Anxiety: Signs and symptomsAAnxiety: Signs and symptomsAnxiety: Signs and symptomsEnglishPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2016-02-02T05:00:00Z10.700000000000049.1000000000000938.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about the signs and symptoms of anxiety in children and teens.</p><h2>What are the main symptoms of anxiety in children?</h2><p>The main symptoms of <a href="/Article?contentid=18&language=English"> anxiety </a> can be grouped under physical symptoms and behavioural symptoms.<br></p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuXosaDeffsxnDuimTSqF4GD" frameborder="0"></iframe> <br></div><p>For more videos from SickKids experts in collaboration with Youngster, visit <a href="https://www.youtube.com/channel/UCoKMd2cYwegtZX19uHdNLQA">Youngster on YouTube</a>.</p><h2>Key points</h2> <ul> <li>The physical symptoms of anxiety include stomach aches, nausea, muscle tension and sweatiness.</li> <li>Behavioural symptoms of anxiety in children include difficulty falling or staying asleep, refusal to go to school, difficulty separating from you and meeting new people. Teens can experience anxiety through excessive worries about school and fears of being judged by their peers when out in public.</li> <li>Your child's doctor can diagnose anxiety by talking with you and your child and asking about their symptoms, daily life and development.</li> <li>If your child is diagnosed with an anxiety disorder, your doctor may recommend therapy, medications or lifestyle changes to help your child.</li> </ul><h2>Physical symptoms of anxiety in children</h2> <p>If your child is experiencing anxiety, they might complain of physical symptoms such as:</p> <ul> <li>stomach aches</li> <li>nausea</li> <li>difficulties breathing</li> <li>a faster heartbeat</li> <li>muscle tension</li> <li>sweatiness</li> <li>shakiness</li> <li>dizziness</li> <li>frequent urination (peeing), especially before leaving the home</li> <li>headaches</li> </ul> <p>You may also notice these symptoms in your child without their saying anything.</p> <h2>Behavioural symptoms of anxiety in children</h2> <p>Some behavioural changes that you might notice in your child include:</p> <ul> <li>increased irritability</li> <li>difficulties falling or staying asleep unless, for instance, you sleep in the same room </li> <li>difficulties separating from you</li> <li>refusal to go to school or do other activities, even fun activities</li> <li>difficulties meeting new people</li> <li>not speaking to people outside of the family</li> </ul> <h3>How children express anxiety</h3> <p>Children who develop an anxiety disorder tend to express certain repeated worries, including concerns that something bad might happen to them or their parent or caregiver or fears about embarrassment, natural disasters, animals and so on. Children may even say they are worried about the future, relationships with others their age and their school performance. These worries are usually so strong that they interfere with a child's everyday activities. </p> <p>Many younger children may not be able to communicate their anxiety verbally. Instead, they may show it through their behaviour and physical symptoms. </p> <h2>Physical and behavioural symptoms of anxiety in teenagers</h2> <p>The physical symptoms of anxiety are similar for teenagers and children.</p> <p>There are some differences in the behavioural symptoms of anxiety in teens. Anxious teens may show fewer behavioural symptoms of anxiety in the home but have more difficulties outside. For instance, they might be able to sleep in a room on their own but have more trouble leaving the home and may refuse to attend school or take part in other social activities.</p> <p>Typically, teens are more aware of their worrying thoughts and express them more clearly than younger children. An anxious teen is likely to express excessive worries about school, their marks and their relationships. They may also be sensitive to issues in the news.</p> <p>Socially anxious teens typically may express worries about being judged by others their age and may feel uncomfortable being out in public. They may also feel embarrassed about eating in public or using public bathrooms.</p> <p>These concerns would need to interfere with the teen's everyday life before an anxiety disorder could be considered.</p><h2>How anxiety is diagnosed</h2> <p>If you have concerns that your child's anxiety is interfering with their daily life, see your child's family doctor or paediatrician. They will talk with you and your child about:</p> <ul> <li>your concerns and the symptoms that are interfering with your child's everyday routine</li> <li>any current stressors in your child's life</li> <li>any event or situation that might have triggered the anxiety symptoms</li> <li>your child's development (from pregnancy onwards)</li> <li>your family's mental health history</li> <li>any family stressors </li> <li>the status of family relationships.</li> </ul> <p>The doctor might ask you and your child, if they are old enough, to answer different questions, or fill out rating scales, to help them make a diagnosis. If the doctor identifies a number of signs and symptoms over a certain time (between one month to at least six months, depending on the anxiety disorder), your child might meet the criteria for an <a href="/Article?contentid=270&language=English">anxiety disorder</a>.</p> <p>Sometimes your child's doctor may refer you and your child to a psychiatrist for help with the diagnosis.