What may be happening
Your child may refuse school, cling excessively, have meltdowns before events, or complain of headaches and stomach pain. Anxiety can look like defiance when avoidance is actually fear.
What can help
Notice patterns: triggers, frequency, and impact on sleep, school, and friendships. Validate: "I see you are worried. That makes sense. We will figure this out together." Avoid excessive reassurance that feeds the anxiety cycle—support without fixing every fear instantly. Maintain routines for sleep, meals, and predictable transitions. Model calm coping and name your own strategies. Consult a pediatrician or child therapist if symptoms persist beyond typical developmental fears.
When to get support
Consider professional support if symptoms persistently interfere with daily life, relationships, or safety. Seek urgent help if you are having thoughts of self-harm or feel unable to stay safe; in the U. S. , call or text 988. Seek prompt professional evaluation if anxiety causes school refusal, severe distress, or any thoughts of self-harm.