Childhood anxiety — when to get help

Every child worries sometimes — about the dark, about starting school, about a dog they don't know. A degree of fear is a normal, healthy part of growing up, and most of it passes as children get older.^[] The question parents really want answered is: how do I know when it's more than that?

What ordinary worry looks like

Fears tend to track a child's age. Toddlers and preschoolers often fear separation, the dark, or loud noises; school-age children may worry about friendships, performance, or scary news. These fears usually come and go, and children can be comforted and carry on.^[]

Signs anxiety is getting in the way

It's worth paying closer attention when worry starts to interfere. Children with ongoing anxiety might:^[]

• ask the same reassurance questions over and over,
• worry about many things — health, school, safety, world events,
• avoid everyday activities, friends, or places they used to enjoy,
• complain of stomach aches, headaches or tiredness with no medical cause,
• take a long time to settle at night because they're worrying.

A useful rule of thumb: it's the impact, not the topic, that matters. Worry that's stopping your child from doing things they want to do — playing, learning, seeing friends — is worth acting on.

When to seek help

Consider reaching out to a professional if your child's anxiety is interfering with their friendships, schoolwork, play or family life; if their reactions seem unusually severe or very hard to settle; or if the worry is lasting weeks rather than passing.^[] Trust your instinct — you know your child, and seeking advice early is never an overreaction.

A good first step is your GP or paediatrician, who can talk things through and, if helpful, refer you to a psychologist. In Australia, children may be able to access Medicare-rebated psychology sessions through a mental health care plan.^[]

What support looks like

Psychological support for anxious children is practical and skills-based — helping a child understand their worry, face feared situations gradually, and build coping tools, while coaching parents on how to respond. It works, and it tends to work better the earlier it starts.

If anxiety is keeping your child home, read our guide to school refusal.

At Hey Sprout, child psychology happens over video from home — often where an anxious child feels most comfortable opening up. If you're unsure whether it's time, our intake team can help you think it through.