</p><h2>What your child's doctor can do for anxiety</h2> <p>If your child is diagnosed with an anxiety disorder, you and your child's doctor will decide on the best treatment. This decision may need input from other members of your family or your child's teachers. </p> <p>Your doctor may also suggest that your child sees a <a href="/Article?contentid=702&language=English">therapist or psychiatrist</a> or recommend <a href="/Article?contentid=701&language=English">medications​</a> or <a href="/Article?contentid=702&language=English">lifestyle changes</a> to help your child. Without treatment, anxiety disorders usually do not improve. In fact, they can often become worse over time.</p> ​<h2>Further information</h2><p>For more information on anxiety disorders, please see the following pages:</p><p><a href="/Article?contentid=18&language=English">Anxiety: Overview</a></p><p><a href="/Article?contentid=270&language=English">Anxiety: Types of disorders</a></p><p><a href="/Article?contentid=701&language=English">Anxiety: Treatment with medications</a></p><p><a href="/Article?contentid=702&language=English">Anxiety: Treatment with psychotherapy and lifestyle changes</a></p><h2>Resources</h2><p>The following books offer useful advice and information about anxiety.</p><p>Foa, E.B., & Wasmer Andrews, L. (2006). <em>If Your Adolescent Has an Anxiety Disorder: An Essential Resource for Parents</em>. New York, NY: Oxford University Press</p><p>Huebner, D. (2005). <em>What to Do When You Worry Too Much: A Kid’s Guide to Overcoming Anxiety</em>. Magination Press.</p><p>Manassis, K. (2015). <em>Keys to Parenting Your Anxious Child</em>. Third edition. New York, NY: Barron’s Educational Series, Inc.</p><p>Rapee, R., et al (2008). <em>Helping Your Anxious Child: A Step-by-Step Guide for Parents</em>. Second edition. Oakland, CA: New Harbinger Publications, Inc.</p><p>Sheedy Kurcinka, M. (2015). <em>Raising Your Spirited Child: A Guide for Parents Whose Child is More Intense, Sensitive, Perceptive, Persistent, and Energetic</em>. Third edition. New York, NY: HarperCollins Publishers.</p>
Anxiété: signes avant-coureursAAnxiété: signes avant-coureursAnxiety: Warning signs and symptomsFrenchPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2016-02-02T05:00:00Z000Health (A-Z) - ConditionsHealth A-Z<p>Informez-vous sur les signes et les symptômes de l’anxiété chez les enfants et les adolescents.</p><h2>Quels sont les principaux symptômes de l’anxiété chez les enfants?</h2> <p> Les principaux symptômes de l’<a href="/Article?contentid=18&language=French">anxiété</a> peuvent être regroupés en symptômes physiques et en troubles du comportement.</p><h2>À retenir</h2> <ul> <li>Les symptômes physiques de l’anxiété comprennent les maux d’estomac, des nausées, une tension musculaire et des sueurs.</li> <li>Les symptômes comportementaux de l’anxiété chez les enfants comprennent la difficulté à s’endormir ou à rester endormis, le refus d’aller à l’école, de la difficulté à se séparer des parents et à faire de nouvelles rencontres. Les adolescents peuvent éprouver de l’anxiété du fait d’inquiétudes excessives au sujet de l’école et la crainte d’être jugés en public par leurs pairs.</li> <li>Le médecin de votre enfant peut diagnostiquer un trouble anxieux en discutant avec vous et avec votre enfant de ses symptômes, de sa vie quotidienne et de son développement.</li> <li>Si votre enfant reçoit un diagnostic de trouble anxieux, votre médecin peut recommander que votre enfant suive une thérapie, prenne des médicaments ou modifie son mode de vie.</li> </ul><h2>Symptômes physiques de l’anxiété chez les enfants</h2> <p>Un enfant qui souffre d’anxiété peut se plaindre des symptômes physiques suivants:</p> <ul> <li>des douleurs d’estomac,</li> <li>de la nausée,</li> <li>des difficultés à respirer,</li> <li>des palpitations,</li> <li>de la tension musculaire,</li> <li>des sueurs,</li> <li>des tremblements,</li> <li>des étourdissements,</li> <li>des mictions fréquentes, surtout avant de quitter le domicile,</li> <li>des maux de tête.</li> </ul> <p>Il se peut également que vous constatiez ces symptômes chez votre enfant sans qu’il ait besoin d’en parler.</p> <h2>Symptômes comportementaux de l’anxiété chez les enfants</h2> <p>Certaines des modifications de comportement qui peuvent apparaître chez l’enfant:</p> <ul> <li>irritabilité accrue,</li> <li>difficultés à s’endormir ou à rester endormi à moins que, par exemple, vous ne dormiez dans la même chambre,</li> <li>des difficultés à se séparer de vous,</li> <li>refus d’aller à l’école ou de faire d’autres activités, même des activités amusantes;</li> <li>difficultés à rencontrer de nouvelles personnes,</li> <li>ne parler à personne en dehors des membres de la famille.</li> </ul> <h3>Comment les enfants expriment-ils leur anxiété?</h3> <p>Les enfants souffrant d’un trouble anxieux ont tendance à exprimer certaines inquiétudes répétées, y compris la crainte que quelque chose pourrait leur arriver à eux ou à leur parents ou tuteurs, ou la peur de faire quelque chose qui les mettent dans l’embarras, la peur de catastrophes naturelles, la peur des animaux et ainsi de suite. Les enfants peuvent même mentionner s’inquiéter de l’avenir, des relations avec d’autres personnes de leur âge et de leur résultats scolaires. Ces inquiétudes sont généralement si intenses qu’elles interfèrent avec les activités quotidiennes d’un enfant.