Anxiety Disorders
Anxious children, according to the DSM-5-TR, often worry when away from their parents (separation anxiety). Anxiety disorders in children and adolescents, like most disorders, are diagnosed according to what is developmentally appropriate. For example, a young child of 3 of 4 years of age may feel distress and be anxious at day care and being away from home. However, a child of 8 or 9 years of age, who does not want to spend overnights with friends or family members other than parents because of worries that something might happen to a parent while the child is away is not developmentally appropriate.
According to SAMHSA, anxiety disorders are one of the most common disorders in childhood (samhsa.gov). In the DSM-5-TR, there are several types of anxiety disorders that include separation anxiety, social anxiety, panic disorder, and agoraphobia (just to name a few).
Risk Factors and Functional Consequences
Risk factors for anxiety include shyness, or behavioral inhibition, in childhood (NIH.gov). The DSM-5-TR reflects that most anxiety disorders occur more frequently in females than in males (approximately 2:1 ratio). For social anxiety, the median age at onset is 13 years, and 75% of individuals have an age at onset between 8 and 15 years. So, you can see that these disorders have their roots in childhood and for social anxiety, and can result following a stressful or humiliating experience such as being bullied. Functional consequences can include isolation and impairment in social situations.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., Text Revised). Washington, DC: American Psychiatric Association.
National Institute of Mental Health. Anxiety Disorders.
SAMHSA. Understanding Anxiety Disorders Caregiver: Get the Facts.
Background
Develop a PowerPoint presentation to deliver to your local National Alliance on Mental Illness regarding anxiety in childhood and adolescents. Access the NFFCMH to find your local chapter. Keep in mind who your audience is as you prepare your presentation.
Sample Solution
Slide 1: Title Slide
Title: Understanding Anxiety in Children & Adolescents Subtitle: A Guide for Families and Caregivers Presented to: NAMI of Kisii County Presented by: [Your Name] Date: October 26, 2025 Speaker's Notes: Good evening, everyone. Thank you for inviting me to speak with you today. My name is [Your Name], and I'm honored to be here with the NAMI of Kisii County chapter. As you know, NAMI is an incredible organization that provides support, education, and advocacy for individuals and families affected by mental illness. Tonight, we're going to talk about something very common, yet often misunderstood: anxiety in children and adolescents. We'll discuss what to look for, the different types of anxiety, and what you can do as a caregiver to help. My goal is to empower you with knowledge and empathy.Slide 2: What is Anxiety?
- Anxiety is a normal human emotion, a "fight or flight" response.
- Anxiety disorders are when worry becomes excessive and disruptive.
- Normal worry vs. a disorder is often about what's "developmentally appropriate."
- A 3-year-old being anxious at daycare is typical.
- An 8-year-old afraid of a sleepover due to worries about parents is not.
Slide 3: Types of Anxiety Disorders in Youth
- Separation Anxiety: Excessive worry when away from a parent or caregiver.
- Social Anxiety: Intense fear of social situations or being judged by others.
- Panic Disorder: Sudden, intense panic attacks that cause physical symptoms.
- Agoraphobia: Fear of situations or places where escape might be difficult, leading to avoidance.
Slide 4: Risk Factors & What to Look For
- Behavioral Inhibition: A child who is naturally shy or withdrawn may be at higher risk.
- Genetics: Anxiety disorders can run in families.
- Stressful Life Events: Bullying or a traumatic event can trigger social anxiety.
- Gender: Anxiety disorders are twice as common in females as in males (approximately a 2:1 ratio).
- Early Onset: 75% of individuals with social anxiety have an onset between ages 8 and 15.
Slide 5: Functional Consequences
- Social Impairment: Difficulty making or keeping friends due to fear and isolation.
- Academic Impact: Refusing to go to school or poor performance due to overwhelming worry.
- Physical Health: Chronic stress can lead to physical symptoms like headaches or stomachaches.