{"id":414920,"date":"2026-01-15T15:37:20","date_gmt":"2026-01-15T15:37:20","guid":{"rendered":"https:\/\/www.newsbeep.com\/au\/414920\/"},"modified":"2026-01-15T15:37:20","modified_gmt":"2026-01-15T15:37:20","slug":"how-avoidance-worsens-anxiety-in-children","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/au\/414920\/","title":{"rendered":"How avoidance worsens anxiety in children"},"content":{"rendered":"<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">This happens for a very simple reason: When you avoid something that makes you uncomfortable, it becomes harder to face it again in the future.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">As the co-director of a McLean Hospital clinic treating child anxiety disorders, as faculty at Harvard Medical School, and in my private practice where I treat mothers with postpartum anxiety disorders and parenting stress, I consistently connect with parents who are worried about their children\u2019s anxiety. I see these concerns mirrored in my friends, colleagues, and acquaintances\u2009\u2014\u2009individuals and families without formally diagnosed anxiety disorders, or who are not currently seeking treatment, but who still feel paralyzed by the responsibility of helping their children grow up to be emotionally healthy in today\u2019s tumultuous world.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">We\u2019re in an era where each negative emotion is treated as a crisis, and where <a href=\"https:\/\/www.bostonglobe.com\/2025\/05\/30\/lifestyle\/overparenting-sharp-decline-moms-mental-health\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.bostonglobe.com\/2025\/05\/30\/lifestyle\/overparenting-sharp-decline-moms-mental-health\/\">fears of screwing up the parent-child relationship <\/a>mean that you may be working overtime to minimize any discomfort in your kid\u2009\u2014\u2009and in yourself. And this is backfiring spectacularly.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">The avoidance of discomfort itself is what can ultimately be unsafe.<\/p>\n<p class=\"paragraph | width_max_1080 railless gutter_20_0\">At certain stages of development, <a href=\"https:\/\/deconstructingstigma.org\/library\/elkins-school-anxiety\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/deconstructingstigma.org\/library\/elkins-school-anxiety\">anxiety and fears are normal and expected<\/a>. Babies start showing separation and stranger anxiety at 8 or 9 months, once they realize \u201cMom still exists even when I do not see her, and I want her all the time.\u201d Anxiety about being away from primary caregivers is typically a marker of secure attachment; clinicians become concerned when young children do not care whether their caregivers are around.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">As children develop, \u201cwhat if\u201d fears become increasingly common: \u201cWhat if there is a war?\u201d \u201cWhat if you die?\u201d \u201cWhat will happen because of climate change?\u201d Then, as preteens and teenagers, their primary influences shift from parents to peers, and anxiety around social situations becomes common.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">As much as we all wish we could assuage our kids\u2019 fears by reassuring them \u201cDon\u2019t worry, you will never live through a war,\u201d or \u201cGrandpa is actually a force of nature who will never die,\u201d we can\u2019t make these promises, and it erodes trust to do so. Instead, you can respond in ways that acknowledge the reality of a world where sad or scary things happen sometimes, while also highlighting the ways in which the adults in your child\u2019s life are prioritizing their safety and well-being.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">When kids haven\u2019t had the chance to practice coping with discomfort in normally stressful situations, they lose out on learning how to deal with their negative emotions and to practice tolerating distress. They can end up flailing in truly unsafe ways when larger challenges come up. <\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Avoidance isn\u2019t always a recipe for anxiety problems, but it is a slippery slope. The good news is that if you understand the relationship between anxiety and avoidance, you can take steps to help prevent avoidance from snowballing into an anxiety disorder. Noticing your own experiential avoidance\u2009\u2014\u2009and teaching your kids how to notice theirs\u2009\u2014\u2009is a huge help in improving resilience and combating anxiety.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Imagine your kid has been placed in an honors math class for the new school year. You and he were proud when you heard the news over the summer, but he had some doubts he could handle the work. His anxiety kicks in when he shows up to the first class. At his desk, trying to make sense of the material flying at him, he thinks, I don\u2019t understand any of this. His stomach flutters, his muscles tense, and he notices a bit of dizziness. As he feels increasingly lost and uncomfortable, he has the urge to flee the classroom.<\/p>\n<p><img decoding=\"async\" id=\"img-2KGOWRBARZANRCLC7A7KECFX3U-image\" alt=\"Front cover of a book jacket. The background is off white. Across the top the type says &quot;Parenting Anxiety&quot; in large type. Under that in smaller type it says, &quot;Breaking the cycle of worry &amp; raising resilient kids.&quot; Underneath that there's a line drawing of a tree with a red apple sitting on the ground near the tree trunk. And the last line is the author's name, Meredith Elkins, PhD.\" class=\"height_a width_full invisible width_full--mobile width_full--tablet-only\" src=\"https:\/\/www.newsbeep.com\/au\/wp-content\/uploads\/2026\/01\/2KGOWRBARZANRCLC7A7KECFX3U.jpg\"  loading=\"lazy\"\/>Author Meredith Elkins is the co-director of a McLean Hospital clinic treating child anxiety disorders.Handout<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Eventually, he raises his hand and asks to go to the school nurse\u2019s office. Still dizzy, he worries because it\u2019s hard to catch his breath as he walks down the hall. The nurse takes his temperature\u2009\u2014\u2009normal\u2009\u2014\u2009and suggests he lie down for a bit. He begins to feel better, able to join his friends for lunch and finish out the rest of the school day.