Category: Q&As

How to Help a Child with Anxiety

Published : Apr 09, 2025
By Dr. Ana Aznar

“how to help kids with anxiety? my son has been showing signs of depression and anxiety, like not going to school, refusal to eat, and not wanting to speak to other children his age. It’s turned his little sister into a scared child as well, because she doesn’t understand. I don’t know anything about anxiety and depression treatment myself. Thank you in advance.”

I am sorry to hear your son is going through this. 

Just like adults, children feel anxious at times. But if your child’s anxiety is affecting his everyday life, he needs support. 

Here are the things you can do:

  • Try to find out what is going on for him. Once you understand what is going on, you will be in a better position to make changes that can help him. Try to do with him an anxiety iceberg. This is how it works. Draw the iceberg. At the top, the part above water, write the behaviours you can see: his crying, not going to school, not eating, not speaking to other children…. Then  discuss with him what is happening underneath the water, the things you cannot see. You can ask him: “I wonder what is happening inside of you? I wonder if you are struggling with your friends…. I wonder if you are finding schoolwork confusing… I wonder if you are finding the school too loud….” Encourage him to say what is going on. Write it down on the iceberg, or even better ask him to write it down himself, or to draw it (depending on his age). 
Iceberg Floating in Blue Ocean Vector Illustration. Big iceberg floating in sea with massive underwater, metaphor business iceberg northern on water sea illustration. All in a single layer.
  • Once you have done this exercise, you may have a better idea of what is going on. I would then talk to his teachers. Ask them to tell you how your son is doing at school. Does he seem happy? Is he alone at break times or is he with friends? Does he pay attention to the teachers? Does he focus on his work? Are his grades OK? 

  • Given that your son’s anxiety is affecting his day-to-day life, I would encourage you to find professional support. If you get in touch with me, I will connect you with a therapist that will suit his needs. The therapist will work with him to manage his anxiety and will also give you tools and techniques to support him. Once the therapist has seen him, report back to the school, so you are all on the same page, and work together to support your child. 

  • Finally, remember to take care of yourself. You are doing a lot by being present and supportive. The best thing you can do is to give your son, love, structure and a belief in his ability to cope, even when he doesn’t believe in himself. 

You may also find these articles useful:

Emotionally Based School Avoidance (EBSA): Everything You Need to Know

How to Face the Exam Season: When Anxiety Runs High

Fostering Emotional Intelligence in Children: A Guide for Parents

I hope this information helps. 

Lots of love, 

Ana

Dr Ana Aznar

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Comments
Dr. Ana Aznar
2025-03-31 19:41:20
Qué ilusión tu mensaje, Pia! Gracias a tí por leernos.
Pia Satrustegui
2025-03-28 10:13:56
Querida Ana,
Maravilloso artículo sobre la serie Adolescentes y consejos de gran ayuda en una etapa tan complicada de nuestros hijos , tan desprotegidos frente a las nuevas tecnologías.Es una ayuda tremenda para nosotros. Muchas gracias
Armani
2025-03-06 09:31:35
This is ethically wrong and I don't think it's worth the damage it will ultimately cause to the relationship. And the issues it will cause for the one being spied on. Just don't do it.
Meghan
2025-02-07 21:26:19
Is there a printable version of the article? I am a school based mental health professional and would like to share it with parents.
J
2025-02-03 10:52:04
This is such a great writeup. I think too often we get caught in a rutt of trying to categorise everything. Our daily lives are kind of dictated by categories and labels, certainly in a digital world.

I'd imagine this is quite deteremental for a childs development in the long run as nothing stays the same forever, and we shouldn't really be making these categorisations, especially towards our children.

Just live life, sometimes you'll have to be the parent that's the shoulder to cry on. The week after you may have to raise your voice a little when everyone is in a rush and you're trying to get your children's shoes on.

Just balance it all out, don't be too self critical and pick up on what your child wants and needs.

Again, great writeup!
Dr. Ana Aznar
2024-09-13 12:51:46
Dear Robert,
Thank you so much for your comment. I totally get what you mean. It is always difficult to have kids living with you, wanting to support them and their parents but at the same time not wanting to step in anyone's toes. If there's anything we can do to support you and your family, please do not hesitate to get in touch with us.

Ana
Robert Eisenbart
2024-09-10 00:43:07
Great Article! I'm a retired FNP. Years ago I taught a STEP program to parents via family court cases. I now have a daughter and her man disciplining three children 4, 8, and 10. The 10 year old has ADHD and my personal diagnosis is she's also Oppositional/Defiant. I believe the OD came from harsh discipline. All they seem to do is punish and threaten physical punishment. They say positive reinforcement didn't work however they tried it for about 2 months and then went back to punishment. I can't reason with them as "they are the parents"!! is all I hear. They all live with me and have since the oldest was about 2. Sadly I can see the other 2 developing issues like anxiety and aggression as well. Trying to show them another side of adult supervision when I have them but frustrating.
Dr. Ana Aznar
2024-09-02 20:48:07
Really glad you found it useful! Thank you for being here and for your comment.

Ana
avenue17
2024-08-30 11:17:25
I doubt it.
Dr. Ana Aznar
2024-05-17 09:55:58
Hi Donna,
sO great to have you here! Totally agree that Zara is great! What other topics would you like us to discuss?
Ana
Donna
2024-05-17 09:49:36
Love Zara’s ways of teaching for both parents & kids! Also so helpful. We want more!! (Please!) :D
Ana Aznar
2024-05-08 07:24:31
We are glad you found the content useful! Many thanks for being here.
Ana
Cristoj
2024-04-09 18:20:19
Great article!!!
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