Childhood anxiety - when normal worry becomes a problem

Last reviewed: July 2026 | Sources: NHS, Anna Freud Centre, YoungMinds

All children worry sometimes. But for some, anxiety becomes so persistent and intense that it starts to shrink their world. The NHS describes anxiety as a problem when it gets in the way of everyday life.

How anxiety shows up in young children

Physical symptoms or behavioural changes rather than verbal worry: becoming tearful or clingy, difficulty sleeping, recurring stomach aches with no medical cause, refusing food, bad dreams. In older children: lacking confidence, angry outbursts, avoiding everyday activities.

What helps

Talk to your child about their worries - listen without dismissing. Name the feeling: children who can label anxiety cope better. Help them problem-solve. Keep routines consistent. Simple breathing exercises: in for three, out for three. A "worry box" for bedtime catastrophising works well.

What not to do

Don't avoid the feared situation entirely - gradual, supported exposure builds confidence. Total avoidance reinforces the message that the threat is real.

See your GP if:

Anxiety persists for weeks. Your child can't be reassured. They consistently refuse school or social activities. Physical symptoms are frequent and disabling. Your GP can refer to CAMHS. CBT is effective in around 60% of cases. YoungMinds parent helpline: 0808 802 5544.

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Sources

NHS - Anxiety in children · Anna Freud Centre · YoungMinds