July 28, 2025

Understanding Childhood Anxiety: What Parents Need to Know

It's normal for children to feel anxious from time to time—especially during new or unfamiliar experiences like starting school, visiting the doctor or meeting new people. But when worry or fear becomes constant, overwhelming or interferes with everyday activities, it may be a sign of an anxiety disorder.

At Goldsboro Pediatrics, we want parents to know the signs of anxiety in children, what causes it and how to help your child feel safe, supported and confident.

What Is Anxiety in Children?

Anxiety is the body's natural response to stress. In children, it can show up in different ways depending on their age and personality. Some kids may cry or cling to a parent. Others may complain of stomachaches or avoid certain places or activities.

While temporary anxiety is a normal part of growing up, chronic or severe anxiety can affect a child’s emotional, social and academic development.

What Causes Anxiety in Kids?

There’s no single cause of anxiety, but several factors may contribute, including:

  • Genetics and family history of anxiety or mental health conditions
  • Stressful life events like divorce, moving or the loss of a loved one
  • School-related pressures, bullying or social challenges
  • Health issues or fear of becoming sick or injured
  • Perfectionism or fear of failure
  • Exposure to scary news or traumatic events, even indirectly

Some children are more naturally sensitive or cautious, which may also increase their risk for anxiety.

Signs of Anxiety in Children

Children may not always have the words to express what they’re feeling. Look for these signs:

  • Frequent worries or asking “what if?” questions
  • Avoidance of activities like school, parties or bedtime
  • Physical symptoms: stomachaches, headaches, nausea or muscle tension
  • Trouble sleeping or frequent nightmares
  • Irritability or meltdowns over small issues
  • Constant need for reassurance
  • Difficulty concentrating in school

How Parents Can Help Relieve Anxiety

If your child is showing signs of anxiety, here are some steps you can take to help them feel more secure and in control:

    1. Listen and validate their feelings. Avoid saying “don’t worry.” Instead, try: “I can see this is really bothering you.”

    1. Listen and validate their feelings. Avoid saying “don’t worry.” Instead, try: “I can see this is really bothering you.”

    2. Create routines. Predictable schedules help kids feel safe and in control.

    3. Model calm behavior. Children take emotional cues from the adults around them.

    4. Teach coping skills. Deep breathing, counting to ten, journaling or using a calm-down corner can help.

    5. Encourage small steps. Support your child in gradually facing their fears—like speaking in class or sleeping alone.

    6. Limit screen time and media exposure. Especially with news or social media that may increase worry.

    7. Promote healthy habits. A balanced diet, physical activity and enough sleep all support emotional health.

When to Seek Professional Help

If your child’s anxiety is persistent and interferes with school, relationships or family life, it’s time to talk with your pediatrician. At Goldsboro Pediatrics, we can assess your child’s needs and connect you with support.

Red flags that may indicate a need for treatment include:

  • Panic attacks or intense fear
  • Refusal to go to school for weeks
  • Sudden drop in grades or withdrawal from friends
  • Constant physical complaints with no medical cause
  • Thoughts of self-harm or expressions of hopelessness

Treatment Options for Childhood Anxiety

The good news is that anxiety is treatable and most children can go on to live happy, successful lives with the right support.

Common treatment options include:

  • Cognitive Behavioral Therapy (CBT): A highly effective, short-term therapy that helps kids manage anxious thoughts and behaviors.
  • Play therapy: Especially helpful for younger children who express emotions through play.
  • Family counseling: Helps parents and siblings understand anxiety and develop healthy ways to support one another.
  • Medication: In severe cases, your pediatrician may refer you to a child psychiatrist to discuss the role of medications like Selective Serotonin Reuptake Inhibitors (SSRIs).

Early treatment can make a big difference—helping your child develop resilience, confidence and skills to manage anxiety now and in the future.

We’re Here to Help

If you’re concerned about your child’s worry or behavior, don’t wait. Reach out to your care team at Goldsboro Pediatrics. Our compassionate staff is here to listen, assess and provide care tailored to your child’s needs.

Together, we can help your child feel safe, understood and ready to take on the world!

Sources:
U.S. Department of Health and Human Services
Aacap
KidsHealth
American Psychological Association




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