The Pain of Childhood Anxiety

Becky • January 23, 2018

By: Becky Meline, LIMHP LISW IADC

Anxiety Disorders in Children 

Anxiety disorders in children and adolescence is the most commonly diagnosed mental health disorder in the United States with nearly 32% of adolescents dealing with anxiety ( Journal of the American Academy of Child and Adolescent Psychiatry , 2010). This number does not seem to be slowing down either.  Although anxiety impacts a large number of families, it comes with many complex emotions and questions about how to help the child you may not recognize anymore. There are different types of anxiety disorders that can be diagnosed such as Panic Disorder, Separation Anxiety Disorder and Social Anxiety to name a few; but I’m going to focus on one of the most common which is Generalized Anxiety Disorder.

 

What Would I See in My Child?

 

  • Worry . Generalized Anxiety Disorder is strongly characterized by excessive worry about everyday things that seem to be blown out of proportion.  Often times they are worried about their own performance in areas such as school and sports.  These worry thoughts are strict and rigid, with very little flexibility to view it a different way. I call them “yeah butters.” When I compliment them on something it is quickly interrupted with a “yeah but I could have done…”

 

  • Sleep . You may see problems with falling asleep at night, and feeling restless. It can be difficult for their minds to unwind and they either replay the days activities, or worry about tomorrows.

 

  • Physical symptoms are also very common such as feeling tired or fatigued, and having frequent complaints of headaches and stomachaches. Anxiety is often stored in these two areas for kids.

 

  • Isolation . Children can become distant from friends, or withdraw from social activities; wanting to stay home instead.

 

  • School Struggles . You may see problems with concentrating, or disruptive behavior in the classroom; some kids will avoid or refuse to go to school so they don’t have to feel the anxiety or have to worry.

Diagnosis of GAD

Diagnosis of Generalized Anxiety Disorder would come from a mental health professional or doctor who can assess your child’s symptoms. The following information is provided from the Diagnostic and Statistic Manual 5; which is the manual that helps direct diagnosis.  Excessive anxiety and worry would need to be present for more days than not for at least 6 months, and cause distress for the child in more than one setting such as school and home life (American Psychiatric Association, 2013).

The anxiety and worry in children is associated with one or more of the following symptoms:

  • Restlessness, feeling keyed up or on edge
  • Being easily fatigued
  • Difficulty concentrating or mind going blank
  • Irritability
  • Muscle tension
  • Sleep disturbance

These symptoms are not better accounted for by an effect of a medical diagnosis or is substance induced such as being under the influence of a drug (American Psychiatric Association, 2013).

Impact on Life

The impact of anxiety on a child’s life can be so painful to watch for the parents! Some say that they hardly recognize their once carefree child who now seems captive to their feelings. Childhood and adolescence is the time when independence and autonomy dominate the developmental period, yet due to their anxiety, some kids avoid social activities with peers and may seem more clingy to adults. They may refuse to go to parties or sleepovers; or quit their activities or sports. This can lead to frustration for the parents as they try to figure out how to get things back to the way they once were.

Treatments for Generalized Anxiety Disorder

Cognitive-Behavioral Therapy (CBT)

CBT is a type of therapy that has been shown by extensive research to be one of the best forms of therapy to treat anxiety. Cognitive-Behavioral Therapy basically means that what we think, and what we do, impacts how we feel; and this can become a vicious cycle.  Everybody views life through a different lens, and that lens is created by our past experiences. For example, if we’ve had negative experiences making friends, we might begin to believe that we are “awkward and no one likes me.” Every interaction that we have, is then viewed through that lens and we look for reasons why an experience fits into our belief system as opposed to challenging it. As humans, our brain is wired to believe that what we think, is true. CBT helps to challenge those negative beliefs and change them to more helpful and accurate interpretations of our experiences.

Medication

Medication can be helpful in managing the child’s anxiety, especially in conjunction with therapy. In fact, when combined, it has been reported as being some of the highest success rates for treatment. I get a lot of mixed emotions from parents on starting their kids on medication; but the reality is that some kids need to alleviate some of the symptoms in order to really benefit from therapy. They are then able to focus on learning the interventions and coping skills and have more energy to practice.

