Dealing with anxiety in children

Anxious child_DrSarahHughes

As a parent, your instinct is to do whatever you need to protect your child from feeling distressed.  For the most part it’s a good parenting philosophy to follow…except when it comes to anxiety.

Whether it’s a school test, a class speech, going somewhere new and unfamiliar, a visit to the dentist, or being away from mum and dad – anxious kids (like anxious adults) will prefer to avoid situations that makes them feel anxious.  It’s an instinct so strong that any attempts by you to encourage your child to face their fears will probably be met with forceful refusals, tears, and tantrums.  The level of distress your child shows at just the idea of entering a feared situation is so high that it goes against the parenting grain to persevere with your encouragement.  Encouraging your child to do something that makes them so upset can’t be helpful right?  Wrong.

Avoidance will resolve your child’s distress in the short-term, but over the longer-term it will make their anxiety worse.  Worse still, if your child never faces their fears they’ll never have the opportunity to learn that they can cope, and there’s the potential for them to develop anxiety in other areas as well.

Avoid avoidance.  Use these tips to help your child manage their anxiety instead.

Help Your Child to Understand their Worries

Take the time to listen to your child’s concerns and show you’re listening by giving your child your undivided attention.  As you listen try to help your child pinpoint their worry (e.g. “It sounds like you’re really upset and don’t want to go to school tomorrow.  Is there something different on tomorrow at school?)

Help Your Child Solve Their Worry

Try to avoid jumping in with solutions or reassurance.  Solutions and reassurance will help your child to feel better in the short-term, but they won’t help your child to develop skills to manage anxiety in the longer-term.  Instead, help your child to identify whether there’s anything they can do to make the situation better, and then brainstorm.  For example, if your child is worried about a spelling test at school, one solution might be to set aside 15 minutes each afternoon to practice spelling.

Try to sit back and encourage your child to come up with their own solutions.  If your child can come up with their own plan of action it will help them to feel more in control and more able to cope next time they’re anxious.

Avoid Avoidance

When your child feels anxious they’ll want to avoid whatever it is that’s making them feel this way.  While avoidance will help your child to feel better in the short-term, longer-term it will actually worsen their anxiety.

Identify what it is that your child’s trying to avoid and list all the situations related to this.  For example, if your child wants to avoid being separated from you this might mean that they: try to avoid leaving you to go to school, delay going to bed to avoid being away from you, follow you from room to room around the house, always come with you when you leave the house to run errands, or avoid sleepovers to avoid being away from you for an extended period of time. 

Rank situations from most anxiety provoking to least anxiety provoking, then help your child to gradually face their fear with regular practice.  Practice will initially cause your child some distress, but with repeated practice your child’s anxiety should lessen because they’ll learn a) that the situation isn’t as scary as they thought, and b) they can cope.  Start with the least anxiety provoking step first, and practice this step once or twice per week until it’s almost boring.  When you’ve practiced enough, move on to the next step and repeat. 

Develop a List of Rewards 

Facing fears can be hard and while you as a parent might be able to see the future benefits of not relying on avoidance to cope, your child will probably see things differently.  Ask your child to come up with a list of rewards that would help them to feel good about practicing facing their fears.  For rewards to be effective they have to be meaningful (i.e. something your child actually wants) and awarded as soon as possible after the step is completed.  If the reward can’t be given immediately (e.g. a movie with a friend on the weekend) give your child a voucher that they can “cash in”.

Rewards should reflect the degree of difficulty of the task – smaller rewards should be given for smaller steps, and larger rewards for later more challenging steps.  Rewards might include: picking what’s for dinner, going to the movies, having a friend over, special time with mum/dad, extra TV time, staying up 15 minutes later than usual, etc.

Model Bravery

If you’re apprehensive, your child might misinterpret your anxiety to mean that (1) the situation is dangerous, and (2) you don’t believe they can cope.When you’re helping your child to practice facing their fears, try to remain calm and confident.This will show your child that you have confidence in them which will in turn help them to have confidence in themselves.

This article was originally published on Mums Delivery.