Anxiety in children and adolescents · Psychology
Psychology for kids and teens with anxiety
Clinically reviewed by Hannah Chamberlain
Anxiety is one of the most treatable concerns in childhood — and CBT is the treatment with the strongest evidence behind it. We work online, coach parents as part of the plan, and hold your slot before asking for any NDIS details.
What we treat
- Generalised worry that's hard to settle or switch off
- Separation anxiety and school refusal / school can't
- Social anxiety — fear of judgement, speaking up, new groups
- Specific fears and phobias getting in the way of daily life
- Perfectionism, reassurance-seeking, and avoidance patterns
- Physical symptoms of anxiety — sleep trouble, tummy aches, panic
Typical outcomes
- A child who can name what anxiety feels like and use a coping skill
- Gradual return to avoided situations — school, sleepovers, activities
- Fewer and shorter anxious episodes, with faster recovery
- Parents who know how to respond without accidentally feeding the worry
- A relapse plan so early signs get caught before they snowball
How sessions run
Online 50-minute sessions. For younger children parents are in the room and coached to be the child's between-session coach; for teens, sessions are one-on-one with planned parent debriefs. Therapy is paced to the child — skills first, then gradual, supported exposure.
Why CBT is the starting point
Cognitive behavioural therapy is the most strongly evidence-based treatment for anxiety in children and adolescents — across dozens of trials it roughly triples the chance of remission compared with no treatment. It isn't abstract talk therapy: it's a structured, skills-based approach that teaches a child to understand their anxiety, build practical coping tools, and gradually face the situations they've been avoiding.
What that looks like in practice:
- Understanding anxiety — why the body reacts the way it does, so the feeling is less frightening
- Coping skills — concrete tools for noticing and calming the anxious response
- Thinking strategies — questioning and reframing anxious thoughts, pitched to the child's age
- Gradual exposure — a step-by-step ladder back into avoided situations, with support at every rung
The parent is part of the plan
For anxiety especially, what happens between sessions matters more than the hour in session. Well-meaning accommodation — letting a child skip the thing they fear, or over-reassuring — can quietly reinforce the worry. A big part of the work is coaching parents to respond in ways that build confidence instead. With younger children, parent-coaching is the therapy.
When anxiety travels with something else
Anxiety rarely shows up alone. It commonly co-occurs with autism and ADHD, and the plan changes when it does:
- Anxiety + autism — needs an autism-informed approach; often psychology alongside speech or OT.
- Anxiety + ADHD — emotional regulation and anxiety frequently overlap; psychology + OT is a common combination.
Hey Sprout's single intake catches these connections so you're routed to a coordinated plan — not three separate forms and three separate wait times.
NDIS funding
Anxiety on its own usually isn't an NDIS access condition — the scheme assesses the functional impact of a permanent disability. Where anxiety co-occurs with an eligible condition such as autism, psychology is commonly funded under Capacity Building — Improved Daily Living. For families without NDIS funding, sessions are private-pay at the NDIS rate.
Clinically reviewed by Hannah Chamberlain
Last reviewed 31 May 2026
This page reflects current clinical guidance. See the Hey Sprout editorial policy for review cadence and corrections.
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We hold your slot before asking for NDIS details. Reply within 1 business day.
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