Recognising Signs of Anxiety in Children

SOT services

Is It Just Worrying—Or Something More?

All children feel anxious from time to time—it’s a natural part of development. But how can you tell when your child’s worries are becoming something more? Anxiety in children often shows up differently than it does in adults, and understanding the signs can help you get the right support early.

At South Coast Therapy & Support Group, we work closely with families in Nowra, Shellharbour, and surrounding areas to support children with anxiety through occupational therapy, speech pathology, and group programs.

Common Signs of Anxiety in Children

Here are some of the most common signs we see in anxious children:

1. Avoidance of Activities

Children may refuse to go to school, avoid social events, or resist trying new things. This is often their way of avoiding the uncomfortable feelings associated with anxiety.

2. Frequent Physical Complaints

Headaches, stomach aches, and nausea are common physical symptoms of anxiety in children. These symptoms often don’t have a clear medical cause.

3. Irritability or Meltdowns

Instead of verbalizing worry, many children show their distress through behaviour. You might see more frequent tantrums, tearfulness, or angry outbursts.

4. Perfectionism

A child with anxiety might become overly self-critical or distressed when they make mistakes. They may avoid tasks unless they’re sure they can do them “perfectly.”

5. Trouble Sleeping

Difficulty falling or staying asleep, nightmares, or a need for a parent to stay in the room can indicate nighttime anxiety.

6. Clinginess

Younger children, in particular, may become more clingy than usual—especially during transitions or changes in routine.

When to Seek Help

It’s time to seek professional support when anxiety:

• Interferes with daily activities like school, socialising, or family routines

• Persists over weeks or months

• Causes distress to the child or family

Early intervention can make a big difference. At our clinics, we provide tailored assessments and therapy programs that support emotional regulation, sensory processing, and confidence-building.

How Therapy Can Help

Our paediatric occupational therapists use strategies like:

• Emotion coaching and co-regulation

• Play-based exposure to gradually face fears

• Sensory integration to support calming

• Parent coaching so you can support your child at home

Speech pathologists may also be involved if your child’s anxiety is affecting communication, social skills, or feeding.

We also offer group therapy options (like our popular Sense Rugby program) that help children build friendships, resilience, and self-regulation skills in a fun, supportive environment.

Final Thoughts

Anxiety is one of the most common mental health challenges for children—but it’s also one of the most treatable. With early support and the right tools, your child can thrive.

If you’re concerned about your child’s wellbeing, reach out to our team at South Coast Therapy & Support Group. We’re here to help.