Episode-75-Helping an Anxious Child: Symptoms, Causes, and What Really Works

In this episode of Encore with Dr. Anselm and Johar, we talk about anxiety in children—what it looks like, why it happens, how pediatricians recognize it, and what parents can do to help.

Anxiety is more than normal childhood worry. When fear and worry become persistent, they can affect a child’s school performance, sleep, friendships, and confidence. Many children don’t say “I’m anxious.” Instead, anxiety often shows up as stomach aches, headaches, nausea, trembling, fast heartbeat, shortness of breath, or repeated “I don’t want to go” moments—especially before school, social events, or new situations.

You’ll learn the common types of childhood anxiety, including separation anxiety, social anxiety, generalized anxiety, panic attacks, and specific phobias. The episode explains how pediatricians detect anxiety during routine visits by observing behavior, listening carefully to parent concerns, and using validated childhood anxiety screening questionnaires to identify patterns of worry, avoidance, and physical symptoms.

We also cover what contributes to anxiety—often a mix of temperament, genetics, stress, trauma or bullying, family modeling, and avoidance patterns—and why early support matters. Evidence-based treatment options include cognitive behavioral therapy (CBT), which teaches coping skills and gradually reduces avoidance, and in some cases, medication, especially for moderate to severe anxiety or when therapy alone isn’t enough.

A key takeaway for parents: untreated anxiety can slowly shrink a child’s world, leading to avoidance, academic struggles, social withdrawal, and increased risk of depression in adolescence. But when anxiety is recognized early and treated properly, children can rebuild confidence, resilience, and joy.

This episode is designed to inform and empower parents, not alarm them. Anxiety is common, real, and treatable—and children can thrive with the right support.