</p> <p>De nombreux jeunes enfants peuvent être incapables de verbaliser leur anxiété, et, à défaut, l’expriment par leur comportement et leurs symptômes physiques.</p> <h2>Symptômes physiques et comportementaux de l’anxiété chez les adolescents</h2> <p>Les symptômes physiques de l’anxiété sont similaires chez les adolescents et les enfants.</p> <p>Certaines différences existent dans les symptômes comportementaux de l’anxiété chez les adolescents. Les adolescents anxieux affichent moins de symptômes comportementaux de l’anxiété chez eux, mais ont plus de difficultés à l’extérieur. Par exemple, ils peuvent être capables de dormir seuls dans une chambre, mais ont plus de difficulté à sortir de la maison et peuvent refuser d’aller à l’école ou de prendre part à d’autres activités sociales.</p> <p>Les adolescents sont généralement plus conscients de leurs inquiétudes et capables de les exprimer plus clairement que les plus jeunes enfants. Un ado anxieux est susceptible d’exprimer des inquiétudes excessives au sujet de l’école, de ses notes et de ses relations. Ils peuvent également être sensibles aux questions de l’actualité.</p> <p>Les adolescents souffrant de trouble d’anxiété sociale peuvent généralement exprimer leurs inquiétudes quant à la possibilité d'être jugés par d’autres ados de leur âge et peuvent se sentir mal à l’aise en public. Ils peuvent également se sentir gênés de manger en public ou d’utiliser les toilettes publiques.</p> <p>Il faudrait que ces préoccupations interfèrent avec la vie quotidienne de l’adolescent avant qu’on envisage qu’il souffre d’un trouble anxieux.</p><h2>Comment l’anxiété est-elle diagnostiquée?</h2> <p>Si vous craignez que l’anxiété dont souffre votre enfant n’interfère avec sa vie quotidienne, consultez le médecin de votre enfant ou un pédiatre. Le médecin ou le pédiatre discutera avec vous et votre enfant sur les points suivants:</p> <ul> <li>vos inquiétudes et les symptômes qui peuvent interférer avec la vie quotidienne de votre enfant,</li> <li>les éventuels facteurs de stress courants dans la vie de votre enfant,</li> <li>les événements ou situations qui auraient pu déclencher les symptômes d’anxiété,</li> <li>le développement de votre enfant (dès la grossesse),</li> <li>l’historique de santé mentale de votre famille,</li> <li>les facteurs de stress familiaux,</li> <li>l’état des relations familiales.</li> </ul> <p>Le médecin peut vous demander, à vous et à votre enfant si son âge le permet, de répondre à des questions ou de remplir des échelles d’évaluation afin de l’aider à établir un diagnostic. Si le médecin trouve que certains signes et symptômes durent depuis un certain temps (entre un mois et au moins six mois, selon le type de trouble anxieux), votre enfant pourrait répondre aux critères d’un trouble anxieux.</p> <p>Le médecin peut vouloir référer votre enfant à un psychiatre pour aider à poser un diagnostic.</p><h2>Que peut faire le médecin pour l’anxiété de votre enfant?</h2> <p>Si votre enfant reçoit un diagnostic d’un trouble anxieux, le médecin et vous devrez décider du meilleur traitement possible. Cela peut nécessiter la participation d’autres membres de votre famille ou d’enseignants de l’école de votre enfant.</p> <p>Votre médecin peut également suggérer que votre enfant consulte <a href="/Article?contentid=702&language=French">un thérapeute ou un psychiatre​</a> ou recommander des <a href="/Article?contentid=701&language=French">médicaments</a> ou <a href="/Article?contentid=702&language=French">des changements de mode de vie</a> comme traitement. En l’absence de traitement, les troubles anxieux ne s’améliorent généralement pas. En fait, ils peuvent souvent empirer au fil du temps.</p> ​

 

 

Mental healthMental healthMental healthMEnglishPsychiatryChild (0-12 years);Teen (13-18 years)NANANACaregivers Adult (19+)NALanding PageLearning Hub<p>Learn how to support your child’s well-being with activity, sleep and nutrition; and how to recognize and manage various mental health conditions.</p><p>This hub includes resources for parents on how to support your child's mental health and general well-being through physical activity, sleep and nutrition. It also provides information on the signs, symptoms and treatments of different mental health conditions, including anxiety, bipolar disorder, depression, behavioural disorders, anorexia nervosa and attention deficit hyperactivity disorder.<br></p><br> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuURSU5nmvDVZhSR8Ibr7NHK" frameborder="0"></iframe><br></div><p>Above is our mental health video playlist. To view other AboutKidsHealth videos, please visit the <a href="https://www.youtube.com/user/Aboutkidshealth">AboutKidsHealth YouTube channel</a>.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Well-being</h2></div><div class="panel-body list-group" style="display:none;"><p>The everyday pressures of growing up can put a strain on any child's mental well-being. Find out how physical activity, a healthy sleep routine, screen time limits and balanced nutrition can boost your child's mental health and support them through difficult times.