Anxiety in Children Ages 6\u20138: Navigating School-Age Worries
School changed everything. Suddenly your child is expected to perform, to compare, to sit still, to be evaluated\u2014all day, away from you. For some children, this expansion of their world is exciting. For others, it is quietly overwhelming. And the worry does not always announce itself. It hides in Monday-morning stomachaches, in erased homework, in a child who used to be outgoing and now hangs back.
What You'll Learn
- School-age anxiety often hides behind perfectionism, stomachaches, people-pleasing, or social withdrawal—not just visible worry.
- Normalize mistakes relentlessly by praising effort and strategy, not correctness, to counteract performance anxiety.
- A "worry time" ritual teaches children that anxiety is manageable and containable rather than a flood that takes over everything.
- Use personalized stories to let your child rehearse courage through a character who faces the same school worries they do.
- Partnering with teachers on small accommodations significantly improves outcomes without enabling avoidance.
Why Is School a Turning Point for Anxious Children Ages 6–8?
Starting school introduces sustained performance evaluation, social comparison, and extended separation from caregivers simultaneously—all major anxiety triggers for children ages 6–8. At this age, children gain the cognitive ability to compare themselves to peers, which can transform normal nervousness into persistent worry about academic performance, friendships, and fitting in.
Starting school introduces three experiences that are essentially new to the human brain at this age: sustained performance evaluation, social comparison, and extended separation from caregivers in a structured environment. Any one of these would be a significant stressor. School introduces all three simultaneously.
Between ages six and eight, children undergo a cognitive shift that psychologist Jean Piaget called the transition to “concrete operational thinking.” They begin to understand rules, logic, and cause-and-effect. This is wonderful for learning—but it also means they can now compare their performance to others and draw conclusions: “She reads faster than me. Something is wrong with me.”
Large-scale data from the CDC shows that anxiety diagnoses increase sharply between ages 6 and 11, with school entry as a primary inflection point (Bitsko et al., 2018, Journal of Developmental & Behavioral Pediatrics, DOI: 10.1097/dbp.0000000000000571). This does not mean school causes anxiety. It means school reveals anxiety that may have been present but manageable in the smaller, more controlled world of early childhood.
The Four Faces of School-Age Anxiety
Anxiety in six- to eight-year-olds typically shows up in one of four patterns. Your child might show one, or a combination. What they all share is that the surface behavior is easy to misread.
The Perfectionist
This child erases and rewrites, tears up drawings that are not “right,” and melts down over minor mistakes. They may refuse to start assignments because they are afraid of not doing them perfectly. Parents and teachers often see this as conscientiousness or high standards. It is not. It is fear wearing the mask of effort.
Research on perfectionism in childhood shows a strong link between maladaptive perfectionism and anxiety disorders, with the connection emerging as early as age six (Affrunti & Woodruff-Borden, 2014, Clinical Child and Family Psychology Review, DOI: 10.1007/s10567-014-0164-4). The core belief driving perfectionism at this age is not “I want to be the best.” It is “If I make a mistake, something terrible will happen.”
The Avoider
This child develops mysterious symptoms on school mornings: headaches, stomachaches, dizziness, nausea. They beg to stay home. They may cry at drop-off or freeze in the school hallway. On weekends and holidays, the symptoms vanish. This is not faking. The stress response system generates real physical symptoms. The child is communicating, through their body, that school feels genuinely unsafe—even though they may not be able to articulate what specifically frightens them. Often it is not one thing but a diffuse sense of threat: too many unknowns, too much evaluation, too little control.
The People-Pleaser
This child appears “easy”—compliant, eager to help, hyper-attuned to adult approval. Teachers love them. But beneath the surface, they are running a constant internal calculation: “Is the teacher happy with me? Did I do it right? Is my friend mad?” They may have difficulty making decisions because every choice feels like it could be the wrong one. They seek reassurance constantly but the reassurance never sticks. This pattern is anxiety disguised as good behavior, and it is one of the easiest to miss.
The Social Worrier
Between six and eight, friendships become central to a child's emotional life. Anxious children in this age group may obsess over whether they said the right thing, whether a friend is “mad at them,” or whether they will be included at recess. They might come home and replay social interactions in detail, looking for evidence of rejection. Some children begin to withdraw from social situations entirely rather than risk the pain of being left out.
