Generalized Anxiety Disorder in Children


Childhood is a time of growth and exploration, but for some children, anxiety and fear can overshadow these formative years. Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders in children and adolescents, characterized by persistent and excessive worry about a variety of everyday situations. If left unaddressed, GAD can impact a child’s school performance, relationships, and overall well-being in the long term.

This blog will help you recognize the signs of GAD in children and offer guidance on how to support an anxious child, including when to seek professional help and explore treatments for GAD.

Recognizing the Signs of GAD in Children

Generalized Anxiety Disorder in children often presents differently than it does in adults, making it essential for family members, teachers, and caregivers to be vigilant about changes in behavior and mood.

Common Signs of GAD in Children:

  • Constant Worry: A child with GAD may frequently express concerns about school, friendships, family members, or future events, even when there’s no clear reason for worry.
  • Physical Symptoms: Headaches, stomachaches, fatigue, or difficulty sleeping are common physical manifestations of anxiety in children.
  • Difficulty Concentrating: Anxious children may find it hard to focus in class, affecting their school performance.
  • Avoidance Behaviors: Children with GAD may avoid certain situations or activities that they perceive as stressful or anxiety-inducing.
  • Emotional Distress: Excessive crying, irritability, or clinginess, especially in younger children, can signal underlying anxiety.

It’s also important to differentiate GAD from other anxiety-related conditions, such as separation anxiety or social anxiety disorder. While these disorders have overlapping symptoms, they involve more specific fears (e.g., being away from parents or interacting with peers).

How GAD Impacts a Child’s Life

When a child with GAD feels anxious, the effects can ripple across various aspects of their life:

  • At School: Constant worry and difficulty concentrating can lead to declining grades or reluctance to participate in classroom activities.
  • At Home: Anxiety may strain relationships with family members, as parents or siblings struggle to understand the child’s persistent worries.
  • With Peers: An anxious child may avoid social interactions, leading to feelings of isolation and difficulty building friendships.

Recognizing these challenges early and offering support can help children and adolescents manage their anxiety and build resilience.

Supporting a Child with GAD

1. Validate Their Feelings

When a child expresses anxiety or fear, avoid dismissing their concerns as “nothing to worry about.” Instead, acknowledge their feelings and let them know it’s okay to feel anxious.

What to Say:

  • “I understand that you’re feeling worried. Let’s figure out what we can do to help.”
  • “It’s okay to feel anxious sometimes. I’m here to support you.”

This approach helps the child feel heard and reassured.

2. Foster Open Communication

Encourage your child to talk about their worries. Ask gentle, open-ended questions to help them articulate their concerns.

For example:

  • “Can you tell me more about what’s making you feel anxious?”
  • “What’s something you’re nervous about at school or with your friends?”

Regular check-ins can help you better understand your child’s anxiety and provide opportunities to address it.

3. Seek Professional Help

If your child’s anxiety persists or interferes significantly with their daily life, it’s essential to seek professional support. A mental health professional, such as a therapist or counselor, can provide targeted treatments for GAD.

Cognitive Behavioral Therapy (CBT) is one of the most effective approaches for managing GAD in children. It helps children recognize and challenge negative thought patterns, develop healthy coping skills, and build confidence in facing anxiety-provoking situations.

4. Teach Relaxation Techniques

Simple relaxation techniques can help an anxious child manage their anxiety in the moment. Techniques such as deep breathing, progressive muscle relaxation, or mindfulness exercises can calm both the mind and body.

Deep Breathing Exercise for Children:

  • Have your child sit comfortably and close their eyes.
  • Ask them to inhale deeply through their nose for four seconds, hold their breath for four seconds, and exhale slowly through their mouth for six seconds.
  • Repeat this process a few times until they feel calmer.

5. Provide Structure and Predictability

Children with GAD often find comfort in routines and predictability. Establish consistent daily schedules, including set times for meals, homework, and bedtime, to help your child feel secure.

6. Be a Positive Role Model

Children learn how to manage stress by observing the adults around them. Model healthy coping strategies, such as staying calm during stressful situations or using problem-solving strategies to address challenges.

The Long-Term Importance of Early Intervention

Addressing a child’s anxiety early can prevent it from escalating into more severe mental health issues later in life. Early intervention helps children develop the tools they need to manage their anxiety effectively, improve their school performance, and build stronger relationships with family members and peers.

By working together as a family and seeking guidance from a mental health professional, you can help your child thrive emotionally, socially, and academically.

We're Here For You

If your child experiences anxiety that impacts their daily life, APG Health is here to help. Our team of compassionate mental health professionals specializes in treating anxiety disorders in children and adolescents, offering evidence-based approaches like Cognitive Behavioral Therapy (CBT) to empower young individuals and their families.

Contact us today to schedule an appointment and learn more about how we can support your child’s journey toward a happier, more confident future.