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Physical activity</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=642&language=English">Physical activity: Guidelines for children and teens</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=641&language=English">Physical activity: Benefits of exercise for health and well-being</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Sleep</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=645&language=English">Sleep: Benefits and recommended amounts</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=646&language=English">How to help your child get a good night's sleep</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=647&language=English">How to help your teen get a good night's sleep</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Screen time</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=643&language=English">Screen time: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=644&language=English">How to help your child set healthy screen time limits</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=639&language=English">Nutrition: How a balanced diet and healthy eating habits can help your child's mental health</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Anxiety disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Every child feels anxiety at some point as a natural part of growing up. An anxiety disorder, however, is when anxious feelings interfere with a child's everyday routine. Learn more about the signs, symptoms and range of anxiety disorders and how they ​are treated.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=18&language=English">Anxiety: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=271&language=English">Anxiety: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=270&language=English">Types of anxiety disorders</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=701&language=English">Anxiety: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=702&language=English">Anxiety: Psychotherapy and lifestyle changes</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Resources for coping with anxiety</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20caregiver%20handout_Eng%2004_03_2020.pdf">The CARD System - Coping with your child's anxiety (for parents/caregivers)</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Obsessive compulsive disorder</h2></div><div class="panel-body list-group" style="display:none;"><p>Obsessive compulsive disorder (OCD) occurs when a person suffers from troubling and intrusive thoughts and/or follows repetitive or strict routines to feel less worried. Learn about the causes, signs and impact of this disorder and how you can help your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=285&language=English">Obsessive compulsive disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=288&language=English">OCD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=286&language=English">How OCD affects your child's life</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=709&language=English">OCD: Psychotherapy and medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=287&language=English">OCD: How to help your child at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Depression</h2></div><div class="panel-body list-group" style="display:none;"><p>Depression is an illness that causes someone to feel deep sadness or a lack of interest in activities that they once enjoyed. Discover how this condition affects a child's mood, sleep, concentration and energy levels, and how it can be treated.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=19&language=English">Depression: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=284&language=English">Depression: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=707&language=English">Depression: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=708&language=English">Depression: Psychotherapy and lifestyle changes</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Bipolar disorder</h2></div><div class="panel-body list-group" style="display:none;"><p>When a person has bipolar disorder, they alternate between low and elevated moods for days, weeks or months at a time. Learn about the bipolar disorder spectrum, the symptoms of manic and depressive episodes and how medications, therapy and lifestyle changes can help.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=279&language=English">Bipolar disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=280&language=English">Bipolar disorder: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=704&language=English">Bipolar disorder: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=705&language=English">Bipolar disorder: Psychotherapy and lifestyle changes</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Suicide and self-harm</h2></div><div class="panel-body list-group" style="display:none;"><p>A child who experiences thoughts of suicide or self-harm is often suffering from overwhelming emotional pain. Find out how to help your child cope with difficult emotions, how to support and protect your child and where to find professional help.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=291&language=English">Suicide in children and teens: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=289&language=English">Self-harm in children and teens: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=290&language=English">Signs and symptoms of suicide risk</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=293&language=English">How to help your child with difficult emotions</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=292&language=English">How to protect your child from harm</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Eating disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>An eating disorder not only risks your child's health but can also disrupt family life. Find out about the symptoms and treatment of anorexia, bulimia, avoidant/restrictive food intake disorder and binge eating disorder and how you can help your child recover.