Mental Matters

Treatment for Anxiety Disorders in Children

Treatment for Anxiety Disorders in Children

Treatment for childhood anxiety is most effective when it’s early, consistent, and family-centred. The aim is to reduce symptoms, build coping skills, and prevent long-term mental health issues. Read more about the treatment for anxiety disorders in children below.

1. Cognitive Behavioural Therapy (CBT)

  • CBT is the gold-standard therapy for childhood anxiety.
  • Helps children identify anxious thoughts and challenge unhelpful patterns.
  • Includes gradual exposure to feared situations, teaching relaxation techniques, and building problem-solving skills.
  • Can be delivered individually, in groups, or with family involvement.

2. Parent Training and Family Therapy

  • Parents learn how to respond supportively without reinforcing avoidance.
  • Helps reduce overprotection, criticism, or anxiety modelling.
  • Family therapy may also address stress or conflict within the home.

3. School-Based Support

  • Collaboration with teachers to implement classroom strategies (e.g. quiet spaces, predictable routines).
  • Accommodations such as extended test time or reduced performance pressure can be helpful.

4. Medication (if needed)

  • Used when anxiety is severe or disabling, and therapy alone is not effective.
  • SSRIs (e.g. fluoxetine or sertraline) are sometimes prescribed.
  • Must be closely monitored for side effects and effectiveness.

5. Lifestyle Support

  • Encourage routine, sleep hygiene, and balanced nutrition.
  • Promote physical activity, which reduces anxiety symptoms.
  • Limit screen time and social media, which may fuel anxiety.

Access to mental health care in South Africa is increasing through school-based counselling, primary health clinics, and private therapists. NGOs and online platforms are also expanding reach in underserved communities.

Let’s now explore complications and long-term risks if childhood anxiety goes untreated.

👉 [Next: Complications of Anxiety Disorders in Children]




Clinical Psychologist Sandton

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