Disclosure: As a BetterHelp affiliate, we receive compensation from BetterHelp if you purchase products or services through the links provided.

Childhood anxiety is a prevalent and often misunderstood mental health challenge that can hinder a child’s overall well-being, academic performance, and social development.

Anxiety can manifest in various ways, such as excessive worry, fear, restlessness, or even physical symptoms like stomach aches or headaches. The profound impact of anxiety on children’s lives calls for effective and evidence-based treatment approaches that empower them to thrive. 

In this article, we delve into the realm of childhood anxiety, exploring the top anxiety treatments that have shown remarkable success in helping children overcome their fears and reclaim their joy.

With a special focus on cognitive-behavioral therapy (CBT) and the transformative power of play therapy, we unveil therapeutic tools that parents, caregivers, and professionals can utilize to support anxious children on their path to resilience and emotional well-being.

Understanding Childhood Anxiety:

Childhood anxiety disorders, such as generalized anxiety disorder, separation anxiety disorder, and social anxiety disorder, can cast a heavy shadow on a child’s life. Anxiety manifests in various ways, including persistent worries, physical symptoms, or avoidance of anxiety-provoking situations.

It is essential to differentiate between typical worries and clinical anxiety disorders, as timely intervention can make a world of difference for a child’s future.

Top Anxiety Treatments for Children

a girl
Image Credit: nytimes.com

1. Cognitive-Behavioral Therapy (CBT):

Cognitive-Behavioral Therapy (CBT) is a highly effective and widely used therapeutic approach for treating childhood anxiety. It focuses on helping children identify and modify their negative thoughts and beliefs, develop effective coping skills, and engage in behavioral changes to alleviate anxiety symptoms.

CBT for children often incorporates several cognitive techniques tailored to their developmental level and needs:

a. Identifying and Challenging Negative Thoughts: This can be done through monitoring and cognitive reframing. In thought monitoring, children are encouraged to keep a thought diary where they record their anxious thoughts and the situations that trigger them.

By identifying and documenting these thoughts, they become more aware of the connection between their thoughts and their anxiety.

In cognitive reframing, with the guidance of a therapist, children learn to challenge and reframe negative thoughts. They explore evidence that supports or contradicts their anxious thoughts, helping them develop more balanced and realistic thinking patterns.

b. Psychoeducation: Educating children and their parents about anxiety is an essential component of CBT. Therapists provide age-appropriate information about anxiety disorders, explaining the physical, emotional, and cognitive aspects of anxiety. This knowledge helps children understand their experiences, reduce fear, and normalize their feelings.

c. Coping Skills Training: Children learn a range of coping skills to manage anxiety symptoms. These skills may include relaxation techniques, such as deep breathing exercises or progressive muscle relaxation, which help children calm their bodies and reduce physical tension.

Additionally, children are taught problem-solving skills, assertiveness training, and social skills to enhance their ability to cope with anxiety-provoking situations.

d. Exposure Therapy: Exposure therapy gradually exposes children to anxiety-inducing situations or triggers in a controlled and supportive environment. For example, a child with social anxiety may start by practicing conversations with a close friend, then progress to talking to unfamiliar peers, and eventually participate in group activities.

Children create a fear hierarchy with the help of their therapist, listing anxiety-inducing situations from least to most distressing. By systematically facing these situations in a controlled and supportive environment, they learn to tolerate and manage their anxiety.

Exposure therapy can be conducted through imaginal exposure (imagining feared situations) or in vivo exposure (directly facing feared situations).

e. Behavioral Activation (Rewards and Reinforcement): Children learn to set and achieve small goals, and they are rewarded for their efforts. Rewards can include verbal praise, tokens, or privileges, reinforcing positive behaviors, and motivating children to face their fears.

These are just a few examples of the specific techniques used in CBT for childhood anxiety. The exact strategies employed may vary depending on the child’s age, specific anxiety disorder, and individual needs. CBT empowers children with practical skills and tools to manage their anxiety effectively and lead fulfilling lives.

2. Play Therapy:

Play therapy is a valuable therapeutic approach for younger children or those who may have difficulty expressing their thoughts and emotions verbally. It utilizes play as a medium for communication and emotional expression.

Play therapists create a safe and supportive environment where children can engage in various forms of play, including art, puppetry, storytelling, and imaginative play. Here’s an elaboration on play therapy:

a. Symbolic Expression: Play allows children to express their inner world symbolically. Through play, children can act out their fears, worries, and challenges.

They may use dolls or puppets to represent themselves or others, enabling them to explore and communicate their anxieties indirectly. Play therapists carefully observe and interpret these symbolic expressions to gain insights into the child’s experiences.

b. Emotional Regulation: Play therapy provides a space for children to experience and regulate their emotions. By engaging in play, children learn to identify and express their feelings, developing emotional awareness and regulation skills.

