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Anxiety

Childhood Anxiety: When Worry Starts to Get in the Way

Quick Read: Key Points of the Article

  • What is childhood anxiety: An emotional reaction of fear or tension when faced with situations perceived as threatening, real or imagined.
  • Body and behavioral signs: Recurrent stomachaches or headaches, easy crying, refusal to go to school, irritability and extreme fear of making mistakes.
  • The role of the school: Anxiety usually manifests itself in drops in performance, failure in exams ("blank") and refusal to participate in social activities.
  • How the family can help: Validate the child's feelings without ridiculing them, create predictable routines and encourage small, gradual confrontations.

Every child feels fear, insecurity or worry at some point. Being afraid of the dark, being nervous before a presentation, finding new people strange or feeling afraid of being separated from your parents is part of healthy child development. Anxiety, to a certain extent, is a natural reaction of the body to situations perceived as challenging.

The problem begins when this worry becomes too frequent, intense or starts to disrupt the daily routine. When fear prevents a child from playing, learning, sleeping well, going to school, making friends or participating in common activities, it is important to look more closely.

THE childhood anxiety does not always appear obvious. Often, the child does not have the maturity to say: "I'm excited". This is demonstrated through crying, inexplicable irritation, recurring physical pain, difficulty falling asleep, school refusal, constant need for confirmation or excessive fear of making mistakes.

Therefore, understanding the manifestations of anxiety is essential. The sooner the family and school realize that something is happening, the greater the chances of offering reception, support and appropriate intervention.

What is childhood anxiety?

Childhood anxiety is an emotional response marked by fear, worry or tension when faced with situations that the child interprets as threatening. This threat can be real or imagined. For an adult, a certain situation may seem simple, but for a child it can be experienced in a very intense way.

Common situations that can cause distress include:

  • Present a work or speak to the class.
  • Sleep alone in your own room.
  • Being away from mother or father (separation anxiety).
  • Take school tests or assessments.
  • Attend social events or parties with lots of people.
  • Changing school or residence.

The child is still developing emotional resources to deal with frustrations, changes and insecurities. As she cannot always explain in words what she feels, adults need to pay attention to behavior, routine and physical bodily reactions.

Anxiety is not frivolity, cunning, drama or lack of courage. When a child is anxious, their body goes into a state of real alert, releasing stress hormones as if there is imminent danger.

Warning signs: What to watch out for?

Symptoms can vary widely, affecting different areas of the child's life:

Emotional and Cognitive Signals

  • Constant and disproportionate concern with simple everyday situations.
  • Excessive fear of making mistakes or disappointing adults.
  • Constant search for approval and security (repeatedly asking "are you coming back?" or "everything will be fine?").
  • Frequent catastrophic thoughts ("What if no one likes me?").

Behavioral Signals

  • Systematic refusal to go to school or to separate from attachment figures.
  • Resistance to sleeping alone in the room or frequent nightmares.
  • Social isolation and avoidance of collective activities.
  • Sudden crying spells and marked irritability.

Physical Signs (Somatization)

  • Frequent complaints of stomachache, headache or nausea before events (such as going to school).
  • Racing heart, cold sweat on your hands or feeling short of breath.
  • Constant muscle tension or complaints of extreme tiredness without corresponding physical effort.

In Learning and in the School Context

Anxiety drains a child's cognitive energy, affecting attention and working memory. She can study and know all the content at home, but suffer a "blank" at the time of the test. Other behaviors include repeatedly erasing writing on a sheet of paper, tearing up assignments when faced with small errors, and freezing when asked to respond out loud in class.

How can the family help?

Support at home should be based on a balance between welcoming and encouragement:

  1. Validate the child’s fears: Instead of saying "that's nonsense" or "you don't need to be afraid", prefer welcoming lines: "I see you're worried about this, and it's okay to feel scared. Let's think together about how to face this situation?".
  2. Avoid overprotection: Preventing the child from experiencing any discomfort or solving all problems for them prevents them from developing resilience. The ideal is gradual support (e.g. if she is afraid of sleeping alone, start by sitting next to the bed until she falls asleep, then move away to the door the following nights, until she gets used to it).
  3. Maintain a predictable routine: Organized environments bring security. Notifying the child about commitments and changes in advance calms the anxious mind.
  4. Breathe and calm down: In moments of crisis, teach the child to breathe slowly (inhaling through the nose and releasing the air slowly through the mouth as if blowing out a candle).
  5. Games and fun: Children's stories, drawings and puppet shows are great tools for children to project their fears and learn to resolve them in a light-hearted way.

How can the school contribute?

School should be an environment of physical and emotional safety for anxious students:

  • Pedagogical adaptations: Make exam times more flexible, offer clear step-by-step instructions and avoid exposing the student to readings or presentations in public without their prior consent and preparation.
  • Listening space: Develop an open communication channel between teachers, coordination and the student's family.
  • Social mediation: Encourage student inclusion in small work groups, reducing the social pressure of large groups.

The Role of Psychopedagogy

THE psychopedagogy it acts directly when anxiety begins to block the learning process and harm the child's academic performance. The clinical psychopedagogue works:

  • The rehabilitation of the child's academic self-esteem, showing that mistakes are part of the learning process.
  • Study organization techniques that reduce test-eve anxiety.
  • The development of strategies to deal with cognitive hang-ups and blocks during school tasks.
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References and Theoretical Basis

  • AMERICAN PSYCHIATRIC ASSOCIATION (APA). Diagnostic and Statistical Manual of Mental Disorders: DSM-5-TR. Porto Alegre: Artmed, 2023.
  • LAUREL, Sônia R. et al. Anxiety in childhood and adolescence. São Paulo: Vector, 2012.
  • BOSSA, Nadia A. Psychopedagogy in Brazil: contributions from practice. 4th ed. Rio de Janeiro: Wak Editora, 2011.