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Avoidance is a quick and powerful way to decrease anxiety, and the relief that it brings is super reinforcing. But his avoidance has consequences. New learning has taken place: He has evidence suggesting to him he can\u2019t handle honors math class. This sets the stage for Math Class #2, feeling even more anxiety, more quickly.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">What has he learned he needs to do to cope? He raises his hand within the first few minutes and heads to the nurse. The relief he feels is mingled with shame and self-doubt. I\u2019m too dumb to be in this class. Why is this so hard for me?<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">By the morning of Math Class #3, he has so much anticipatory anxiety he feels overwhelmed as soon as he wakes up, and you and he have a tense and tearful argument about going to school that day. He makes it there, but on the way to class, he feels his heart pounding and feels hot and clammy. He goes straight to the nurse\u2019s office, not even attempting to enter the classroom. The school nurse calls you to come pick him up. <\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">The relief we feel when we avoid something anxiety-provoking is a powerful motivator of future behavior. This means that relief reinforces the avoidance behavior, and we call this the cycle of anxiety.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Talking to kids about it in visual terms, I\u2019ll say something like, \u201cSo you think your anxiety would keep going up and up and up, getting worse and worse, unless you did something to stop it?\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">\u201cI guess.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">I acknowledge to them that this would be pretty awful. But then I ask them to think about what that would actually mean\u2009\u2014\u2009what would happen to their body or their mind if their anxiety went through the roof and never stopped.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">\u201cI don\u2019t know really . . . I guess I would have a heart attack and die? Or I wouldn\u2019t be able to control my body at all, and maybe I would freak out and try to jump out a window or something. Or I would go crazy.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">This is when I validate those assumptions while also pointing out that there is almost no chance their feelings of anxiety will hurt them in the moment.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Your emotions rise, peak, and fall like waves. They don\u2019t\u2009\u2014\u2009they can\u2019t\u2009\u2014\u2009stay elevated for too long. This is because your body strives for balance, for homeostasis. Feedback loops in your body elevate you into the fight-or-flight response, then trigger changes to bring you back to baseline.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">What would\u2019ve happened if your son hadn\u2019t left math class the first time? His anxiety probably would\u2019ve risen, possibly quite high, and eventually peaked and plateaued before starting to decrease, slowly. He might\u2019ve cried and felt embarrassed if classmates or his teacher noticed.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">But more likely, his teacher may have approached him after class to see how he was doing and to set up time to review the basics one-on-one, and your son would see that he does, in fact, understand the material\u2009\u2014\u2009or at least has the capacity to do so, with extra time and help.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">The point is, it\u2019s way more likely your son would be able to cope with his anxiety if he resisted the urge to avoid. When he avoids, he loses the opportunity to learn that his \u201cworst-case scenario\u201d predictions typically don\u2019t come to pass and he can cope with the tough situation.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Doing hard things is hard, but leaning into, rather than away, from anxiety is the key to reducing its power.<\/p>\n<p class=\"paragraph | width_max_1080 railless gutter_20_0\">Kids get a ton of information about what to be afraid of from their caregivers. (When your toddler takes a tumble, they look to you, right?) Observing their parents also gives them important information that helps them form beliefs about how capable they are of handling tough things. Modeling brave beliefs and resilient responses to anxiety sets your kids up to have brave beliefs and resilient responses of their own.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Imagine your child is crying, having trouble catching their breath, and telling you their heart is beating quickly. What does it communicate to them if you respond with panic: \u201cOh my gosh, what\u2019s wrong, are you OK? Let me check your pulse. Calm down! If you don\u2019t calm down, you will make yourself sick!\u201d This response adds fuel to the anxiety fire, amplifying the painful-feelings pile-on and creating more anxiety about anxiety.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">What if, instead, you take your kid\u2019s hands, look them in the eye, and validate with confidence. \u201cYou feel really scared; I see that. Anxiety feels awful. At the same time, it can\u2019t hurt you. This will pass. I am right here with you, if you want me to be.\u201d Consider the impact for your kid of seeing you so confident in their coping abilities that you would encourage them to sit with\u2009\u2014\u2009rather than run from\u2009\u2014\u2009their distress.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Confession: I\u2019m an anxiety disorder specialist who\u2019s scared of bugs. Once I became a parent, I didn\u2019t want my kid to learn from my reaction that bugs were scary or dangerous; I know they aren\u2019t. I aim to assume a convincing poker face when my daughter points out a spine-chilling beast with a thousand legs on the living room wall. And I\u2019m getting better at modeling calm curiosity\u2009\u2014\u2009\u201cWow! Look at all those legs! I bet he is fast! Let me put him outside where he belongs\u201d\u2009\u2014\u2009but I\u2019m still a work in progress.