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Anorexia nervosa</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=268&language=English">Anorexia nervosa: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=269&language=English">Anorexia: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=267&language=English">Anorexia: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=700&language=English">Anorexia: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=266&language=English">Anorexia: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Bulimia nervosa</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=282&language=English">Bulimia nervosa: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=283&language=English">Bulimia: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=281&language=English">Bulimia: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=706&language=English">Bulimia: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=294&language=English">Bulimia: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Avoidant/restrictive food intake disorder (ARFID)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=274&language=English">Avoidant/restrictive food intake disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=275&language=English">ARFID: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=273&language=English">ARFID: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=703&language=English">ARFID: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=272&language=English">ARFID: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Binge eating disorder (BED)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=277&language=English">Binge eating disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=278&language=English">BED: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=640&language=English">Obesity: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=276&language=English">BED: How to help your child at home</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Attention deficit hyperactivity disorder (ADHD)</h2></div><div class="panel-body list-group" style="display:none;"><p>Attention deficit hyperactivity disorder (ADHD) involves difficulties with controlling attention and regulating behaviour. Discover the main symptoms of ADHD in children and teens, how the disorder is diagnosed and how to help your child at home and at school.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1922&language=English">Attention deficit hyperactivity disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1923&language=English">ADHD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1997&language=English">ADHD: How to help your child at home</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1999&language=English">ADHD: Communicating with your child's school</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1998&language=English">ADHD: Treatment with medications</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Behavioural disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Behavioural disorders include oppositional defiant disorder and conduct disorder. Learn how these disorders differ from typical misbehaviour, how therapy and medications can help and how you can manage problematic behaviour at home.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1924&language=English">Behavioural disorders: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1925&language=English">Behavioural disorders: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2000&language=English">Behavioural disorders: Treatment with psychotherapy and medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2001&language=English">Behavioural disorders: How to help your child at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Post-traumatic stress disorder (PTSD)</h2></div><div class="panel-body list-group" style="display:none;"><p>Post-traumatic stress disorder (PTSD) is triggered by experiencing or witnessing a terrifying event. Learn about the main symptoms of PTSD, how the condition is diagnosed and how psychotherapy and medications can help your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1927&language=English">Post-traumatic stress disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1928&language=English">PTSD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2005&language=English">PTSD: Treatment with psychotherapy and medications</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Brain disorders and mental health</h2></div><div class="panel-body list-group" style="display:none;"><p>A brain disorder includes a condition, illness or injury that affects the brain and how it develops before or after birth. Find out how a brain disorder can affect your child's learning, mood and social skills, how its impact on mental health is assessed and how to help your child cope.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1926&language=English">Brain disorders and mental health: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2002&language=English">Brain disorders: Assessing your child for neuropsychological difficulties</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2003&language=English">Brain disorders: How to help your child cope</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2004&language=English">Brain disorders: Common treatments</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Parenting a child with a chronic condition</h2></div><div class="panel-body list-group" style="display:none;"><p>A chronic conditions can affect a child's mental health and everyday routines. Discover how parents and caregivers can help manage both their child's health care and routines, and support their own mental health.