Play therapists support children in managing their anxiety, teaching relaxation techniques, and promoting self-soothing strategies within the play context.

c. Problem-Solving and Skill Building: Play therapy allows children to practice problem-solving skills and develop new strategies to cope with anxiety.

Therapists can introduce therapeutic games, puzzles, or interactive activities that encourage decision-making, planning, and goal-setting. Through play, children learn alternative ways to respond to anxiety-provoking situations, fostering resilience and adaptive coping skills.

d. Relationship Building: Play therapy strengthens the therapeutic relationship between the child and the therapist. Through the play process, children develop trust and feel supported, creating a foundation for emotional growth and healing. Play therapists provide empathy, validation, and guidance, helping children navigate their anxieties and develop healthy coping mechanisms.

Incorporating cognitive techniques and play therapy within the framework of CBT can enhance the effectiveness of anxiety treatment for children. These approaches provide children with practical skills, emotional support, and opportunities for self-expression, empowering them to overcome anxiety and lead more fulfilling lives.

3. Parental Involvement:

Parents play a crucial role in supporting their anxious children. Psychoeducation about anxiety disorders, open communication, and creating a supportive environment are vital.

Parents can also learn strategies to help their children cope with anxiety, such as providing reassurance, setting realistic goals, and modeling healthy coping mechanisms.

4. Mindfulness and Relaxation Techniques:

Mindfulness practices and relaxation techniques, such as deep breathing exercises, progressive muscle relaxation, or guided imagery, can help children manage anxiety symptoms. These techniques promote self-awareness, relaxation, and emotional regulation.

5. Physical Activity:

Regular physical activity has been shown to reduce anxiety in children. Engaging in sports, active play, or structured exercise can help release tension, improve mood, and promote overall well-being.

6. School-Based Interventions:

Schools can implement interventions such as creating a supportive environment, fostering social-emotional learning, and providing counseling services.

Additionally, promoting healthy stress management practices and implementing individualized plans for anxious children can significantly impact their academic performance and emotional well-being.

7. Medication:

In severe cases of childhood anxiety, medication may be considered. Medication options, such as selective serotonin reuptake inhibitors (SSRIs), should be prescribed and monitored by a qualified healthcare professional specializing in child psychiatry.


Recognizing and addressing anxiety in children is paramount for their healthy development and overall well-being. By implementing evidence-based treatments, involving parents and caregivers, and creating a supportive environment, children can learn effective coping strategies to manage their anxiety.

Remember, early intervention and professional guidance are vital in helping children overcome anxiety and thrive in their lives.


1. How can I differentiate between typical childhood worries and anxiety disorders?

Typical worries are temporary and do not significantly impact a child’s daily functioning. Anxiety disorders, on the other hand, persist and interfere with a child’s social, academic, and personal life. Consult a mental health professional for an accurate diagnosis.

2. Is anxiety in children treatable without medication?

Many cases of childhood anxiety can be effectively treated without medication, especially when early intervention and evidence-based therapies like CBT are utilized. Medication may be considered in severe cases or when other treatment options have been exhausted.

3. Are there any natural remedies or supplements that can help with childhood anxiety?

While some natural remedies and supplements are available, their efficacy and safety for treating childhood anxiety are still being studied. It is crucial to consult with a healthcare professional before using any complementary or alternative treatments.

4. Can anxiety in children improve on its own over time?

Some children may outgrow their anxiety as they develop better-coping mechanisms and life skills. However, for many others, anxiety persists and can impact their long-term well-being. Timely intervention and support are vital for positive outcomes.

5. How long does it take to see improvements with anxiety treatment for children?

The duration of treatment can vary depending on the child, the severity of the anxiety, and the chosen treatment approach. It is important to be patient and consistent with therapy while monitoring progress along the way.

6. Can parents or caregivers contribute to anxiety in children?

While parents or caregivers do not directly cause anxiety disorders, certain environmental factors, parenting styles, or family dynamics can influence a child’s anxiety levels. Creating a nurturing and supportive environment is crucial in managing childhood anxiety effectively.

Additional Posts:

  1. Best Anxiety Treatments after Childbirth
  2. Best Anxiety Treatment for Pregnant Women
  3. Best Anxiety Treatments for Panic Attacks
  4. Best Books For Anxiety And Depression
  5. Best Medicine for Anxiety and Depression



Therapists that Understand You!

Find a therapist that fully understands ALL of you. Speaking with someone who has a similar cultural background and view on the world can be very comforting.

Find a Therapist that get YOU!