Raising Children Network: the Australian parenting website
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Fears and anxieties

By Child and Youth Health
 
 

did you knowQuestion mark symbol

If a child has a lot of fears and worries, it is important to think about what is happening in her life. For example, is there illness in the family or are the parents having lots of arguments? Sometimes phobias begin at a time of trauma or difficulty.
 

What are fears, anxieties and phobias? 
Babies 
Separation anxiety 
Fear of strangers 
Toddlers 
Preschool and school-age children 
Helping children overcome fears 

Parents often worry about their children's fears and anxieties. Children's worries and reactions to situations vary enormously. Most children will be worried and fearful from time to time.

You can help your children overcome fears and to have the confidence needed to be able to face up to the hard things that will happen in their lives.

What are fears, anxieties and phobias?

Fear is an emotional feeling – being afraid of something – that triggers a number of changes in the body.

When something happens that a person is afraid of, the body prepares to either tackle the situation or to run away.

To do this, the heart rate and breathing rate get faster and the person may turn pale, perspire, have an unpleasant feeling in her stomach (‘butterflies’) or feel shaky.

While fear has a particular cause (e.g. a person, animal, situation that someone is afraid of), anxiety is a more general unpleasant feeling, where it may not be clear what the person is worried about.

A phobia is a really strong fear of something specific. The fear is much stronger than the risk of harm and it interferes with things the person wants to do.

It is normal to feel worried about some situations, and being afraid is the way we can be prepared to meet and deal with danger – it makes us alert and ready to take action.

Young children will be naturally fearful of some things (such as being separated from a parent) and they need to be taught to be fearful of certain other things to keep safe. The dangers of traffic and electricity are too great, and young children cannot understand them, so fear helps them keep safe (parents also need to keep them safe and not rely on fear alone!).

When deciding whether your child's fear is a problem, you need to consider:

  • Is it reasonable for a child to feel this way?
  • Is the fear interfering with the everyday life of the child or family?

Babies

Babies are born with an in-built fear response to sudden loud noises, heights, movements and anything unfamiliar or unusual.

When babies are afraid, they cry. This is their only way to bring an adult to keep them safe.

Separation anxiety

At six or seven months of age, babies are usually friendly and smile easily, however they usually have a preference for their parent or main caregiver.

By seven to eight months, they start to want to have you in sight at all times and may be upset or cry when they cannot see you.

If they can crawl they will probably follow you – wherever you go!

You are the centre of their world, and when you leave they feel ‘separation anxiety’. They cannot know where you are and do not understand that you will come back.

When long separations happen – for example through being in hospital, or a parent leaving or being ill – the child can show severe anxiety.

Generally the child will cry or protest first, hoping that she can change things and bring her carer back.

If this does not happen, the child may lose interest in people and in playing, or may just play the same thing over and over again.

If the main caregiver (e.g. parent) leaves or is away for a long time, it is important that other special adults spend as much time as possible caring for the child. It also helps if the usual routine can be followed.

Fear of strangers

Children form close bonds of love and trust with important people in their lives, particularly their parents or their main caregiver.

Many babies develop a fear of strangers, generally sometime between five and 12 months of age, and this often lasts until they are up to two years old. They may even seem afraid of people they know fairly well, such as their grandparents.

Not all babies are fearful of strangers, but most are for a while.

They are more likely to be afraid if they have had little contact with people outside their immediate family.

Ways you can help your baby

It is better not to force your baby to go to a stranger, but allow her to look at the person from the security of your lap.

Your baby can pick up your feelings of confidence in others, and learn that they are safe to be with.

You can reassure grandparents and others who love the baby that this will not last; it is part of learning to deal with a big new world.

If you plan to leave your baby, it helps if the baby has become used to the child minder before being left.

Start with short separations at first and gradually increase the amount of time.

Many children have a special comfort object – a dummy, favourite blanket, piece of cloth, etc. It helps them feel safe, relax and to go to sleep while you are apart.

It is also helpful, if a baby is being left with someone else, to keep routines as much as possible like those at home.

Toddlers

Young children do not have an understanding of size, space and time, so they may, for example, be afraid of going down the plughole (or toilet) with the water, or get upset when you leave because they don't understand what you mean when you say you will be back at five o'clock.

You may have to do things like bath your child in a bowl without a plughole for a while.

Toddlers, especially those aged 2-3 years, are often fearful. They have very powerful emotions, which they have not yet learnt to control. Something new can be very frightening, even if we think that there is no risk to them.

