28/11/2025
A great explanation of anxiety in children đ
What anxiety looks like in children â and whatâs actually going on underneath. A lot of people still imagine anxiety as looking shaky, panicked or obviously distressed. But in kids (and many teens), it rarely looks like that.
Most of the young people I work with look absolutely fine on the outside⌠while their bodies are in full âalarm modeâ on the inside.
Hereâs what anxiety often actually looks like in children:
>Angry outbursts
>âI donât want to goâ
>Suddenly feeling sick
>Tummy aches
>Freezing when asked a question
>Needing everything âjust rightâ
>Being the class clown to hide how they feel
Whatâs really happening? (In proper plain English)
Childrenâs brains are still developing. The part that manages emotions and helps them rationalise things is much younger and less skilled than the part that scans for danger and does all the clever stuff and its much more reactive than proactive!
So when something feels scary, uncomfortable or unpredictable, their bodies react before their words can catch up.
> Their heart speeds up.
> Their stomach tightens.
> Their breathing changes.
> Their brain starts shouting: âSomethingâs wrong!â
> Thatâs why they lash out, shut down, cling, avoid, or suddenly âfeel sickâ.
> Itâs not manipulation.
> Itâs not attitude.
> Itâs their nervous system going into protection mode.
Letâs use emetophobia as an example
I work with a lot of children and teens who are terrified of being sick. Hereâs how it usually plays out:
>Their brain senses nausea - even normal tummy sensations.
>Their body goes into panic mode.
>Panic makes their stomach feel worse.
>Feeling worse convinces them they might be sick.
>And the cycle continues.
So what do you see?
>Refusing to eat certain foods
>Avoiding school
>âMy tummy hurtsâ every morning
>Fear of long car journeys
>Needing constant reassurance
>Meltdowns before school or bedtime
>To a parent, it can seem irrational.
But to the child, it is completely real, scary and overwhelming!
Their body is reacting as if vomiting is a life-threatening danger!
Now if you are in the situation where your little goes into school and 'seems' to manage...
Don't be alarmed if the melt down when they get home, because they have worked so hard all day to keep it together....now they need a release!
However the good news is Anxiety â including emetophobia â is treatable.
Kids can absolutely learn to understand their body, calm their nervous system and break the cycle. Youâre not imagining it.
Theyâre not doing it on purpose. And you donât have to figure it out alone.
If your child is struggling with anxiety, Iâm here to help support them (and you) through it.
đ Graham
Brave Journeys Counselling