Parental Support

Parental support is in my opinion, a huge predictor of success in any kind of treatment for youth and adolescents. I always tell the parents that even if I performed magic in session for 1 hour a week; you still have 167 more hours than I do that week to be able to coach and support your child. The math is overwhelmingly on your side; I like to think of it as I’m teaching the parents to be the therapist until the child can take on the role of being their own therapist. As a parent, it is natural to feel horrible watching your child go through the pain of anxiety. Many parents, although it’s with good intentions, will often try to remove all areas of worry for the child in an attempt to make things better.  In the short-term this does help to alleviate the anxiety, but unfortunately it reinforces it in the long-term. Your goal shouldn’t be to remove the anxiety, but to help the child gain mastery by coping through the anxiety. By doing this, the fear, or anxiety of a certain situation, person, etc. will decrease and eventually go away.

Steps to Get Started

Whether reading this brought things to your awareness that you never knew, or it confirmed some concerns that you already had; here are some tips to get started. The sooner you can help your child with their anxiety, the better!

Take this free anxiety screener here to see if your child has some symptoms of an anxiety disorder

Contact a Mental Health professional to complete a thorough assessment of your child’s symptoms and recommend the appropriate treatment to help the child and the family function better.

Talk to your pediatrician or a child psychiatrist about the symptoms and see if medication may be appropriate.

Be patient and supportive of the child and their struggles, they are real!

Resources

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Merikangas, K.R. (2010). Lifetime Prevalence of Mental Disorders in US Adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry , 49. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2946114/

Becky began her journey into this profession at the University of South Dakota as a student-athlete where she received her bachelor’s degree in psychology and played volleyball for the Coyotes.  She was a four year starter and held the universities career kill record for 11 years.  She was Conference Player of the Year her senior year and awarded Female Athlete of the Year for USD in 2004.  For the past 9 years she has practiced therapy with adults, and specialized in the treatment of adolescents and children.  She moved into a dual role 4 years ago as a clinician and a Clinical Supervisor overseeing a community mental health clinic in Iowa; and has a private practice Focus Therapy in Omaha, NE. For more information on Becky and the services she provides visit the website at focustherapyomaha.com

The post The Pain of Childhood Anxiety appeared first on Focus Therapy.