Some toddlers try very hard to please their parents, and they can be very frightened if something goes wrong.

They can also be fearful of other people's powerful emotions. A parent's anger or despair can be very frightening to them.

It will help if you can look at what is happening in their lives and their relationships to find what might be making them feel strongly, and help them to talk about it.

Let them know that it is OK to feel cross sometimes.

Make sure they know that you will not let them hurt others, such as a new baby, or let anyone hurt them.

One of the ways toddlers deal with their fears, e.g. at bedtime, is to want to keep the same routine all the time. They may want a drink in the same glass, the same story and the same number of kisses every night. This helps them feel safe.

Preschool and school-age children

Children (and most people) are afraid of things that they cannot understand or control, and strange or new situations or objects. They can be fearful of many things, because so much of the world is new to them.

Fears may also be learned.

Sometimes they come from a direct experience with something that hurt, e.g. being bitten by a dog.

A fear can also be taught by parents, brothers and sisters, playmates, teachers, etc. For example, if the parent always gets afraid at the sight of a spider or in a lift, the child is likely to be afraid of these things.

Fears can also be caused by seeing or hearing about a danger, e.g. on TV.

Fear of being left alone at night or of the dark is still common among preschool children.

Children also have vivid imaginations, and some of the things that they imagine they also believe are real, e.g. monsters (especially children under three, who don't yet really know what is real and what is not real).

Young children need to be reassured if something is not real, but it may take them some time to really believe there is nothing to be afraid of.

It is important that you don't act as if you believe the fears are real. There can be a fine line between pretending to look for monsters yourself, and showing your child that there are no monsters.

Children of school age may be worried about burglars, afraid of having no friends, afraid of bullies, anxious about school work, or starting a new school or starting high school.

Older children often worry that their parents may separate, especially if they see this happening to friends' families, or if there are a lot of family arguments.

Many children worry that a parent may die.

Anxiety is infectious and can pass easily from one person to another. Worries and fears can pass easily from parent to child, and from child to parent.

In some ways, this passing of anxieties from parent to child can be helpful to keep the child safe, e.g. the child learns that it is not safe to go on the road because you show that this is something dangerous.

However, if you are too worried about too many things, your children are likely to be more anxious.

Helping children overcome fears

Openness
Give children information about their fears. Answer their questions about things like wars, death, hospitals, disease, etc. Knowing about things helps to make children less fearful (but not too much detail for young children).

Validation
This means listening to, understanding and not making fun of your child's fears.

Respond to your children's fear or cries by reassuring your children that they are safe, and cuddling or patting them until they calm down.

However, while you show your child that you understand that her fears are real, it is important not to let her think that you are also afraid (unless it is genuine) because it will make her more fearful.

Encouragment
Praise and reward your child when she makes a step towards fighting or confronting her fear, e.g. getting closer to a dog if she is frightened of dogs.

Help your child work out small steps she can take to overcome her fear, e.g. first just look at pictures of dogs, then get close to a gentle puppy.

Don't force your child to fully confront her fear, but take it a small step at a time and let her know you are proud of her when she does.

Routines
These help children know what to expect and make children feel more secure and confident, e.g. bedtime routines can help a child with fear of the dark.

Prepare children in advance if there is to be a change of routine.

Control
Having some control of the situation often helps with fears.

Make sure your child has her own comforters, e.g. dummy, blanket, night-light.

If your child is old enough, ask her what she thinks would help, or make some suggestions and let her choose. For example, if your child is afraid of burglars, she could check that the room or house is safe, with windows locked.

Opportunities
Provide opportunities for your child to develop skills and gain confidence in her own ability. Confidence can't be developed on praise alone. It is success and being able to do things that build up a child's confidence.

Let your child try things that she can do, and then give her lots of support and approval.

Read children's stories that deal with fearful events that children overcome.

Provide times for activities such as fantasy play, dress-ups and drawings where children can express their fears and take control of them.

Modelling
Children learn most by copying important adults in their lives (using you as a model to copy from).

Show that you are calm and confident in the situation which is frightening to your child.

Remember that children can learn fears from parents, and if you show anxiety in a situation your child may pick it up.

Exercise
Lots of physical activity helps reduce stress and also helps children to sleep well. Relaxation exercises and stories can also be helpful to use at bedtime or in times of extreme anxiety.