Overview
Many childhood fears and worries are completely normal. Most children experience some anxiety as they grow up — toddlers may cry when you leave, preschoolers might be afraid of the dark, and teenagers often worry about fitting in with friends. The key question is: when does normal worry become something more serious?
Common symptoms
Common signs your child may need help:
At home
- Constant worrying that won't stop
- Trouble sleeping or frequent nightmares
- Clinging to parents more than other children their age
- Frequent meltdowns or tantrums related to fears
- Refusing to sleep alone or go to certain rooms
At school
- Refusing to go to school or frequent absences
- Calling or texting you constantly during the day
- Difficulty concentrating or completing work
- Not speaking in class (even though they talk at home)
- Avoiding presentations, tests, or group activities
With friends
- Avoiding playdates, parties, or sleepovers
- Not wanting to try new activities
- Seeming very worried about what others think
- Having few or no friends
Physical symptoms
- Frequent stomachaches or headaches (especially before school or bed)
- Feeling sick without a medical cause
- Rapid heartbeat, sweating, or shaking when anxious
- Trouble eating or changes in appetite
When to see a doctor
See your child's doctor if:
- Anxiety symptoms have lasted 6 months or more
- Your child is missing school or avoiding important activities
- Physical symptoms are causing distress or frequent doctor visits
- You're having trouble managing the anxiety at home
- Family life is being significantly affected
Seek immediate care
Seek urgent help if your child:
- Talks about wanting to hurt themselves or others
Normal anxiety vs. an anxiety problem
Normal childhood anxiety
- Goes away on its own or with reassurance
- Doesn't last very long
- Doesn't stop your child from doing important activities
- Matches what you'd expect for their age
Anxiety that may need help
- Lasts 6 months or longer
- Is hard to control, even with reassurance
- Causes your child to avoid school, friends, or activities they used to enjoy
- Leads to frequent physical complaints like stomachaches or headaches
- Interferes with daily life at home, school, or with friends
- Seems much bigger than the actual problem
This guide is for general education only. When in doubt, call us — we'd rather hear from you.