Every child worries from time to time, but for some kids, worry becomes so frequent or intense that it begins affecting daily life. Anxiety in children can show up in ways that parents may not immediately recognize—clinginess, irritability, stomach aches before school, trouble sleeping, or sudden avoidance of activities they once enjoyed. At Dr. Messina & Associates in Southlake, we help parents understand whether anxiety is a normal developmental phase or a sign that their child may need additional support.
Childhood anxiety often goes unnoticed because kids don’t always have the words to describe what they’re feeling. Instead, anxiety shows up through behavior, physical symptoms, and emotional shifts. Understanding these signs early can make a tremendous difference in a child’s confidence, emotional health, and overall well-being.
How Anxiety Commonly Shows Up in Children
While adults often describe anxiety as stress or worry, children tend to feel anxiety in their bodies. This means they may complain about headaches, stomach aches, racing heartbeats, or feeling “sick” before school or activities that make them nervous. At the same time, their behavior may shift in ways parents don’t expect.
Some early signs of anxiety in children include:
- Avoidance of school, social situations, or new experiences
- Trouble sleeping or nightmares
- Difficulty separating from parents
- Excessive reassurance-seeking (“Are you sure I’ll be okay?”)
- Irritability or emotional outbursts
- Perfectionism or fear of making mistakes
Because these symptoms can overlap with ADHD, learning difficulties, or mood disorders, our team often recommends a psychological evaluation when symptoms persist or interfere with daily functioning.
For more insight into how anxiety appears in kids, the Child Mind Institute offers research-based guidance for parents.
When Worry Is Normal—And When It’s Not
Some anxiety is part of healthy development. Young children may fear the dark, loud noises, or being away from parents. School-age children may worry about friends, grades, or new activities. However, when anxiety begins to interfere with daily life, it becomes more than a phase.
It may be time to seek help if your child’s anxiety:
- Stops them from participating in activities
- Causes frequent physical complaints
- Leads to meltdowns or avoidance behaviors
- Interferes with school performance
- Causes ongoing distress that doesn’t improve with reassurance
If your child is already working with one of our therapists, adding child counseling sessions can help them process emotions in a safe, structured way.
Why Children Hide Their Anxiety
Many children—especially those who seem “easygoing” or “quiet”—hide their anxiety to avoid disappointing others. They may comply with expectations while experiencing intense internal stress, or they may mask their worry until it escalates into physical symptoms or emotional outbursts.
This can leave parents feeling confused or helpless, especially when a child suddenly refuses school, withdraws socially, or becomes tearful without explanation. Understanding that anxiety is often invisible helps parents respond with compassion rather than frustration.
How Therapy Helps Children Manage Anxiety
The good news is that anxiety in children is highly treatable. With the right tools, kids can learn to manage their fears, calm their bodies, and feel more confident navigating everyday challenges.
At Dr. Messina & Associates, our approach includes:
Cognitive Behavioral Therapy (CBT)
CBT helps kids identify anxious thoughts and replace them with healthier, more realistic ones.
Coping and calming strategies
Children learn breathing exercises, grounding skills, and ways to reduce physical tension.
Exposure and confidence building
Therapists help kids face fears gradually and safely, reducing avoidance behavior over time.
Parent guidance
Parents learn how to support their child without reinforcing anxiety, especially during stressful moments.
Many families also benefit from family therapy to strengthen communication and reduce household tension that may worsen anxiety symptoms.
How Anxiety Impacts School and Peer Relationships
Children with anxiety often struggle in school—not because they lack ability, but because worry interferes with focus, confidence, and social participation. They may fear being called on, avoid group projects, or feel overwhelmed by assignments.
Socially, anxious children may withdraw from peers, fear judgment, or struggle to form close friendships. Without proper support, these challenges can shape self-esteem and increase emotional stress over time.
Therapy gives children the tools to navigate these situations with greater ease. We also collaborate with schools to help parents secure appropriate supports or accommodations when needed.
When You Need Support for Anxiety in Children
If your child’s worry seems intense, ongoing, or disruptive, professional support can make a meaningful difference. At Dr. Messina & Associates, we help children understand their emotions, build resilience, and develop confidence in managing challenges.
With the right strategies and support, children can learn to feel safe, capable, and empowered—even when anxiety arises. You don’t have to navigate this alone. Reach out today to schedule a consultation and begin helping your child feel more secure and confident.
