Two Common Anxiety Disorders in Children
Do you recall what your very first day at school felt like? Or how about your first day of work on the job? These thoughts and fears may no longer reside in your memory since they were normal and temporary reactions. However, imagine how it would feel if you were to experience those same feelings constantly, even when they made no sense!
These feelings of anxiety can be overwhelming for a child. Maybe your child struggles with anxiety and you are wondering what is really going on in their head when they fear a social setting so much that they can’t participate.
It can be tough on the whole family when one of the children struggles with anxiety symptoms, and even more so when their best friend or their teacher just doesn’t get what is happening or understand how to support them. Newport Beach Christian Counseling can help families and children navigate these challenges with understanding and effective strategies.
Some teachers are not equipped to know what is happening when a child experiences anxiety and they can underestimate the effects that it has on the student’s success and performance and social relationships. Teachers may confuse anxiety with other things, such as behavioral issues, and not know how best to work with parents for a successful outcome, as well as how to advocate for the child within the larger framework of the school system.
Perhaps you have wondered how to better understand your child’s needs when they face these types of challenges but are met with misunderstandings and/or lack of support from others.
The remainder of this article will cover 10 ways that anxiety affects a child’s life and education:
- A child’s feelings of worry about themselves, their parents, or family members
- Having nightmares or night terrors and lack of sleep
- Symptoms of panic attacks
- Decline in educational success
- Physical symptoms of headaches and stomachaches
- Extreme difficulty focusing or concentrating
- Heightened risk of developing depression or other anxiety disorders
- Lack of social skills or experience
- Low levels of communication while in social situations
- Being misunderstood by family, school teachers, and/or peers
There is a difference between anxiety and an anxiety disorder. There are anxiety disorders that occur only in children. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) distinguishes between anxiety disorders and normative fear or anxiety, noting that anxiety disorders are extreme and persist beyond a time that is developmentally appropriate.
Anxiety disorders in children can cause them to read greater levels of danger into a situation or completely avoid it. Separation anxiety disorder and selective mutism typically begin in the early years and persist throughout adulthood when left untreated. Sometimes children with anxiety disorders may have the symptom of panic attacks in response to a fear.
Separation Anxiety
Although some separation from a caregiver is normal in children, separation anxiety is when a child is so anxious from the separation of a caregiver that it is developmentally inappropriate. The diagnostic criteria for separation anxiety disorder include:

- Nightmares
- Worry that their attachment figure might be hurt in some way and a reluctance to be separated from them.
- Physical symptoms related to distress.
- Extreme apprehension about possible events such as kidnapping, accidents, getting lost or getting sick – anything that might separate them from their attachment figure.
- Reluctance or refusal to leave the house and go to places like school, aversion to sleeping somewhere other than home, and physical symptoms such as head or stomach aches when separated from the attachment figure.
The most commonly diagnosed childhood anxiety disorder is separation anxiety. School disruption effects 75% of children struggling with separation anxiety because of their unwillingness to even attend school on a daily basis. Even children who end up going to school may still suffer because they cannot focus on what is being taught due to their anxiety over those at home.
Sleep disturbances are also common with symptoms consisting of nightmares as well as physical symptoms. This is a challenge for any parent who is unaware of the level of fear that their child experiences from sleeping in their room alone.
When a child does not get enough sleep, it is difficult for them to function at school. Their behavior may cause confusion in the classroom which can create tension in their relationship with teachers and peers. The behavior can become so disruptive that the teachers and peers may find it difficult to engage with them on a developmentally appropriate social level, resulting in the child being labeled as defiant.
A parent may develop their own response to their child’s anxiety symptoms. Some parental responses can end up reinforcing the child’s symptoms and behaviors. Negative behaviors may result in a parent removing them from the area in which the behavior occurred, which can increase their anxiety even more.
This can be increasingly frustrated for parents who struggle to understand what is going on with their child. Parents may continue to reinforce behaviors, for example, by allowing their child to sleep with them when they fear to sleep alone or to stay home from school when they do not want to go. This is detrimental to the family as a whole and may cause stress to the rest of the family.