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">It\u2019s also important to model for your kids that you, too, can be afraid. Modeling healthy responses to the range of negative emotions helps our kids feel less vulnerable and unmoored when they experience those same feelings. Because anxiety can make us feel terribly alone.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">When we believe we\u2019re the only one struggling, we can feel like we\u2019re damaged and defective, weird and incapable. It\u2019s a gift to share with your kids about times in your life when you felt frightened, worried, uncertain, or terrified, but\u2009\u2014\u2009crucially\u2009\u2014\u2009when you rose to the challenge, resisted the urge to avoid your anxiety, and instead fought back. <\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Remember to consider a child\u2019s developmental stage and emotional maturity in the process, and model how you are coping with your hard feelings. It\u2019s one thing to say to your 9-year-old, \u201cI\u2019m feeling a bit stressed about some of the stuff in the news these days, and I know I can handle it,\u201d and another to share, \u201cI am pretty sure this is Armageddon and I\u2019m totally freaking out.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Knowing your kid well, you can often anticipate their reactions. For example, if your child tends to feel anxious in large social situations, you might watch them at a holiday party, checking in with them repeatedly to see if they\u2019re all right. You might give them an \u201cout\u201d ahead of time: \u201cIf it feels too hard, we can go whenever you want. I\u2019ll just tell Aunt Vicki I\u2019m not feeling well.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">If your kid notices you\u2019re on high alert for their reaction, they\u2019re more likely to notice uncomfortable thoughts and feelings themselves. If you keep checking in with them, it communicates that you think there\u2019s something about this situation that isn\u2019t all right. If you give them an \u201cout,\u201d they know you don\u2019t think they\u2019ll be able to cope; you\u2019re modeling your belief that they won\u2019t be able to handle a given situation that everyone else in the room can. <\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Supportive statements validate your kids\u2019 anxiety and express confidence in their ability to cope with tough feelings\u2009\u2014\u2009keys to encouraging effective coping in the moment. A supportive statement could sound like this: \u201cI see that you are uncomfortable. It can be hard to be around a bunch of people, and I know you can do hard things even when you feel uncomfortable.\u201d<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">The goal of the supportive statements is not to magically eviscerate your child\u2019s anxiety in the moment. Rather, it\u2019s a shorthand that you can reach for when your kid is anxious and you don\u2019t know what to say or do, but you want to do something that helps.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">Getting to know anxiety better can help you dispel the myths about this normal, natural, and ultimately helpful emotion. It also can help you to shift your responses to anxiety-provoking situations so that you and your kids can become less avoidant and more resilient. Anxiety is either emboldened or defused, based on what you do in response to it.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">It\u2019s extraordinarily difficult to be a parent. I\u2019m trying my best, and I know you are, too. Seriously, if you have ever successfully put sunscreen on a screaming toddler, you have what it takes to be successful here. So stay open, get curious, and keep going\u2009\u2014\u2009you\u2019ve got this.<\/p>\n<p class=\"paragraph | gutter_20_0 railless margin_horizontal_10 width_max_1080\">This excerpt was adapted from <a href=\"https:\/\/bookshop.org\/p\/books\/parenting-anxiety-breaking-the-cycle-of-worry-and-raising-resilient-kids-meredith-elkins-phd\/72a9e8272645affc?ean=9780593798812&amp;next=t\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/bookshop.org\/p\/books\/parenting-anxiety-breaking-the-cycle-of-worry-and-raising-resilient-kids-meredith-elkins-phd\/72a9e8272645affc?ean=9780593798812&amp;next=t\">Parenting Anxiety: Breaking the Cycle of Worry and Raising Resilient Kids<\/a> by <a href=\"https:\/\/www.mcleanhospital.org\/profile\/r-meredith-elkins\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.mcleanhospital.org\/profile\/r-meredith-elkins\">Meredith Elkins, PhD<\/a>. Copyright \u00a9 2026 by Regina Meredith Elkins. Published in the United States by Crown, an imprint of the Crown Publishing Group, a division of <a href=\"https:\/\/www.penguinrandomhouse.com\/books\/761140\/parenting-anxiety-by-meredith-elkins-phd\/\" target=\"_blank\" rel=\"nofollow noopener\" title=\"https:\/\/www.penguinrandomhouse.com\/books\/761140\/parenting-anxiety-by-meredith-elkins-phd\/\">Penguin Random House LLC<\/a>. Send comments to magazine@globe.com.<\/p>\n","protected":false},"excerpt":{"rendered":"This happens for a very simple reason: When you avoid something that makes you uncomfortable, it becomes harder&hellip;\n","protected":false},"author":2,"featured_media":414921,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[64,63,137,514,515],"class_list":{"0":"post-414920","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-mental-health","8":"tag-au","9":"tag-australia","10":"tag-health","11":"tag-mental-health","12":"tag-mentalhealth"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/414920","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/comments?post=414920"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/posts\/414920\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media\/414921"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/media?parent=414920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/categories?post=414920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/au\/wp-json\/wp\/v2\/tags?post=414920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}