How counselling helps an anxious child
Counselling helps an anxious child by giving them a regular, private time to work out what the worry is about, and to practise coping with it in small steps. A worry that has been sitting inside a child for months often loosens once they can show it to someone and see that the adult isn’t alarmed by it.
We offer counselling for anxious children in Manchester from age 3 to 18. Gitta Strassman has worked with children and young people for 25 years, and anxiety comes up in a great many of the families she sees, often alongside autism, ADHD, a big change at home or trouble at school.
How anxiety shows up in children
Child anxiety often looks physical before it looks like worry. Parents describe stomach aches that arrive at 8am on a Monday, a child who suddenly needs the toilet as you reach the school gate, or a seven-year-old who wakes at 3am and can’t say why. Others notice behaviour: refusing to go upstairs alone, melting down when a plan changes, or getting angry when the real feeling underneath is fear.
Teenagers may hide it better. They might stop going to football, spend lunchtimes in the library or stay in their room, and when you ask, say they’re fine. Some anxious children go quiet in particular places, most often school, while chatting away at home.
What a session is like for a worried child
Sessions last 50 minutes and happen at the same time each week, which helps anxious children because they know exactly what is coming. With a younger child Gitta might start with a game or some drawing, and only later, when the child is ready, ask about the worry. Some children like to make a ‘worry creature’ in clay and decide how big it is this week. Others build the school playground in the sand tray and show which corner they avoid.
Older children and teenagers usually talk more. We look at the thoughts that come with the worry, what their body does, and what they have started avoiding. Then we pick one small thing to try before the next session, such as staying at the school gate for two minutes longer or answering one question in class.
Helping at home without feeding the worry
Parents of anxious children are often exhausted from answering the same question twenty times a day. It is natural to reassure, and it usually helps for a moment. Over time, though, the worry learns that it gets an answer, so it asks again.
Before your child starts, we meet you for 50 minutes on your own to hear the whole picture. At the reviews every six sessions or so we talk through what to say instead of reassuring, how to handle mornings, and how to back your child when they try something hard. You won’t hear the detail of what your child tells us, but you will know how it’s going.
When anxiety needs more than counselling
Counselling suits most children whose anxiety is affecting everyday life. If your child has panic attacks that frighten you, has stopped eating, is hurting themselves or talks about not wanting to be alive, see your GP, who can refer to CAMHS. In an emergency, call 999 or go to A&E.
Our clinic is in north Manchester, and families come from across the city as well as Salford, Bury and Whitefield. For a child too anxious to travel, sessions in school or online are often the easier way to start.