Do you have a closer bond with one child more than the others? Perhaps this bond was formed with the child who most needs the sense of closeness and safety. This can cause rifts between you and your spouse or other family members before you are even aware of it. While you spend much of your time attending to the child struggling with separation anxiety, others in the family may be feeling left out.
Not only does separation anxiety have an immediate effect, but it can prove detrimental long-term as well. The isolation a child experiences today can bring on social problems, later on, making it more likely they will remain unmarried. In addition, children who suffer from separation anxiety disorder are more likely to develop depression or other types of anxiety disorders as they grow up.
Selective Mutism
Anxiety can affect a child’s life and educational success in other, more subtle ways. Does your child never talk at school, but won’t stop talking as soon as you pick them up?
Does your child act shy in public when around people that you know, when only moments ago they were laughing and talking with their brothers or sisters in the car? Does this seem to be context-specific? Perhaps they suffer from selective mutism, another anxiety disorder that can strike children.

Selective mutism, though quite rare, typically affects children prior to the age of five. It often goes unnoticed until such time as the child enters school. Many times, children grow out of selective mutism, but understanding the effects, symptoms, and signs of it is still important because of the many ways that anxiety can affect a child’s life and education.
In order to deliver a diagnosis of Selective mutism, certain criteria have to be met, such as:
- Not speaking in settings or situations where it would normally be expected (i.e. – school).
- Not speaking when it isn’t merely a result of ignorance of the subject being spoken about.
- Symptoms that are unrelated to some other type of communication disorder or which happen simultaneously with some other disorder, like autism spectrum disorder.
- Behavior that lasts for more than a month and stretches beyond the first month of school, when children are normally hesitant to participate in their new surroundings.
Here are a few factors that are critical for understanding the kinds of symptoms that one should look for. Children with selective mutism will often have normal patterns of communication at home with their family. However, they will clam up in public settings (such as school) and may even fail to speak to their extended family members who do not live with them. Children may also be silent when in the company of peers.
A child with anxiety may have even more of a struggle in making friends at school than will a child who is anxiety free. It is even more challenging for a child that suffers from selective mutism. Other children may be hesitant to befriend a child that cannot talk to them.
Selective mutism may also produce other problems at school, especially if the teacher cannot interact with, and assess the educational levels of the child, or where the child cannot communicate their needs to the teacher.
Even though children with selective mutism can occasionally come up with nonverbal methods of communication, like pointing, the lack of communication may increase the possibility that they will be teased by peers, which will further aggravate their anxieties about being in social settings.
A child with anxiety, whether ongoing or only occasional, has feelings, emotions, and behaviors that may be initially confusing to those who care about them. Young children will likely not understand the anxiety symptoms in their body at first, but they pass into the adolescent years they become more aware and they may prioritize their need to feel better, even though they might not know exactly how to achieve this.
They may try things that may appear to relieve the anxieties that they experience and run the risk of developing unhealthy or risky habits that can lead to increased anxiety, shame, guilt, or confusion.
Parents, siblings, friends, and teachers can find it a significant challenge to interact with a child that experiences all the worry and fear brought on by separation anxiety or selective mutism. However, these challenges can be overcome – there is hope, because of the high success rate of managing both conditions.
Therapy can (and should) include both the child and family members to increase their understanding of the symptoms and to help develop more appropriate ways to manage anxiety and its causes. Children will be taught more appropriate ways of coping with their anxiety and develop skills to change their thought patterns when anxiety symptoms show up.
If you are unsure whether anxiety is the cause of your child’s distress, schedule an appointment with a Christian Counselor at Newport Beach Christian Counseling today. Becoming educated about your child’s anxiety can be the beginning of a new day for everyone.
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When making a specific diagnosis, mental health professionals account for severity, whether or not the condition occurs in a repeating cycle, and whether or not there are psychotic symptoms present. In any of these categories, the standard minimum for diagnosis is a major depressive episode lasting for two weeks or more, with impacts on both mood and motivation.
Serotonin is a specific neurotransmitter that has a positive impact on mood. Dopamine is another. Antidepressants work by balancing neurotransmitter levels.
