How to Support Your Child with Anxiety

A CBT Approach

9/12/20243 min read

a little girl sitting in front of a laptop computer
a little girl sitting in front of a laptop computer

As a parent, seeing your child struggle with anxiety can feel overwhelming, but there are proven ways you can help them navigate their emotions. Cognitive-behavioral therapy (CBT) offers practical strategies that are empowering for both children and parents. The focus of CBT is on understanding how thoughts, feelings, and behaviors are interconnected and helping your child develop healthier coping skills. Here's how you can support your child using CBT principles:

1. Normalize Anxiety

The first step in helping your child manage their anxiety is normalizing it. Explain that anxiety is a natural emotion everyone experiences, especially when faced with new or uncertain situations. By acknowledging their feelings without judgment, you help remove the stigma that often surrounds anxiety. You can say things like, “It’s okay to feel nervous before a test or a new situation; what matters is how we manage those feelings.”

2. Help Identify Negative Thought Patterns

Anxiety often stems from distorted thinking, such as catastrophizing (imagining the worst possible outcome) or overgeneralizing (believing that one negative event will always happen). Work with your child to identify these negative thoughts. For example, if your child says, “I’m going to fail this test,” help them reframe it by asking, “What evidence do you have that you will fail?” Encourage them to find more balanced, realistic thoughts, like, “I studied hard and will do my best.”

3. Teach Problem-Solving Skills

CBT emphasizes problem-solving as a key tool for managing anxiety. When your child is feeling anxious about a specific situation, guide them through a step-by-step problem-solving process:

  • Define the problem: What exactly is making them anxious?

  • Brainstorm solutions: What are some ways they could handle the situation?

  • Weigh pros and cons: Which option seems most realistic or helpful?

  • Take action: Help them choose a solution and try it out.

This approach encourages your child to feel more in control of their anxiety by focusing on practical actions they can take.

4. Encourage Gradual Exposure to Anxiety Triggers

Avoidance is a common response to anxiety, but it often makes things worse in the long run. CBT encourages gradual exposure to anxiety-provoking situations. If your child is afraid of public speaking, for instance, start by having them practice in front of a family member, then a small group of friends, and gradually work up to larger groups. Praise their efforts, no matter how small, as this builds confidence and reduces anxiety over time.

5. Model Healthy Coping Behaviors

Children learn by observing. If you remain calm and use healthy coping strategies when faced with stress, your child is more likely to adopt those behaviors. Share with them how you manage stressful situations—whether it’s taking deep breaths, practicing mindfulness, or engaging in self-care activities like exercise or hobbies.

6. Develop a Coping Toolkit

Help your child build a "coping toolkit" filled with strategies they can use when anxiety arises. This might include deep breathing exercises, progressive muscle relaxation, journaling, or listening to calming music. You can also create a list of positive self-talk statements, such as “I can handle this” or “I’ve faced challenges before and succeeded.”

7. Celebrate Progress, Not Perfection

Finally, it's important to celebrate your child’s progress, even if it seems small. Overcoming anxiety is a gradual process, and setbacks are a natural part of the journey. Focus on the effort they’re putting in rather than expecting perfection. Positive reinforcement will boost their confidence and motivate them to keep trying.

Conclusion

Supporting a child with anxiety doesn’t have to be an overwhelming process. Using CBT-based strategies, you can help them understand and challenge their anxious thoughts, build coping skills, and face their fears with greater confidence. By providing a supportive and encouraging environment, you’re empowering your child to manage their anxiety in a healthy way, both now and in the future.