving into the symptoms, it's important to recognise some common triggers that may cause anxiety in children. These might include:

  • School-related stress: Fear of failure, academic pressure, or social difficulties.

  • Changes in routine: Moving homes, changing schools, or new family dynamics such as divorce or the birth of a sibling.

  • Social situations: Difficulty making friends, bullying, or fear of being judged.

  • Family issues: Tension at home, parental conflict, or witnessing family distress.

  • Health concerns: A personal illness, the illness of a family member, or exposure to discussions around serious health issues.

By being aware of these triggers, you’ll be better equipped to understand what may be contributing to your child’s anxiety.

Early Signs of Anxiety

Children don’t always express their anxiety verbally. In fact, many children may not have the vocabulary to describe their feelings of worry or fear. Instead, anxiety often manifests through physical symptoms, behavioural changes, or emotional responses. Here are some early signs to watch for:

1. Physical Symptoms

Anxiety can often show up as unexplained physical discomfort. You may notice that your child frequently complains about physical ailments without a clear medical cause. Some common physical symptoms of anxiety in children include:

  • Stomachaches or nausea: Your child may regularly complain about feeling sick, especially before going to school or attending social events.

  • Headaches: Frequent headaches or unexplained pain can be a sign of stress and anxiety.

  • Difficulty sleeping: Children with anxiety may struggle to fall asleep, wake frequently during the night, or experience nightmares. They may also express fears of being alone at night.

  • Fatigue: Anxiety can be mentally exhausting, leading to feelings of tiredness even after a full night’s sleep.

  • Restlessness: You might notice that your child seems fidgety or unable to relax. They may pick at their skin, bite their nails, or engage in other repetitive behaviours.

2. Behavioural Changes

Behavioural shifts can also indicate anxiety in children, especially if the behaviour is new or uncharacteristic. Some key behaviours to monitor include:

  • Avoidance: One of the hallmark signs of anxiety is avoidance. Your child may try to avoid situations or activities that make them anxious, such as school, social gatherings, or even family events.

  • Meltdowns or tantrums: For younger children, anxiety may come out as emotional outbursts or tantrums when faced with an anxiety-provoking situation.

  • Perfectionism: Children who are anxious may become overly concerned with making mistakes or doing things “just right.” This can lead to frustration, procrastination, or avoidance of tasks they perceive as challenging.

  • Refusal to go to school: School avoidance or a sudden reluctance to attend classes can be a sign of anxiety, particularly social anxiety or fear of failure.

  • Clinginess: Younger children may become excessively clingy, refusing to be separated from parents or caregivers in situations where they previously felt comfortable.

3. Emotional Signs

Children may express anxiety through their emotions, and some of the emotional signs can be easy to miss. Look out for:

  • Excessive worry: If your child is frequently expressing concerns about future events, asking repetitive questions about what will happen, or being overly preoccupied with hypothetical situations, this may signal anxiety.

  • Irritability: Anxious children may become easily frustrated or irritable. Small inconveniences may lead to larger emotional reactions than expected.

  • Frequent crying: Sensitivity and frequent tears can also be an indicator of underlying anxiety, especially if there doesn’t seem to be a clear reason for the crying.

  • Low self-esteem: Children experiencing anxiety may express self-doubt or lack confidence in their abilities, often fearing they are not “good enough” or that they will fail.

4. Social Withdrawal

Anxiety can also affect a child’s willingness to interact with others. Social withdrawal is often a red flag:

  • Isolation: Your child may become less interested in spending time with friends or participating in group activities. They may prefer to stay home or engage in solitary activities like playing video games or reading.

  • Fear of new situations: An anxious child may show reluctance to try new things or meet new people. For example, they may resist attending a birthday party or trying out for a sports team.

  • Difficulty with transitions: Any change in routine or setting may cause a spike in anxiety, making it hard for your child to adjust to new environments, teachers, or schedules.

How to Differentiate Normal Behaviour from Anxiety

It's normal for children to experience occasional stress, worry, or fear—especially in situations like the first day of school or a big test. However, when anxiety is persistent and starts to interfere with your child’s everyday life, it may be time to take a closer look. Here’s how to distinguish between typical behaviour and potential anxiety:

  • Frequency: Is your child frequently displaying anxious behaviours or expressing worry, even in situations that shouldn’t be stressful?

  • Intensity: Are your child’s emotional reactions unusually intense compared to what you’d expect for the situation? For example, do they have a meltdown at the thought of meeting new people?

  • Duration: How long has the behaviour persisted? If anxious behaviours or symptoms have been occurring for weeks or months, it may indicate something more than just a passing phase.

  • Impact on daily life: Is the anxiety affecting your child’s ability to function in school, at home, or socially? If anxiety is keeping your child from thriving, professional support might be necessary.

When to Seek Professional Help

If you notice a combination of these signs and they persist over time, it may be beneficial to seek professional help from a child psychologist or therapist. Early intervention can make a significant difference in helping children develop coping strategies and overcome their anxiety.

Consider reaching out to a professional if:

  • Your child’s anxiety is affecting their ability to attend school, complete tasks, or engage socially.

  • Their physical symptoms (e.g., stomachaches, headaches) persist without a medical explanation.

  • You feel that their worries are consuming them, and you’re unsure how to help.

Child psychologists can conduct assessments to determine the severity of your child’s anxiety and recommend the most appropriate therapeutic interventions. Cognitive Behavioural Therapy (CBT), play therapy, and family therapy are just a few effective approaches used to help children manage anxiety.


Recognising the early signs of anxiety in children is the first step toward helping them overcome their challenges. By staying attuned to your child’s emotions and behaviours, you can intervene early and provide the support they need. If you’re concerned about your child’s anxiety, don’t hesitate to seek professional guidance. With the right support, your child can learn to navigate their fears and thrive emotionally, socially, and academically.

At Harrison Child & Family Psychology, we help children manage anxiety through evidence-based therapies and compassionate care. If you’re ready to explore how therapy can benefit your child, feel free to get in touch - we’d love to hear from you!

In the meantime, stay connected with us on our socials (Facebook and Instagram) for more information, tips, and resources about raising a healthy, happy family.

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Talking to Your Child About Mental Health