Helping Your Child Overcome Anxiety

Anxiety is one of the most common presentations we see in children. Other terms
used to describe anxiety are fear, nervousness and worries. Your child may be
scared of the dark or strange noises at night. They may be fearful of storms, spiders,
dogs or heights. They may be shy and feel anxious in social situations. They may be
worried about something bad happening and have a need to check things like the
locks on windows or doors. They may feel embarrassed when performing in front of
people, like delivering a speech or being on stage. Whatever the reason for your
child’s worries, there are several ways you can help them.

1. Help Them Stay Calm

When children are anxious, they may experience a number of physical symptoms.
These can include:
- Rapid heart rate
- Fast or shallow breathing
- Butterflies in the stomach
- nausea
- Feeling hot or sweaty
- blushing
- Feeling shaky
- Dizziness
- headaches
- Needing to go to the toilet
You can help your child by encouraging them to take slow, deep breaths. Counting
to 4 or 5 as they breathe in slowly through their nose and the same again as they
breathe out slowly through their mouths can help them calm down and reduce the
physical symptoms they are experiencing. Your child may need to do this for several
minutes until they begin to feel calm.
A relaxation exercise such as laying down and alternately tensing and relaxing their
muscles whilst imagining feeling relaxed and taking slow, deep breaths can also help
them feel calmer.
“Smiling Mind” is a free mindfulness meditation app that can be used with children to
help them relax and feel calm.

2. Encourage Them to Develop More Helpful Ways of Thinking

People who worry often make two thinking errors:
1. They overestimate the chance of something bad happening, and
2. They believe that if what they are worried about does happen, they will not be
able to cope with it. It will be ‘the end of the world’.

These thinking errors can affect how your child is feeling and what they do.
For example: your child hears a strange noise at night and thinks someone might be
trying to break into the house. They feel scared and may hide under their covers,
shaking, or come into your bedroom.

Thoughts ------->  Feelings -------->  Behaviour

You can assist your child to develop more helpful or realistic ways of thinking by
exploring alternative explanations.

For example: your child hears a strange noise at night. It might be a possum walking
on the roof, the neighbour’s cat or a tree branch brushing against the house on a
windy night. These more helpful thoughts can help your child feel calmer and they
may go back to sleep.

There are often plenty of alternative explanations that are likely to be more realistic.
Helping your child develop more helpful or realistic thoughts can help them stay
calm.

Helping them feel able to cope in certain situations is also important in managing
anxiety. For example, your child may worry about being late to school or making
mistakes in their schoolwork. They might worry about being in trouble with their
teacher. The belief is that they won’t be able to cope if they get in trouble. The reality
is often very different. Their teacher may be very understanding of the reason why
they were late to school and assist them in understanding mistakes made in their
schoolwork. Even if the teacher does comment about your child being late to school
or making a mistake in their schoolwork, it is not ‘the end of the world’ that your child
worries it will be.

3. Help Your Child Face Their Fear

Children who worry often avoid situations that they worry about. This may reduce
their anxiety in the short term, however, it strengthens their worry over the longer
term. Being able to face their fears gives them the opportunity to learn that the
situation isn’t as bad as they worry it will be, and that they can cope with it.

For example: your child may worry so much about giving a speech in class that they
avoid doing so. Encouraging them to experience giving speeches can help them feel
more confident and learn that nothing bad will happen to them. Often they worry that
the other children will laugh at them, the children won’t like their speech, or that they
will forget their words. The reality is often very different. No-one might laugh at them,
the other children might really like their speech and find it interesting, and they might
not forget their words. Even if someone does laugh or snigger, or they do forget
some of their words, it is not ‘the end of the world’. They can and do cope.
It is often helpful for children to learn to face their fears in a gradual way. An example
might be:

Step 1: Deliver the speech to Mum or Dad
Step 2: Deliver the speech to Mum, Dad and siblings
Step 3: Deliver the speech to grandparents
Step 4: Deliver the speech to a friend
Step 5: Deliver the speech to a small group of friends
Step 6: Deliver the speech to the teacher
Step 7: Deliver the speech to the class

The steps may be swapped around, depending on how difficult each step may be.
The idea is to start with the easiest step and build up to the hardest step. It can often
be helpful to repeat each step, until your child no longer feels anxious about doing
that step, and then move up to the next step. This step-by-step approach can be
used to help children face many of their fears. Depending on the steps and the goal
they are working towards, it is often helpful for children to stay in the step long
enough to experience their anxiety reduce, or vary the amount of time they stay in
each step to progressively longer amounts of time.

4. Reduce Attention to Worries

Focussing attention on worries often maintains the worry and can increase anxiety.
Helping children focus their attention on something else can assist in reducing their
anxiety. Imagine their worry is a plant and attention is like water. When we give
water to a plant, it grows and gets bigger. When we don’t water the plant, it shrivels
up and dies. When we give attention to worries, they get bigger. When we don’t give
attention to worries, they get smaller and, in some cases, they can disappear.
Encourage your child to think about happy or relaxing things. They might like to
recall a memory of a time when they felt really happy, like on their birthday or on a
family holiday. Help them recall that time in as much detail as they can by using their senses – What can they see? What can they hear? What can they smell? What can
they touch? What can they taste? This can help them focus their attention away from
their worries.

Doing an activity they enjoy can also take their attention away from their worries.
They might like to read a book, draw a picture, play their favourite game, jump on the
trampoline, or ride their bike. It is important that they think about the activity they are
doing, and not think about their worry whilst they are doing the activity.

5. Reward Your Child

It is often hard for children to overcome their worries and face their fears. Rewarding
examples of brave behaviour and their attempts to manage their worries can often
help with motivating them to try harder. These are some examples of rewards:
- Verbal praise
- using stickers or a point system that they can exchange for a tangible reward
- time spent together doing a fun activity

Children can also say positive words to themselves. For example: ‘That was hard,
but I did it!’ or ‘I did a great job’.