By Becky Meline September 10, 2025
By: Becky Meline, LIMHP MGCP One of my favorite topics to discuss with my athletes is the connection between their performance, and their relationship with God. I have found that those who lean on their faith and use God’s strength in their journey of athletics tend to be less stressed and happier knowing that they are not alone in pressure moments. Faith is never something I push on my athletes, if it’s already there GREAT! We build on it. If it’s not, I just encourage them to be curious about it. Every athlete knows the feeling—the nerves before a big game, the pressure to perform, the expectations from coaches, teammates, and even themselves. Sports bring incredible highs, but they can also bring crushing stress. In those moments, it can feel like your entire worth is tied to the scoreboard. But the truth is, your identity is found in something far greater than a win or loss: your relationship with God. Faith offers a foundation that no missed shot or bad game can shake. When you invite God into your athletic journey, the pressure doesn’t disappear, but it transforms. Instead of feeling like you carry the weight of performance on your shoulders, you can hand that weight to Him. Play for an Audience of One It’s easy to feel pressure when you think everyone is watching and judging your every move. God has given you spiritual gifts and every time you compete, practice, stand as a leader—God smiles. I encourage my athletes to shift their mindset to play for God—your true “Audience of One”—it changes everything. Your effortbecomes an act of worship, and the outcome becomes less important than the heart you bring. Many of my athletes choose to write on their tape job or wrist “Audience of One” as a reminder. Remember Who You Are in Christ The world measures success by stats and records, but God doesn’t. Your value is not defined by points scored, minutes played, or trophies earned. You are already chosen, loved, and enough because of Him. Knowing that frees you from tying your identity to your performance. Use Prayer as Your Pre-Game Routine Many athletes warm up their bodies before a game. Why not warm up your spirit too? A simple prayer before stepping on the court, field, or track can ground you: “Lord, give me peace. Help me use the gifts You’ve given me for Your glory. Win or lose, may I honor You.” Prayer calms nerves, centers your mind, and reminds you you’re not alone out there. Trust God With the Outcome Pressure often comes from fear—fear of losing, making mistakes, or letting people down. Faith helps you release that fear. You can trust that God already has a plan for your life, and one game will not make or break it. Success isn’t always about the scoreboard; sometimes it’s about perseverance, character, and growth. Some of the biggest lessons I have learned in my own athletic journey have come through pain and heart break. It’s hard to see any benefit in the moment--but I lean on a phrase I heard from on a pastor at our University church service after one of my hardest week in college. He said, “Faith is believing in advance, what will only make sense in reverse.” I had to trust that this really difficult experience was not wasted and that it will help me somehow in the future. I have no doubt God sent that message to me and I have found this to be true in all of my hard times. Find a phrase or scripture to lean on in hard times. Lean on Scripture in Tough Moments When doubt or pressure creeps in, Scripture becomes your fuel. Verses like “I can do all things through Christ who strengthens me” (Philippians 4:13) or “Cast all your anxiety on Him because He cares for you” (1 Peter 5:7) are reminders that God is with you in every challenge. Sports are a gift, but they were never meant to define you. By anchoring your heart in God, you can step into competition with confidence, freedom, and peace. Pressure will come, but faith transforms it into purpose. Play hard, compete with joy, and remember—you’re already victorious in Him.
August 27, 2025
By: Becky Meline, LIMHP MGCP If you’ve ever sprinted from practice to a late-night study session, or sat in class still sore from the game the night before, you know the reality of being a student-athlete. It’s not just about making the winning play or acing the test—it’s about doing both, often on the same day. The pressure is real. But here’s the thing: the very challenges you face are also what make you stronger, more resilient, and more capable than you might realize. The Pressure of Game Day Picture this: it’s the night before the big game. Your stomach is tied in knots, and you can’t shut off the “what ifs.” What if I mess up? What if I let my team down? What if I’m not good enough? Every athlete has felt that way. The best learn to shift the pressure into power. Instead of fearing those nerves, they reframe them as fuel. That nervous energy is your body’s way of saying, “I’m ready.” When the whistle blows or the ball is served, focus on just one moment at a time. Not the score, not the outcome—just the play in front of you. Some athletes use music, some use breathing, some use a special pre-game routine. Whatever grounds you, lean on it. Pressure doesn’t have to crush you—it can sharpen you. Balancing the Books and the Ball Of course, the challenge isn’t only on the field. It’s also in the classroom. Imagine finishing an away game late at night and realizing you still have an essay due the next day. That’s the balancing act of a student-athlete: your sport demands so much, but so does school. Here’s where discipline becomes your greatest strength. A planner or calendar might not seem exciting, but it’s your lifeline. Breaking big assignments into smaller steps and using pockets of time—like studying on the bus or reviewing flashcards between classes—helps you stay ahead instead of drowning in deadlines. And don’t forget: teachers and coaches are human too. If you communicate with them early, most will respect the effort you’re putting in. You don’t have to carry it all alone. Don’t Lose Yourself in the Grind It’s easy to feel like your identity is just “the athlete” or “the student.” But you are more than your GPA and more than your stats. Make time to laugh with friends, enjoy hobbies, or simply rest. Sleep, nutrition, and mental recovery are not luxuries—they’re essentials. One day you’ll look back and realize the juggling act of being a student-athlete prepared you for so much more than sports or school. It taught you grit. It taught you balance. It taught you how to keep moving forward even when life is packed with pressure. Final Word Being a student-athlete isn’t easy. You’ll have days where the weight feels too heavy. But remember: pressure is a privilege. It means people believe in you. It means you’ve worked hard enough to be trusted with responsibility. And when you learn to handle that pressure—both on the field and in the classroom—you’ll carry those lessons with you for the rest of your life.
Child sitting, using a tablet, on a black couch.  Blue clothing, light skin, various app icons on the screen.
August 27, 2025
