Ask Dr. Hirsch: Understanding and Managing Childhood Anxiety
A little worry is a normal part of growing up, but when does anxiety become a concern? Dr. Shari Hirsch, a pediatrician and lactation specialist at Lev Pediatric Care in Pomona, New York, addresses this common question for parents.
What Does Anxiety Look Like in Children?
Children often express anxiety through physical symptoms or behavioral changes rather than directly stating they feel anxious. Common signs include frequent stomach aches or headaches, trouble sleeping, irritability, avoidance of school or activities, clinginess, excessive reassurance-seeking, or difficulty concentrating. Younger children may experience tantrums or regression in their development, whereas older children might appear withdrawn or overly perfectionistic.
Common Triggers for Childhood Anxiety
Several factors can trigger anxiety in children, including academic pressure, social challenges, transitions like starting a new school or experiencing family changes, separation from caregivers, or exposure to stressful news events. A child’s natural temperament—being naturally more sensitive or cautious—can also play a role, and this is not a flaw, but rather a characteristic that may require extra support.
When Should You Seek Facilitate?
It’s important to seek professional guidance if anxiety persists for weeks or months, interferes with a child’s school performance or friendships, causes frequent physical symptoms, or prevents them from participating in age-appropriate activities. Early intervention can significantly improve outcomes.
How Parents Can Help
Parents can play a crucial role in supporting their anxious child. Start by validating their feelings instead of dismissing them. Instead of saying “You’re fine,” try “I can see this feels hard.” Avoid excessive reassurance, as it can inadvertently reinforce anxiety. Maintaining predictable routines, encouraging small steps toward facing feared situations, and modeling calm coping mechanisms are also helpful strategies. When a child is struggling to regulate their emotions, the adult should strive to remain calm.
When to Consider Professional Help
If anxiety is persistent or significantly impacting a child’s life, consult with your pediatrician. They can recommend appropriate interventions, such as cognitive behavioral therapy (CBT), school-based support services, family guidance, or, in some cases, medication. Pediatricians can help guide families through the process and coordinate care.
The Bottom Line
Anxiety doesn’t indicate something is wrong with a child. it simply means their nervous system is highly active. With understanding, patience, and the right tools, children can learn to manage anxiety and thrive. Remember, you are not alone, and help is available.
Dr. Shari Hirsch, MD, specializes in infant feeding, including expert newborn support, lactation guidance, and frenotomy (tongue-tie release). She also offers emotional wellness care, with guidance and medication management for attention, mood, and anxiety support. Lev Pediatric Care is located at Evergreen Uptown Mall in Pomona, New York. Their hours are Sunday through Thursday, 10:00 am to 7:45 pm, and Friday, 10:00 am to 1:00 pm. Same-day appointments are available. Call 845-579-5700 to schedule. They also provide free car service to and from doctor visits.
Have a question for next week’s column? Send it to Lev Pediatric Care.