Examples of environment include workplace stress, the loss of a loved one, or even the weather (as seen in seasonal affective disorder).
If you’re depressed, you might feel trapped in a pit that you can never climb out of. Medication can be like someone tossing a rope down into the pit. You’ll need to put in the work to climb out, but that is a much more achievable goal when you actually have a rope.
Distraction diminishes the pleasure that eating has to offer. Next time you want to enjoy a spoonful of one of your favorite foods, turn off the TV, close your eyes and allow your senses to bring the experience to life as your taste buds peruse all of the different flavors and textures of the dish.
Change is hard! If we do not share our goals with someone we trust, it becomes easier to make excuses or completely give up on the goals. If you find physical activity intimidating, find a battle buddy to walk, run, swim or join a fitness class with you.
When you are a guest, be a blessing to your hostess. If foods are offered that you normally would avoid, make the wisest selections to not offend your hostess and get back on track at your next meal. Give yourself the freedom to choose which vegetable or fruit you want to eat. Avoid getting stuck in a regimented plan.
However, it’s just as challenging (or even more so) to be the parent of a child at this stage of life. Suddenly, your relationship with your adoring child shifts, and you find yourself struggling to relate to a seeming stranger who treats you as an enemy. In the wake of these changes, the entire family struggles to adjust to a new normal.
According to Pickhardt, “Because parenting is a position of partial influence, parents need to limit their sense of responsibility. They can never know enough. They cannot fully protect any more than they can fully prepare.”
Make sure you’re not disciplining your child for behavior that is simply a developmental shift. Have grace on your teenager as he or she deals with mood swings, conflict, changes in communication, and even a propensity towards defiance.
The elevated levels of conflict in your home during this time are a natural way to “broker increasing differences between you and your teen, a necessary part of how you get along.” In other words, the conflict is necessary in order for you and your teen to reach a new level of equilibrium in your relationship, one that acknowledges disagreements and different values.
DeMoss believes that Christian women today are in bondage. She says: “They can’t enjoy God’s love.” This is a result of past experiences and sins. Another type of bondage that she mentions is “fear of man,” which consists of fear of being rejected, fear of what others think, and our need for others to approve of us.
Additionally, we tend to believe falsehoods regarding God’s attitude toward us. For example, if God doesn’t answer our prayers, we question his love for us. This is true even of Christians who were raised in a Church setting. They might know all about God’s love, but they don’t necessarily always experience it. This is another example of what the author describes as bondage.
For example, we start to believe that we are worthless. 42% of the women who were surveyed by DeMoss reported believing that they were worthless. This feeling can begin in childhood and run through a woman’s life all the way into adulthood. Left unaddressed, it can even lead to mental health issues as well.
In order to fight against these lies, we are asked to 1) Acknowledge God’s view of our sin, 2) Take full responsibility for our sin, 3) Assert the truth, 4) Act on the truth and 5) ask for God’s help to live a life of truth.
The body is equipped with the sympathetic nervous system (SNS) which acts as a defense mechanism that helps us in times of crisis. This sympathetic nervous system stimulates the fight or flight response, which helps your body to make a split-second decision to either stand and defend yourself against a certain threat or flee it.
Our bodies have a way of remembering trauma. This can lead to a panic attack, which usually has a trigger. But not all triggers are the overt type. Some are less obvious, and this can make it quite challenging to figure out exactly what triggered your panic attack. This commonly happens when you don’t have outlets for these traumatic experiences, such as having someone to talk to and process these events with.
The thing with avoidance is that it does not solve the issue. It doesn’t even recognize the issue. Not recognizing the issue means not recognizing the need to keep things in check, until the issue has spiraled out of control. A series of persistent anxious thoughts that remain unchecked could lead to a panic attack, which leads to more panic attacks. This is why recognizing that you feel anxious is crucial in managing anxiety.
An example of using redirection would be to put on some relaxing music and work with your hands (clean the house, wash your car, clean up your closet) after you’ve recognized an anxious thought and reflected on it. As you redirect, engage your imagination and think about the instruments being used to play the music, consider what it must’ve been like as they recorded the song, think of who the musicians were.