Strategies That Actually Help at Ages 6–8
Children in this age group are old enough to begin learning about their own anxiety—but they still need strategies delivered through experience rather than lecture. The most effective approaches combine gentle psychoeducation with story, play, and parental modeling.
Normalize mistakes relentlessly
Your child needs to hear—not once but hundreds of times—that mistakes are how learning works. Model this yourself. Say “Oops, I got that wrong. Good thing mistakes help us learn!” when you burn dinner or take a wrong turn. Research on growth mindset shows that children who believe ability is malleable experience significantly less performance anxiety than those who believe ability is fixed (Dweck, 2006). Praise effort and strategy, not correctness: “I noticed you tried a different approach on that math problem” rather than “You got them all right!”
Create a “worry time” ritual
Children this age respond well to externalizing worry as something separate from themselves. Set aside 10 minutes after school as “worry time.” Your child can write, draw, or talk about their worries. When the timer goes off, the worries go into a “worry box” and do not get to come out until the next worry time. This teaches children that worry is manageable and containable rather than a flood that takes over everything. The technique derives from cognitive behavioral therapy and has been adapted for children as young as six.
Build a “brave ladder”
If your child avoids specific situations, create a graduated exposure plan together. Start with the least scary version of the feared situation and build up. Afraid of raising their hand in class? Start by answering a question at the dinner table, then with a friend, then in a small group. Each step is a rung on the “brave ladder.” Celebrate each rung, not just the top. This approach is the core of evidence-based treatment for childhood anxiety (Walkup et al., 2008, New England Journal of Medicine, DOI: 10.1056/NEJMoa0804633).
Use stories to rehearse courage
At this age, children are sophisticated enough to identify with story characters but still young enough to learn deeply through narrative. When a character in a story faces the same school worries, makes the same mistakes, and discovers they can handle it—your child absorbs that lesson at a level that direct advice cannot reach. This is why personalized storytelling is especially powerful in early school years. The character models not just what to do, but what it feels like to be brave while scared.
Partner with the school
Teachers are your most important allies. Let them know what you are seeing at home. Ask for small accommodations that reduce pressure without enabling avoidance: sitting near a trusted friend, having a “calm-down pass” to visit the counselor, or getting assignments previewed the night before so there are fewer surprises. Research shows that school-home collaboration significantly improves outcomes for anxious children (Wehry et al., 2015, Current Psychiatry Reports, DOI: 10.1007/s11920-015-0591-z).
The Accommodation Trap: When Helping Hurts
When your child is distressed, your instinct is to fix it. Let them stay home. Do the presentation for them. Answer the phone on their behalf. This is love. But it can accidentally become a trap.
Family accommodation of anxiety—when parents change their behavior to reduce a child's distress—is one of the strongest predictors of anxiety persistence. A groundbreaking study by Lebowitz and colleagues found that a parent-focused intervention that specifically reduced accommodation was as effective as child-focused CBT in treating childhood anxiety (Lebowitz et al., 2020, Journal of the American Academy of Child & Adolescent Psychiatry,DOI: 10.1016/j.jaac.2019.02.014).
The alternative is not forcing your child into distressing situations without support. It is saying: “I can see this is really hard. And I believe you can handle it. I will be right here.” Support their feeling. Express confidence in their capacity. Step back just enough for them to discover they are braver than they think.
When to Seek Professional Help
School-age anxiety is extremely treatable, especially when caught early. Talk to your pediatrician or a child psychologist if:
- Your child is frequently missing school due to anxiety-related symptoms
- Perfectionism is causing significant distress or homework refusal
- Social withdrawal is increasing—they are losing friendships or refusing activities they used to enjoy
- Your family is increasingly organizing around your child's anxiety (changing plans, doing things for them, avoiding triggers)
- Anxiety has persisted for more than a month despite your best efforts
For a deeper look at professional options, see our guide on when to seek professional help for your child's anxiety.
Frequently Asked Questions
A Story That Makes School Feel Possible
Create a personalized story where your child's character faces the same school worries they do—and discovers they are braver than they think. Research-backed, designed for bedtime.

