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Anxiety in Children

Medically reviewed by Last updated on Dec 2, 2022.



is a condition that causes your child to feel extremely worried or nervous. The feelings are so strong that they can cause problems with your child's daily activities or sleep. Anxiety may be triggered by something your child fears, or it may happen without a cause. Anxiety can become a long-term condition if it is not managed or treated.

Common signs and symptoms that may occur with anxiety:

  • Thoughts about his or her safety, or about the safety of a parent
  • Nausea, vomiting, or an upset stomach
  • Flushed skin or sweating
  • Shyness, or problems talking to people he or she does not know
  • Muscle tightness, cramping, or trembling
  • Shaking, or feeling restless or irritable
  • Problems focusing
  • Trouble sleeping or nightmares
  • Feeling jumpy, easily startled, or dizzy
  • Rapid heartbeat or shortness of breath

Call your local emergency number (911 in the US) if:

  • Your child has chest pain, tightness, or heaviness that may spread to his or her shoulders, arms, jaw, neck, or back.
  • Your child says he or she feels like hurting himself or herself, or someone else.

Call your child's doctor or therapist if:

  • Your child's symptoms get worse or do not get better with treatment.
  • Your child's anxiety keeps him or her from doing regular daily activities.
  • Your child has new or worsening symptoms.
  • You have questions or concerns about your child's condition or care.


Healthcare providers will treat any medical condition that may be causing your child's symptoms.

  • Medicines can help your child feel more calm and relaxed, and decrease symptoms. Medicines are usually used along with therapy.
  • Cognitive behavior therapy can help your child find ways to feel less anxious. A therapist can help your child learn to control how his or her body responds to anxiety. The therapist may also teach your child ways to relax muscles and slow breathing when he or she feels anxious.

Treatment options

The following list of medications are in some way related to or used in the treatment of this condition.

View more treatment options

Help your child manage anxiety:

  • Be supportive and patient. Younger children may cry or act out as a way of showing anxiety. Try to be patient and remember your child may have trouble controlling this behavior. Let your child tell you what makes him or her feel anxiety. Tell your child about your own anxiety and what helps you feel better. Do not force your child to do something he or she is too anxious to do. You can help your child feel more comfortable by starting with small steps and building up. For example, let your child practice a school presentation with a family member or friend. Then add more family members or friends when your child is comfortable. These small steps can help your child feel more comfortable with the presentation.
  • Encourage your child to talk with someone about the anxiety. Help your child find someone to talk to if he or she does not want to talk to a parent. Your adolescents may feel more comfortable talking to a friend who is his or her age. Your child's healthcare provider may recommend counseling. Counseling may be used to help your child understand and change how he or she react to events that trigger symptoms.
  • Help your child relax. Activities such as exercise, meditation, or listening to music can help your child relax.
  • Help your child practice deep breathing. Deep breathing can help your child relax when he or she is anxious. Your child should learn to take slow, deep breaths several times a day, or during an anxiety attack. Tell your child to breathe in through the nose and out through the mouth.
  • Help your child create a sleep routine. Regular sleep can help your child feel calmer during the day. Have your child go to sleep and wake up at the same times every day. Do not let your child watch television or use the computer right before bed. His or her room should be comfortable, dark, and quiet.
  • Talk to your adolescent about not smoking. Nicotine and other chemicals in cigarettes and cigars can increase anxiety. Ask your adolescent's healthcare provider for information if he or she currently smokes and needs help to quit. E-cigarettes or smokeless tobacco still contain nicotine. Talk to your adolescent's healthcare provider before he or she uses these products.
  • Offer your child a variety of healthy foods. Healthy foods include fruits, vegetables, low-fat dairy products, lean meats, fish, whole-grain breads, and cooked beans. Healthy foods can help your child feel less anxious and have more energy.
    Healthy Foods
  • Encourage your child to be physically active. Physical activity, such as exercise, can increase your child's energy level. Exercise may also lift your child's mood and help him or her sleep better. Your child's healthcare provider can help you create an exercise plan for your child.
    Diverse Family Walking for Exercise
  • Do not let your child have caffeine. Caffeine can make anxiety symptoms worse. Do not let your child have foods or drinks that are meant to increase energy.

Follow up with your child's doctor or therapist within 2 weeks or as directed:

Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.