Dating and engagement are often times of infatuation. You love your partner’s loud laugh and the way he has a laid-back attitude toward life. Your heart melts a little when he smiles at you. Every moment together is thrilling and you feel like life with him will be a dream come true.
Love is more than a feeling. Feelings fizzle out, but commitment provides a place for your love to grow and flourish. You don’t want your love to be like the leaves on a tree. As soon as the wind blows and hard times hit, the leaves vanish. You want a love like the roots of a tree.
Marriage is definitely worth celebrating, but not at the expense of life after marriage. Premarital counseling makes sure you are both on the same page before racing off to your honeymoon. You can walk down the aisle with more confidence knowing you invested time into the important topics that will shape the future you share with your spouse.
Imagine feeling euphoria. You are on top of the world. But those feelings can’t be truly embraced because you know at some point the crash will occur. Your life plummets into a depressive state. The elation you once experienced is extinguished and replaced with suicidal thoughts, feelings of fatigue and apathy toward life. It can feel like the world is coming to an end. Living with bipolar disorder can be similar to this.
Everyone who suffers from bipolar disorder experiences it in a unique way. It’s possible that no two experiences are alike since the different stages of bipolar disorder create signs and symptoms that vary from person to person. If you recognize any of these signs or symptoms, or a loved one points them out to you, seeing a professional therapist is the best action to take to discuss how to manage the disorder and live a healthy life.
You don’t have to cry copious amounts of tears to fit the depressed category. Depression tends to bring a general detachment from life and its events. You may see a few other changes like feeling exhausted all the time, feelings of inappropriate guilt, anxiety, and an unhealthy fixation on death.
People experiencing hypomania can usually stick to their normal routines but with more of an emphasis on focused energy. With Bipolar I you may have only experienced the highs, but with Bipolar II it’s implied that you have experienced a major depressive state.
Parents never want to hear these heartbreaking words uttered from their child’s mouth, “I’ve been sexually abused.” Children are often under the care of other adults at school, church, a friend’s sleepover, and even under their own roof. In these seemingly harmless settings, horrendous acts are carried out.
Triggers could be a certain smell like the cologne the abuser wears, people who sound like the abuser, or certain sights that bring flashbacks. Another form of PTSD in children is having disturbing dreams or problems getting a good night’s sleep. Nightmares become prevalent and memories of the trauma can disrupt their concentration at school.
The abuser often reinforces this message telling the child that somehow the child made the abuser touch them. It’s a tug-of-war in the mind for children in this situation. They know something feels wrong, but the mixed messages, instilled fear, and false responsibility can create turmoil in their minds.
Children who have been hypersexualized from assault may make sexual comments to other students or have an advanced knowledge about sex. Of course, in today’s world children are often exposed to movies that are not age-appropriate and they pick up the terminology. But if a five-year-old girl can describe certain adult acts in detail, this should set off alarms.
Alcohol abuse has often been seen as a separate, distinct problem from chemical dependency. While different chemicals do indeed affect the body uniquely, substance abuse of any kind – alcohol, narcotics or opiates – results from a psychosocial dynamic that is no respecter of substance. Because of this common framework, alcoholism cannot be segregated from other chemical addictions.
A moral definition of addiction considers one’s spiritual disposition (i.e. – lack of faith) as a leading contributor. A biological definition provides yet another vantage point in which a person’s brain is implicated as having an addictive bent (i.e. – an addictive personality). With all these differing perspectives, how does one arrive at the truth? There are a few things that we do know about chemical dependency.
The chemical hook theory arose from a study involving rats that were offered both water and heroin-laced water. The experiment showed that the rats overwhelmingly chose the heroin water over the regular water and showed signs of addiction. This finding was then generalized to human populations, despite later experiments that yielded very different results.
The implications seem clear, but how can they be integrated into our thinking about and treatment of substance abuse disorders? While addiction cannot be oversimplified, one of the often overlooked components in treatment is an individual’s social context.