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Generalized Anxiety Disorder in Children

By

Josephine Elia

, MD, Sidney Kimmel Medical College of Thomas Jefferson University

Last full review/revision Apr 2021| Content last modified Apr 2021
Click here for the Professional Version

Generalized anxiety disorder involves excessive, persistent nervousness, worry, and dread about many activities or events.

  • Because of their worries, children with generalized anxiety disorder have problems paying attention and may be restless and irritable.

  • Doctors diagnose generalized anxiety disorder based on characteristic symptoms that have lasted 6 months or more.

  • Training children how to relax is often the best treatment, but sometimes a drug to reduce the anxiety is needed.

Symptoms

In children with generalized anxiety disorder, worries are general and encompass many things and activities rather than one specific thing such as being away from their mother (as in separation anxiety disorder Separation Anxiety Disorder Separation anxiety disorder involves persistent, intense anxiety about being away from home or being separated from people to whom a child is attached, usually the mother. Most children feel... read more ). Controlling the worries is difficult. Stress worsens the anxiety.

These children often have difficulty paying attention and may be hyperactive, restless, and irritable. They may feel keyed up, tense, or on edge. They may also sleep poorly, sweat excessively, feel exhausted, and complain of physical symptoms, such as stomachache, muscle aches, and headache.

The COVID-19 pandemic brought with it abrupt and far-ranging disruptions that increased anxiety in nearly all children. These disruptions include school closures, isolation from others (extended family, peers, teachers, cultural groups, and religious congregations), the need to live in constrained spaces with family members for weeks to months, parental job loss, and uncertainty about the future.

Diagnosis

  • Symptoms

The diagnosis of generalized anxiety disorder is based on symptoms: excessive worries that do not focus on a particular activity or situation or that include many activities and situations.

General anxiety disorder is diagnosed when symptoms last for 6 months or more.

Treatment

  • Relaxation training

  • Sometimes drugs

If anxiety is mild, relaxation training is often the most appropriate treatment. Other types of counseling may also be tried.

NOTE: This is the Consumer Version. DOCTORS: Click here for the Professional Version
Click here for the Professional Version
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Test your knowledge

Preventive Health Care Visits in Infants
Frequent doctor visits are recommended for all infants younger than 1 year of age. These visits, also called well-child visits, make it possible to check development, look for health problems, provide age-appropriate vaccinations, and educate parents. Which of the following is a condition that might affect some infants born very prematurely, with less than 32 weeks of development in the uterus?
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