Identifying and managing anxiety in children

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In honour of Mental Health Month in New South Wales, you’ll see a series of articles by our leading experts from the Centre for Emotional Health. This week, Professor Jennie Hudson talks to us about recognising anxiety in our children.


Just for a moment, think about the kids in your life. Do they engage in fewer activities than they used to? Are they missing a lot of school? Do they have trouble socialising?

If you answered ‘yes’ to any of the above, it’s possible that such behaviour is a result of anxiety.

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Last year, a survey into the mental health and wellbeing of Australian adolescents found anxiety disorders to be one of the most prevalent forms of mental health problems.

So, the question begs: Why doesn’t anxiety get the same attention as other mental health problems, such as depression and eating disorders?

According to Professor Jennie Hudson, Centre for Emotional Health at Macquarie University, there are a couple of reasons.

“In the past, people thought it was something that children and teenagers would grow out of naturally, says Hudson. “Also, when a child is anxious, it’s a more internal experience, and it’s often hard to know how much they worry.”

How do you know if your child has an anxiety disorder?

The easiest way to tell is through conversation, as some kids are open to discussing their concerns and behaviours. However, this isn’t always the case.

Other telltale signs include:

  • repetitive, negative questioning
  • missing activities
  • expressions of panic
  • restlessness
  • easily fatigued
  • irritable
  • lack of concentration

What not to do

Anxiety is not something that children and adolescents automatically grow out of, and there’s evidence that emotional disorders early in life predict a range of mental health problems later on.

So ignoring the problem and presuming that it will ‘sort itself out’ is simply not the answer.

What to do

Professor Hudson believes that early intervention is the key.

Here are a few ways you can help children who are going through some tough times:

  • Offer gentle encouragement of approach – avoidance keeps the anxiety front and centre. Encourage them to gradually face the situation at hand.
  • Break it down – break big challenges into small steps, with each small step having sufficient exposure to ease their fears.
  • Rewards – rewarding a child who has faced a fear or difficult situation is encouraged.
  • Change their thinking – you can do this with simple questions that help them to think of the situation in a different way. Replace worst-case scenarios with questions like ‘what’s the most likely outcome?’ or ‘what happened last time?’
  • Seek professional help – if the impact of their anxiety is significant you may want to help them find professional help.

The Centre for Emotional Health – Changing lives

The Centre for Emotional Health (CEH) conducts specialist clinical research aimed at furthering the understanding of child and adult emotional disorders, as well as continually improving methods of treatment. It is a Macquarie University Centre for research excellence.

The Centre is under the directorship of Professor Jennie Hudson, an internationally recognised, leading researcher in the field of youth anxiety.

Visit the webpage for more information and treatment enquiries.


Pioneering Minds Podcast series

Professor Jennie Hudson discusses the genetic markers that indicate anxiety in children, and the most effective ways that parents can help their children avoid and overcome anxiety and depression.

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