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  1. Home
  2. Worcestershire Education and Early Years Services
  3. Inclusion in Educational Settings
  4. Social, emotional and mental health for professionals
  5. Anxiety guidance for professionals
In this section
  • Universal and whole-school approaches to mental health and wellbeing
  • Trauma Informed Attachment Aware schools
  • Attention-Deficit Hyperactivity Disorder (ADHD) guidance for professionals
  • Anxiety guidance for professionals
  • Dealing with traumatic events for professionals
  • Emotionally Based School Non-Attendance (EBSN) for professionals
  • Self-harm guidance for professionals
  • Social and emotional skills for professionals

Anxiety guidance for professionals

Guidance for professionals to help them support pupils who have anxiety.

It’s quite natural for children and young people to worry and to be anxious at various stages of school and home life.

Most children and young people will learn how to manage their thoughts, feelings and emotions, but some may need extra support.

Anxiety can become a problem when:

  • there isn’t a clear reason for it
  • it disrupts a young person’s life at home or school on a regular basis
  • the problem has gone but the feeling of fear or panic has not
  • it interferes with their ability to take part in activities
  • they struggle to complete tasks that other children or young people do easily
  • their fear or worry seems out of proportion to the problem
  • they become anxious or fearful more easily, or more often, or more intensely than other children or young people
  • it leads to unhelpful and unrealistic thoughts about themselves and others

Identifying anxiety

A child or young person with an anxiety disorder may display physical and emotional symptoms including:

  • headaches and stomach aches or just feeling unwell
  • dizziness, faintness, palpitations, breathlessness or sweating
  • not sleeping
  • not eating properly
  • restlessness
  • being clingy, feeling panicky or tearful
  • seeming to be worried or anxious and needing lots of reassurance
  • feeling down or depressed
  • having difficulty concentrating
  • wanting things to be perfect and getting frustrated if they’re not
  • expressing a sense of impending danger, panic or doom
  • lashing out at others
  • hyper-alertness and difficulty keeping still

Find out more about common anxiety disorders

MindEd is a free educational e-learning resource for professionals on children and young people’s mental health. The following sessions aim to help staff better understand how anxiety affects children.

The worried child describes anxiety and worry in children and teens and discusses how to react to them.

Anxiety disorders outlines how common anxieties present in children and young people, and how to assess and treat them.

What schools and Further Education settings can do

If you are at all concerned about a child or young person, you should always speak to your designated safeguarding lead as a matter of priority. They will be able to advise on suitable next steps, and speaking to them about any concerns should always be the first action you take, ahead of any of the suggestions on this page.

Although the suggestions on this page are broadly split into primary and secondary age groups, the majority of the advice can be applicable for all ages. All children and young people are different, and it’s important to understand the needs of the individual child and young person when looking for ways to support their mental health and wellbeing.

What primary schools can do

Teach social and emotional skills

A key way that primary schools can help with children’s anxiety is to teach social and emotional skills, including resilience. Children who have developed resilience are more likely to be able to deal with stressful or anxiety-inducing situations without feeling overwhelmed or panicked.

Use emotion management tools

If children are displaying signs of anxiety, their worries may be able to be managed in the moment with certain tools or coping mechanisms. Tools like this anxiety thermometer can help children easily express the level of anxiety they are feeling, while mindfulness activities can help children calm down if they are experiencing heightened anxiety.

For pupils who regularly feel anxious, there are tools for managing emotions which could be employed on a regular basis.

Speak to your safeguarding lead

If it seems as though a child may have an anxiety disorder, and it is disrupting their learning, you should always raise your concern with your designated safeguarding or mental health lead. From there, you can decide what action to take together, like referring the child to the school nurse, involving the child’s parents, or referring to specialist services where necessary.

What secondary schools and further education settings can do

Develop social and emotional skills

Developing secondary school or post-16 students’ social and emotional skills is still very important even as they get older. If they can be resilient and regulate their own emotions, they will be able to cope better with difficult situations.

