If your autistic child often seems worried, overwhelmed, or fearful, you’re not imagining it. Anxiety in autistic children is incredibly common—and often overlooked. While Autism Spectrum Disorder (ASD) itself comes with its own challenges, it frequently coexists with other mental health conditions, especially anxiety.
At APG Health, we work with families across Orlando, Winter Park, and Altamonte Springs who are navigating both autism and anxiety. Our goal is to help you understand the overlap, recognize the signs, and explore effective ways to support your child.
Let’s break down how anxiety and autism show up together—and what you can do about it.
The Link Between Autism and Anxiety
Studies show that anxiety in autistic children is far more common than in the general population. In fact, research suggests that up to 40% of children with ASD experience clinically significant symptoms of anxiety. These can include:
· Social anxiety (fear of being judged or rejected)
· Separation anxiety (intense distress when apart from parents or caregivers)
· Generalized anxiety (excessive worry about a range of topics)
· Phobias or specific fears (like loud noises or certain textures)
What’s important to know is that these anxieties aren’t simply part of autism—they’re separate conditions that require thoughtful support.
How Anxiety Looks Different in Autistic Kids
Anxiety doesn’t always look the same in autistic children as it does in typically developing children. You may not hear them say “I’m worried” or “I’m scared,” but you might notice behaviors that signal distress.
Signs of anxiety in autistic children may include:
· Increased repetitive behaviors (rocking, hand flapping, pacing)
· Avoidance of certain social situations
· Meltdowns triggered by minor changes or transitions
· Sleep difficulties
· Physical symptoms like stomachaches or headaches
· Heightened sensory sensitivities
Because these behaviors can also be linked to autism, anxiety is sometimes missed or misattributed. That’s why it’s so important to look at context, patterns, and intensity.
Why Anxiety Shows Up So Often in Autism
There are a few reasons anxiety in autism is so prevalent:
· Sensory overload: Crowds, loud noises, or bright lights can lead to chronic stress.
· Difficulty interpreting social cues: This can make social situations feel confusing or threatening.
· Rigidity and need for predictability: Unexpected changes can trigger intense feelings of fear.
· Self-awareness: Some autistic kids realize they are “different,” which can fuel worry about fitting in or being misunderstood.
Over time, these stressors can build into full-blown anxiety disorders, making it harder for a child to navigate everyday life.
Treating Anxiety in Autistic Children
The good news? There are effective, evidence-based treatments for anxiety that can be adapted for children on the spectrum.
One of the most successful approaches is Cognitive Behavioral Therapy (CBT)—a short-term, goal-oriented treatment that helps kids recognize anxious thoughts, understand how those thoughts impact feelings and behavior, and develop coping strategies.
CBT for autistic children often includes:
· Visual supports and concrete examples
· Role-playing scenarios to prepare for social situations
· Gradual exposure to feared experiences in a safe, supported way
· Coaching on body awareness to identify physical symptoms of anxiety (like racing heart or tense muscles)
At APG Health, our clinicians are trained in Cognitive Behavioral Therapy (CBT) with modifications tailored to meet the needs of children with ASD. We work closely with families in Orlando, Winter Park, and Altamonte Springs to create treatment plans that feel realistic, respectful, and effective.
Supporting Your Child at Home
Beyond therapy, there’s a lot you can do as a parent to support your autistic child in managing anxiety:
1. Create Predictable Routines
Consistency helps reduce stress. Use visual schedules and talk through transitions ahead of time.
2. Label Emotions Clearly
Many autistic kids struggle to identify or express their feelings. Help them name what they’re experiencing (“You seem worried—are you nervous about going to school?”).
3. Practice Coping Skills Together
Teach calming techniques like deep breathing, using a weighted blanket, or taking quiet breaks when overwhelmed.
4. Celebrate Small Wins
Whether it’s raising their hand in class or going to a birthday party for ten minutes, acknowledge and praise brave behavior.
5. Avoid Punishing Anxiety-Driven Behaviors
If a meltdown happens because of anxiety, focus on support—not discipline. Recognize the fear behind the behavior.
When to Seek Help
If anxiety is interfering with your child’s ability to learn, connect with others, or enjoy everyday activities, it’s time to reach out.
At APG Health, we specialize in diagnosing and treating both Autism Spectrum Disorder (ASD) and co-occurring anxiety. Our team understands how intertwined these conditions can be—and how unique each child’s experience is.
We offer assessments, therapy (including CBT), and family guidance tailored to your child’s needs and your family’s goals. We serve communities across Central Florida, including Orlando, Winter Park, and Altamonte Springs, with compassionate, evidence-based care.
Let’s Take the Next Step Together
If your child with autism is showing signs of anxiety, don’t wait and hope it passes. With the right support, your child can feel safer, more confident, and better equipped to handle the world around them.
Contact APG Health today to schedule a consultation or learn more about how we help kids thrive—even in the face of complex challenges.
Anxiety doesn’t have to be part of the everyday struggle. Let’s work together to give your child tools that ease fear and build confidence—one step at a time.