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Generalised Anxiety Disorder (GAD) in
Children

Generalised Anxiety Disorder (GAD) in children involves persistent and excessive worry about many areas of life, such as school, friendships, health, or family matters. While it’s normal for children to feel anxious occasionally, GAD causes ongoing worry that’s difficult to manage and often out of proportion to the situation. In fact, many children with GAD appear conscientious or eager to please, which can sometimes hide the extent of their distress.

Therefore, early recognition and treatment for generalised anxiety disorder in children are essential. With timely support and professional guidance, children can learn to manage their anxiety more effectively and improve their overall wellbeing.

Common signs of GAD in kids

Symptoms of GAD can interfere with a child’s ability to enjoy daily activities, focus at school, and form healthy friendships. As a result, children may struggle with irritability, sleep issues, or physical symptoms such as tummy aches. Recognising these early warning signs is crucial because it allows families to seek help sooner and begin effective treatment for anxiety.

What you may not be aware of about
anxiety in children...

1

Around 7% of Australian children and adolescents have a diagnosable anxiety disorder

2

A national survey found that approximately 278,000 children aged 4–17 experience clinical anxiety symptoms

3

Anxiety disorders are the second most common mental health condition among children

4

Between 2–5% of children develop Generalised Anxiety Disorder, marked by frequent and uncontrollable worry

Child sitting on a fallen tree trunk in a forest, surrounded by green foliage.

What the research says
about GAD in children

Understanding Generalised Anxiety Disorder in Childhood

Research shows that GAD leads to excessive, uncontrollable worry about everyday situations such as academic performance, friendships, or global events. Consequently, this persistent anxiety can trigger physical symptoms like headaches, stomach aches, and sleep disturbances. Over time, these difficulties can reduce confidence, affect academic progress, and make social situations challenging.

Evidence-Based Treatment for Generalised Anxiety Disorder in Children

Extensive research strongly supports Cognitive Behavioural Therapy (CBT) as the most effective treatment for generalised anxiety disorder in children. Specifically, CBT helps children recognise unhelpful thoughts and develop strategies to manage their worries. Moreover, it encourages gradual exposure to anxiety-provoking situations, empowering them to face fears with confidence. As a result, many children experience reduced anxiety and improved daily functioning.

The Role of Parents and Family Support

Importantly, parents play a vital role in supporting their child’s recovery. When parents learn how to respond to anxiety and use consistent strategies at home, their child’s progress often improves. For instance, parents can practise coping skills together, encourage brave behaviour, and model calm responses. Additionally, studies show that when therapy includes both parent and child participation, outcomes are stronger and last longer.

When Medication May Help

In some cases, symptoms of GAD are severe enough that medication becomes part of the overall treatment plan. Selective Serotonin Reuptake Inhibitors (SSRIs) can help regulate mood and reduce anxiety, particularly when used alongside therapy. However, medication is generally considered only when psychological therapy alone isn’t enough. Therefore, it’s essential to consult a qualified health professional to weigh the benefits and potential side effects before beginning any medication.

The Importance of Early Intervention

Early intervention can make a remarkable difference. Research consistently shows that the earlier children receive treatment for generalised anxiety disorder, the better their long-term outcomes. For example, children who begin therapy early are less likely to experience chronic anxiety or related conditions, such as depression, in the future. Furthermore, early action can restore confidence and improve academic and social engagement.

Hope Through Effective Treatment

While GAD can be challenging, it’s also highly treatable. With evidence-based therapy, supportive parents, and ongoing encouragement, children can learn to manage anxiety successfully and live happy, confident lives. Ultimately, with the right treatment plan, they can thrive both at home and at school.

*Source: Recognizing, diagnosing, and treating pediatric generalized anxiety disorder – Journal – American Academy of Physician Assistants
Picture of Written by Dr Elizabeth Woodcock

Written by Dr Elizabeth Woodcock

Clinical Psychologist, Director of MindBox Psychology

Our psychologists are highly qualified, holding Master’s or Doctorate degrees in Clinical Psychology. We provide treatment for child anxiety using Cognitive Behavioural Therapy (CBT) and other evidence-based treatments like Acceptance and Commitment Therapy (ACT for Children) and Emotion Coaching. We also offer treatment for adults with generalised anxiety disorder—click here to learn more about our approach.