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How we help young people with anxiety

Anxiety is a normal part of life, but sometimes it can start to take over – making everyday activities such as going to school, visiting the shops, seeing friends or leaving home feel almost impossible. We help young people understand what’s happening, find ways to manage it and get back the parts of life anxiety has begun to limit.

At a glance

Anxiety, worry, nervousness and fear are normal human responses to stress, uncertainty or things that feel threatening.

Anxiety often develops for understandable reasons, even if those reasons are not immediately obvious.

It doesn’t always look like obvious worry. It can show up as irritability, withdrawal, physical symptoms or needing lots of reassurance.

It becomes a concern when it starts getting in the way of school, friendships, sleep, family life or everyday activities.

Questions parents and carers often ask

My child worries about everything. Is this normal?

Why does my child feel physically sick before school or going out?

Why are they avoiding shops, crowds or seeing people?

Why do they panic when plans change?

Why do they need constant reassurance?

How can I help without making things worse?

A closer look at anxiety

The word anxiety is used so often today that it can sometimes lose its meaning.

Anxiety is the mind and body’s response to stress, uncertainty or situations that feel threatening. Everyone experiences it at times, for example when moving schools or before an important presentation.

It becomes more of a concern when it goes beyond occasional nerves or worry and begins to affect how a young person feels, behaves or manages everyday life – and it can look very different from one young person to the next.

  • Emotional signs | Persistent worry, racing thoughts, feeling overwhelmed or fearing that something bad will happen.
  • Physical signs | Feeling sick or shaky, headaches or stomach aches, a racing heart, tension or trouble sleeping.
  • Behavioural changes | Avoiding school, social situations or unfamiliar places, needing repeated reassurance or becoming more irritable or withdrawn.

Rather than asking, “Why can’t they just do it?”, therapy usually asks, “What makes this experience feel so frightening?” – helping us understand what might be behind the anxiety.

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How Teenage Mental Health approaches anxiety

Two young people can both be struggling with anxiety for very different reasons. One may have become anxious after bullying or a difficult experience. Another may be struggling with change, pressure, perfectionism or uncertainty. Sometimes there is no obvious starting point at all.

That’s why we don’t begin by assuming we know what’s causing a young person’s anxiety, or simply telling them there is nothing to worry about. We take time to understand what they’re experiencing, when the anxiety tends to appear and how it’s affecting their life.

Therapy can help a young person make sense of their worries and fears – and develop practical ways to cope when anxiety becomes difficult to manage. Depending on the young person, that might involve exploring what lies behind their anxiety, learning to recognise patterns and triggers or gradually becoming more comfortable with situations they have started to avoid.

Our therapists draw on psychodynamic psychotherapy, integrative therapy, play therapy and CBT-informed approaches. The way we work depends on the young person, their age, their circumstances and what they need from therapy. We may help them to:

  • understand what triggers their anxiety and how it affects them
  • find ways to manage worry, uncertainty and difficult physical sensations
  • feel more able to do things anxiety has begun to restrict
  • build confidence in handling difficult situations without becoming overwhelmed

Anxiety can affect the whole family too. Parents and carers understandably want to protect a young person from distress, but it can be difficult to know when to reassure, when to encourage and when to give them space. Where appropriate, we can help parents and carers understand what’s happening and find ways of supporting their child without family life becoming increasingly shaped by anxiety.

Ultimately, the aim isn’t for a young person never to feel worried or afraid. Those feelings are part of being human. It’s to help anxiety become something they can understand and manage, rather than something that controls what they can and can’t do.

When extra support may be needed

Get help with crisis support

It may be helpful to seek professional support if anxiety is becoming more frequent, intense or difficult to manage, particularly if you notice:

  • worries or fears beginning to affect school, friendships, sleep or family life
  • avoiding places, activities or situations they previously managed
  • increasing reliance on reassurance or other people to manage everyday situations
  • anxiety leading to shutdowns, panic or intense distress
  • increasing withdrawal, low mood, self-harm or eating-related difficulties

If you’re concerned about suicidal thoughts or believe a young person may be at immediate risk of harming themselves, seek urgent medical
or emergency support.

Get help with crisis support

Related Guide

Understanding
teen anxiety

Read more

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