The curriculum areas that focuses on health and wellbeing (RSHE in England, LLF in Northern Ireland, and Health and Wellbeing in Scotland and Wales) each have a focus on giving students the tools to manage their own emotions.

Teach techniques for emotional regulation

If you have a student who regularly feels anxious or worried, you can employ techniques from a type of therapy called cognitive behavioural therapy, or CBT. CBT helps young people link their thoughts, feelings and behaviours together, and recognise how they all influence the others.

The Anna Freud Centre have developed some resources which draw on CBT techniques which you can use with your students:

  • catch it, check it, challenge it, change it

Inform your safeguarding lead

If a student is unable to manage their anxiety, you should always speak to your school or college’s pastoral team about your options. You may want to refer the student to your school or college counsellor (if you have one), or to specialist support services.

Concerned about a child or young person

If you are worried that a child or young person is at risk involve your designated safeguarding lead as a matter of priority who will contact the parents or carers and other services as necessary. If the child or young person is at immediate risk, ensure that they are taken to their GP or A&E as a matter of urgency, depending on the severity of the concern.

Useful links for further support

The wellbeing and emotional support teams in schools service is designed to help children and young people ages 5-18 years access mental health and wellbeing support early on in educational settings. It's all about ensuring children and young people can get access to the right help as early as possible.

CAMHS WEST anxiety has a page with resources and support for children and young people who are experiencing anxiety.

Kooth is an anonymous and personalised mental health support for Children and Young People that is available to all young people in Worcestershire.

Young Minds  A really good website with expert articles, advice and blogs and a crisis text-line.

Self-care tips for young people. Watch these videos on dealing with unhelpful thoughts, sleep, social media, anxiety, exercise and more

Happy Maps have produced reliable resources recommended by Parents and Professionals.

Ripple is an interceptive tool designed to present a visual prompt when a person searches for harmful keywords or phrases relating to the topic of self-harm or suicide. These phrases include any words or terminology which have been identified as displaying potentially damaging online content.

Worcestershire Young Carers provides  a wide variety of  mainly community focused support for people and are often described as the ‘glue’ between those at risk of social isolation and the wider mainstream society.

Barnardos protect, support and nurture the UK's most vulnerable children

Worcestershire Chat Health offers is a service where 11-19 years olds can text 07507331750 to speak to their School Health Nurse for confidential advice and support around a variety of issues, including bullying, emotional health, relationship problems, alcohol and drugs.

YoungMinds Textline offers you free, 24/7 text messaging support wherever you are in the UK. If you need someone to talk to about how you’re feeling, text YM to 85258.

Qwell is a free, safe and anonymous mental wellbeing support for adults across the UK and the link can be shared with families who can use the service

Emergency Help and Help Lines

NHS Crisis line

If the young person feels their mental health problems have become much worse or are experiencing problems for the first time, they may need help quickly.

The young person can phone the mental health helpline for urgent advice: 0808 196 9127 (free phone 24 hrs a day 365 days a year)

The team will offer advice, support and, if required, an assessment to understand how the young person is feeling. When calling the number, they can expect to speak to Mental Health Advisors or trained Mental Health Clinicians who will be able to listen to their concerns and help make appropriate plans with them to support.

Childline, not just for young children, Childline offers a helpline, online chat and e-mail advice for anyone up to the age of 19 years.

Shout Crisis textline text for free 24/7 support across the UK if a young person is experiencing a mental health crisis. All texts are answered by trained volunteers, with support from experienced clinical supervisors. Texts are free from EE, O2, Vodafone, 3, Virgin Mobile, BT Mobile, GiffGaff, Tesco Mobile and Telecom Plus. Text "SHOUT" to 85258.

YoungMinds Textline offers a free, 24/7 text messaging support wherever they are in the UK. If the young person needs someone to talk to about how their feeling, they can text YM to 85258.

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