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3400&language=English">Living with a chronic condition: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3401&language=English">Living with a chronic condition: Helping your child manage their health</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3402&language=English">Living with a chronic condition: Maintaining your child's everyday routines</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3403&language=English">Living with a chronic condition: Supporting yourself as a caregiver</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Substance use disorder</h2></div><div class="panel-body list-group" style="display:none;"><p>Substance use is the use of alcohol, tobacco and other drugs for pleasure or enjoyment. Learn about the signs and symptoms of substance use and how you can help your teen if you suspect they have a substance use disorder.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3663&language=English">Substance use disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3664&language=English">Substance use disorder: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3665&language=English">Substance use disorder: How to help your teen at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Understanding functional symptoms and somatization</h2></div><div class="panel-body list-group" style="display:none;"><p>Somatization involves expressing distress through physical symptoms. Find out about the mind-body connection, signs of somatization and the various ways to support your child or teen.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3666&language=English">Functional symptoms: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3667&language=English">Mind-body connection</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3668&language=English">Somatization: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3669&language=English">Somatization: Common treatments</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3770&language=English">Somatization: How to help your child or teen cope</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/Mental_health_landing-page.jpgmentalhealthhttps://assets.aboutkidshealth.ca/AKHAssets/Logo_MPA.png<span class="recognition-text">Production and maintenance of these articles were made possible in part by an educational grant provided by the <a href="/Sponsors#medpsy">Medical Psychiatry Alliance</a>. SickKids is grateful for the generous support of our corporate partners but does not endorse specific products or services, nor receive any editorial direction from its sponsors.</span><br>

 

 

Anxiety: Signs and symptoms271.000000000000Anxiety: Signs and symptomsAnxiety: Signs and symptomsAEnglishPsychiatryPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)NANAConditions and diseasesCaregivers Adult (19+)NA2016-02-02T05:00:00Z10.700000000000049.1000000000000938.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Learn about the signs and symptoms of anxiety in children and teens.</p><h2>What are the main symptoms of anxiety in children?</h2><p>The main symptoms of <a href="/Article?contentid=18&language=English"> anxiety </a> can be grouped under physical symptoms and behavioural symptoms.<br></p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuXosaDeffsxnDuimTSqF4GD" frameborder="0"></iframe> <br></div><p>For more videos from SickKids experts in collaboration with Youngster, visit <a href="https://www.youtube.com/channel/UCoKMd2cYwegtZX19uHdNLQA">Youngster on YouTube</a>.</p><h2>Key points</h2> <ul> <li>The physical symptoms of anxiety include stomach aches, nausea, muscle tension and sweatiness.</li> <li>Behavioural symptoms of anxiety in children include difficulty falling or staying asleep, refusal to go to school, difficulty separating from you and meeting new people. Teens can experience anxiety through excessive worries about school and fears of being judged by their peers when out in public.</li> <li>Your child's doctor can diagnose anxiety by talking with you and your child and asking about their symptoms, daily life and development.</li> <li>If your child is diagnosed with an anxiety disorder, your doctor may recommend therapy, medications or lifestyle changes to help your child.</li> </ul><h2>Physical symptoms of anxiety in children</h2> <p>If your child is experiencing anxiety, they might complain of physical symptoms such as:</p> <ul> <li>stomach aches</li> <li>nausea</li> <li>difficulties breathing</li> <li>a faster heartbeat</li> <li>muscle tension</li> <li>sweatiness</li> <li>shakiness</li> <li>dizziness</li> <li>frequent urination (peeing), especially before leaving the home</li> <li>headaches</li> </ul> <p>You may also notice these symptoms in your child without their saying anything.