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Information & advice

Anxiety

Anxiety is a common emotional experience, which most of us will have experienced at some point but it can be particularly overwhelming for children with Special Educational Needs and Disabilities (SEND).

In this guide, we’ll explore how anxiety affects children with SEND, signs to watch for and effective strategies to help your child manage their anxiety

What is Anxiety?

Anxiety is a natural emotional response to stress or perceived threats. While everyone feels anxious from time to time, children and young people with SEND might experience anxiety more intensely or frequently.

What are the Signs of Anxiety?

Anxiety may not always be easy to spot, especially in children and young people who have difficulty expressing their emotions.

Here are some signs to look out for:

  • Physical symptoms – frequent headaches, stomachaches or muscle tension that doesn’t seem to have a clear cause.
  • Changes in behaviour – increased irritability, restlessness or withdrawing from activities they usually enjoy.
  • Sleep problems – difficulty falling asleep, frequent nightmares or waking up frequently during the night.
  • Avoidance – refusing to go to school, avoiding social situations and not wanting to leave the house.
  • Emotional outbursts – sudden anger, frustration or crying may be signs children are overwhelmed.

Anxiety can present differently depending on individual needs. For example, an autistic child might show repetitive behaviours when anxious, while a child with ADHD may seem more restless.

What are the Causes of Anxiety?

Common triggers for anxiety in children and young people with SEND include changes in routine, sensory overload or school pressure. They may feel overwhelmed in new environments or struggle to understand social cues.

It’s important to recognise that anxiety is not just something your child can ‘snap out of’. Their brain is reacting to a perceived threat and is trying to protect itself. This is often known as Fight or Flight, or sometimes as Fight, Flight or Freeze.

School Anxiety

Many children and young people experience anxiety about going to school, and for those with SEND, a range of factors can contribute to this. They may feel anxious about social situations, changes to routine or find the classroom overwhelming. Sensory sensitivities or feeling different from peers can also add to their worries.

Sometimes, this anxiety can lead to emotionally-based school avoidance (EBSA), where a child feels so anxious they refuse or are unable to attend school.

How Schools can Support Children with Anxiety

Schools can play a big role in helping children with SEND manage their anxiety by offering clear routines, quiet spaces for sensory breaks, and tailored learning plans.

The Special Educational Needs Coordinator (SENCO) is a valuable resource in this process, as they work closely with teachers, parents, and the child to ensure appropriate support is in place.

With greater staff understanding of SEND needs, peer support like buddy systems, and open communication with parents, children can feel more supported, making school a more positive and less stressful place for them.

How to Help your Child Manage Anxiety?

As a parent or caregiver, there are lots of ways you can support children and young people manage their anxiety.

Sharing information with your child can empower them to understand and manage their anxiety effectively.

Young People’s Hub

Our Young People’s Hub is a supportive space designed specifically for young people with SEND.

We have a fantastic video featuring a mental health expert from the NHS discussing anxiety and neurodiversity.

Techniques to Help your Child Manage Anxiety

Here are some practical strategies you can try at home to support a child with SEND who is experiencing anxiety:

  • Keep a consistent routine – where possible, try to keep daily routines consistent, especially during times of transition, such as starting a new school year.
  • Use visual supports – visual aids like schedules and social stories can help reduce anxiety by showing children what to expect. For example, using pictures to explain the steps of getting ready for school can make the morning routine smoother.
  • Encourage communication – encourage your child to communicate in a way that works best for them, whether through words, gestures or assistive devices.
  • Practice relaxation techniques – deep breathing, stretching or mindfulness exercises can be helpful to reduce feelings of stress.
  • Break tasks into smaller steps – big tasks can feel overwhelming, so breaking tasks into smaller steps can help to make things seem more manageable.

Our Online Workshops

Our online workshops provide expert advice, practical tools, and a supportive community to help you navigate and support your child’s unique needs.

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FAQs

Here are some frequently asked questions around anxiety.

The 3-3-3 rule is a simple technique that can help children and young people manage feelings of anxiety by using their senses to redirect attention away from anxious thoughts and calm their minds.

Here’s how it works:

  • Name 3 things you can see: Ask your child to look around and identify three things they can see, like objects in the room or trees outside. This helps shift their focus from anxious thoughts.
  • Name 3 things you can hear: Encourage your child to listen closely and name three sounds they can hear, such as birds chirping, cars outside, or their own breathing. This brings them back to the present moment.
  • Move 3 parts of your body: Ask your child to move three parts of their body, like wiggling their fingers or shaking their hands. This physical movement helps release tension and distracts them from anxious thoughts.

For more information, we have a great video where James, an NHS specialist in learning disabilities and autism, shares his knowledge and advice about anxiety. Click here to watch the video.

Yes, a child or young person with anxiety can qualify for an education, health and care plan (EHCP), if their anxiety significantly affects their ability to learn and participate in school. The purpose of an EHCP is to meet the individual needs of a child with SEND, including mental health conditions like anxiety.

Yes, Cognitive Behavioural Therapy (CBT) is considered highly effective and suitable for many children, including those with anxiety, depression, or other emotional and behavioural challenges. It may, however, not be suitable for all young people.

CBT is a structured approach that can help children understand the connection between their thoughts, feelings, and behaviours. It can be useful in teaching them practical skills to manage their emotions and cope with difficult situations.

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