By: Becky Meline, LIMHP MGCP Social media is a huge part of today’s world. Apps like Snapchat, TikTok, and Instagram are where many kids connect with friends, share their lives, and explore trends. But as a parent, it’s normal to wonder: When is the right time to let my child start using these apps? How do I keep them safe while still respecting their growing independence? Here are some practical tips to help you set healthy boundaries and keep tabs on your child’s social media use. 1. Know the Platforms Before You Say Yes Before allowing your child on any app, take time to learn how it works. Create your own account, explore the settings, and understand the privacy controls. Each app has unique features: Snapchat – Messages and pictures disappear quickly, making it harder for parents to track. TikTok – Highly engaging, with a mix of entertainment, trends, and sometimes inappropriate content. Instagram & Others – Visual-heavy platforms where likes and follows can impact self-esteem. When you know the app, you’ll be better prepared to set realistic rules. 2. Consider Age and Maturity, Not Just Rules Most platforms set their minimum age at 13 (due to U.S. privacy laws), but maturity matters more than the number. Ask yourself: Can my child follow family rules without constant reminders? Do they handle disappointment and conflict appropriately? Are they open to talking with me about uncomfortable situations? If the answer is “not yet,” it may be best to wait a little longer before granting access. 3. Start with Training Wheels When you do allow access, treat it like getting a driver’s license: start with supervision. Some ways to do this include: Require that you know their passwords at first. Keep accounts private, approving only friends they know in real life. Allow limited time online (e.g., 30–60 minutes per day). Encourage them to use social media in shared family spaces, not behind closed doors. 4. Use Built-In Parental Controls and Monitoring Tools Most apps now have parental controls or “Family Pairing” features. For example: TikTok has Family Pairing, allowing you to set screen time limits, filter content, and restrict direct messages. Snapchat offers Family Center, which lets you see who your child is friends with and who they’re messaging. iPhone/Android devices have built-in screen time management to limit overall app use. These tools don’t replace conversation but can support the boundaries you’ve set. 5. Have Ongoing Conversations (Not Just Rules) Checking in isn’t about snooping — it’s about teaching. Ask questions like: “What’s your favorite thing about TikTok right now?” “Have you seen anything online that made you uncomfortable?” “How do you decide who to follow or accept as a friend?” By talking openly and often, your child learns to see you as a safe person to come to if something goes wrong online. 6. Model Healthy Social Media Habits Kids notice how parents use technology. If they see you scrolling at the dinner table or checking notifications late at night, they’ll take that as “normal.” Show them balance by: Putting your phone down during family time. Setting your own screen time limits. Talking about how you choose what to share (and what to keep private). 7. Focus on Trust, Not Just Control Ultimately, your goal isn’t to monitor your child forever — it’s to help them build the skills to use social media responsibly on their own. Start with close supervision, gradually loosen restrictions as they show responsibility, and always keep the door open for honest conversation. Final Thought There’s no one “right” age to allow Snapchat, TikTok, or Instagram. The right time depends on your child’s maturity, your family’s values, and your willingness to stay engaged in their online world. With clear limits, open conversations, and ongoing guidance, you can help your child navigate social media safely and confidently.
Football player in green uniform running with the ball, other player in red close behind.
August 27, 2025
By: Becky Meline, LIMHP MGCP Every athlete—no matter how talented—faces moments of self-doubt. Questions like “Am I good enough?” or “Do I really belong on this team?” can creep in before a big game, after a mistake, or when comparing yourself to teammates. The truth is: self-doubt is normal. What matters most is how you respond to it. Building the right mindset and tools can help you move through those doubts and refocus on what you can control. Here are some practical strategies for athletes to handle self-doubt and step confidently into their role on the team: 1. Shift Your Focus from Comparison to Growth It’s easy to compare yourself to teammates or opponents, but comparison often fuels insecurity. Instead, track your own growth. Ask yourself: “Am I improving from last week? Last season?” Keep a training journal where you write down small wins. Focusing on personal progress helps you recognize that you belong because you’re committed to growth, not because you’re perfect. 2. Reframe the “Am I Good Enough?” Question Instead of asking “Am I good enough?” try asking: “What can I do today to get 1% better?” “How can I help my team right now?” This shift turns self-doubt into action. It keeps you grounded in effort and learning, not in judgment. 3. Use Positive Self-Talk What you say to yourself matters. Doubt often comes with a harsh inner voice. Challenge that voice by creating a short, empowering phrase you can repeat during tough moments, such as: “I’ve trained for this.” “I bring value to this team.” “One play doesn’t define me.” Athletes who consistently practice positive self-talk train their minds just like they train their bodies. 4. Lean Into the Team Mindset Remember—you’re not on your team by accident. Coaches chose you for a reason. Instead of focusing on where you rank compared to others, think about what you add: hustle, energy, encouragement, a specific skill set. Belonging isn’t about being perfect; it’s about contributing to the bigger picture. 5. Normalize Mistakes Self-doubt often spikes after a missed shot, an error, or a bad game. But mistakes are part of being an athlete. Use them as fuel to learn instead of proof that you don’t belong. A powerful reframe: “Mistakes mean I’m pushing my limits.” “Every athlete—even the best—has bad games. 6. Develop a Pre-Performance Routine Having a routine before practice or competition can anchor you when doubts rise. This could include deep breathing, listening to music, visualizing your role, or using your positive affirmation. A consistent routine tells your body and mind: “I’m ready.” 7. Talk About It Many athletes think they’re the only ones struggling with self-doubt, but that’s rarely true. Opening up to a coach, teammate, or sports counselor can help you realize you’re not alone. Sometimes, simply naming your doubt makes it lose its power. Final Takeaway Self-doubt doesn’t mean you don’t belong—it means you care. The question isn’t whether you’re “good enough.” The real question is: Are you willing to keep showing up, learning, and growing? The answer to that is already yes. Becky Meline, LIMHP MGCP Licensed Clinician & Certified Performance Coach Focus Therapy & Performance Coaching 402.513.4416
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