</p> <h2>Behavioural symptoms of anxiety in children</h2> <p>Some behavioural changes that you might notice in your child include:</p> <ul> <li>increased irritability</li> <li>difficulties falling or staying asleep unless, for instance, you sleep in the same room </li> <li>difficulties separating from you</li> <li>refusal to go to school or do other activities, even fun activities</li> <li>difficulties meeting new people</li> <li>not speaking to people outside of the family</li> </ul> <h3>How children express anxiety</h3> <p>Children who develop an anxiety disorder tend to express certain repeated worries, including concerns that something bad might happen to them or their parent or caregiver or fears about embarrassment, natural disasters, animals and so on. Children may even say they are worried about the future, relationships with others their age and their school performance. These worries are usually so strong that they interfere with a child's everyday activities. </p> <p>Many younger children may not be able to communicate their anxiety verbally. Instead, they may show it through their behaviour and physical symptoms. </p> <h2>Physical and behavioural symptoms of anxiety in teenagers</h2> <p>The physical symptoms of anxiety are similar for teenagers and children.</p> <p>There are some differences in the behavioural symptoms of anxiety in teens. Anxious teens may show fewer behavioural symptoms of anxiety in the home but have more difficulties outside. For instance, they might be able to sleep in a room on their own but have more trouble leaving the home and may refuse to attend school or take part in other social activities.</p> <p>Typically, teens are more aware of their worrying thoughts and express them more clearly than younger children. An anxious teen is likely to express excessive worries about school, their marks and their relationships. They may also be sensitive to issues in the news.</p> <p>Socially anxious teens typically may express worries about being judged by others their age and may feel uncomfortable being out in public. They may also feel embarrassed about eating in public or using public bathrooms.</p> <p>These concerns would need to interfere with the teen's everyday life before an anxiety disorder could be considered.</p><h2>How anxiety is diagnosed</h2> <p>If you have concerns that your child's anxiety is interfering with their daily life, see your child's family doctor or paediatrician. They will talk with you and your child about:</p> <ul> <li>your concerns and the symptoms that are interfering with your child's everyday routine</li> <li>any current stressors in your child's life</li> <li>any event or situation that might have triggered the anxiety symptoms</li> <li>your child's development (from pregnancy onwards)</li> <li>your family's mental health history</li> <li>any family stressors </li> <li>the status of family relationships.</li> </ul> <p>The doctor might ask you and your child, if they are old enough, to answer different questions, or fill out rating scales, to help them make a diagnosis. If the doctor identifies a number of signs and symptoms over a certain time (between one month to at least six months, depending on the anxiety disorder), your child might meet the criteria for an <a href="/Article?contentid=270&language=English">anxiety disorder</a>.</p> <p>Sometimes your child's doctor may refer you and your child to a psychiatrist for help with the diagnosis.</p><h2>What your child's doctor can do for anxiety</h2> <p>If your child is diagnosed with an anxiety disorder, you and your child's doctor will decide on the best treatment. This decision may need input from other members of your family or your child's teachers. </p> <p>Your doctor may also suggest that your child sees a <a href="/Article?contentid=702&language=English">therapist or psychiatrist</a> or recommend <a href="/Article?contentid=701&language=English">medications​</a> or <a href="/Article?contentid=702&language=English">lifestyle changes</a> to help your child. Without treatment, anxiety disorders usually do not improve. In fact, they can often become worse over time.</p> ​<h2>Further information</h2><p>For more information on anxiety disorders, please see the following pages:</p><p><a href="/Article?contentid=18&language=English">Anxiety: Overview</a></p><p><a href="/Article?contentid=270&language=English">Anxiety: Types of disorders</a></p><p><a href="/Article?contentid=701&language=English">Anxiety: Treatment with medications</a></p><p><a href="/Article?contentid=702&language=English">Anxiety: Treatment with psychotherapy and lifestyle changes</a></p><h2>Resources</h2><p>The following books offer useful advice and information about anxiety.</p><p>Foa, E.B., & Wasmer Andrews, L. (2006). <em>If Your Adolescent Has an Anxiety Disorder: An Essential Resource for Parents</em>. New York, NY: Oxford University Press</p><p>Huebner, D. (2005). <em>What to Do When You Worry Too Much: A Kid’s Guide to Overcoming Anxiety</em>. Magination Press.</p><p>Manassis, K. (2015). <em>Keys to Parenting Your Anxious Child</em>. Third edition. New York, NY: Barron’s Educational Series, Inc.</p><p>Rapee, R., et al (2008). <em>Helping Your Anxious Child: A Step-by-Step Guide for Parents</em>. Second edition. Oakland, CA: New Harbinger Publications, Inc.</p><p>Sheedy Kurcinka, M. (2015). <em>Raising Your Spirited Child: A Guide for Parents Whose Child is More Intense, Sensitive, Perceptive, Persistent, and Energetic</em>. Third edition. New York, NY: HarperCollins Publishers.</p><img alt="" src="https://assets.aboutkidshealth.ca/AKHAssets/anxiety_warning_signs_symptoms.jpg" style="BORDER:0px solid;" />https://assets.aboutkidshealth.ca/AKHAssets/anxiety_warning_signs_symptoms.jpgAnxiety: Signs and symptomsFalse