Kids & Parents

When Anxiety Starts Running the Show

Childhood anxiety rarely announces itself as anxiety. It arrives as stomach aches on school mornings, meltdowns over homework, refusal to sleep alone, or a teenager who has quietly stopped doing things they used to do.

Let’s Talk About Your Child +1 212 730 7400

A girl building a tower of wooden blocks on the rug while an adult sits nearby

This may be what you are seeing at home

  • School refusal, or mornings that end in tears
  • Constant reassurance seeking
  • Difficulty sleeping alone
  • Avoiding activities or social situations
  • Perfectionism
  • Stomach aches and headaches with no medical cause
  • Panic, or fears that keep escalating
  • Anxiety that is beginning to limit your child’s world

What we are aiming for

Your child doesn’t need to stop feeling anxious. They need to learn that anxiety doesn’t get to decide what they do.

That is a skill, and it is teachable. Children and teenagers learn it by doing the hard thing in graded steps, with success built in early and the adults around them holding steady.

What we treat: anxiety in children and teens

  • Separation anxiety and difficulty sleeping alone
  • Obsessions and compulsions
  • School refusal and morning battles
  • Social anxiety and selective mutism
  • Generalized worry, perfectionism and the child who cannot stop asking whether everything is okay
  • Panic and health anxiety in adolescents

What anxiety treatment looks like

  1. Understand

    Your child learns what anxiety is doing in their body and their brain, in language that fits their age.

  2. Practice

    They practice skills for handling anxious thoughts and feelings, and try them out between sessions.

  3. Get Brave

    They face feared situations gradually, so confidence grows out of experience rather than reassurance.

And we work with you, too.

Parents are active participants in treatment, particularly with younger children. Sessions typically include parent time, and there is practice to carry into the week.

Sometimes the things we do to help our children feel better in the moment can accidentally keep anxiety going. We’ll help you understand what’s happening and learn how to respond differently.

What changes look like

  • Going to school
  • Sleeping independently
  • Trying new things
  • Participating in activities
  • Handling uncertainty
  • Making friends
  • Recovering from anxious moments
  • Needing less reassurance
My husband and I were very lucky to find Dr. Rhule when our son was struggling with anxiety as a toddler. With her help, our son learned to manage his anxiety, adjusted to school, and eventually thrived both academically and socially.
Mom of a patient
Who you would see

Dana Rhule, PhD

Child, Adolescent & Family Psychologist

Cognitive Behavioral Therapy · Parent coaching · Anxiety and selective mutism · Parent-Child Interaction Therapy (PCIT) · Classroom consultation and teacher coaching · LGBTQ+ topics

Accepting new clients

Questions

What people ask

How involved do parents have to be?

Very, especially with younger children. Sessions typically include parent time, and there is between-session practice at home.

How long does treatment take?

Structured anxiety treatment for children is usually a defined course of twelve to twenty sessions rather than open-ended therapy.

Do you see teenagers alone?

Yes. Adolescents get their own confidential space, with clear agreements about what is shared with parents and what is not.

Let’s Build Bravery Together

Tell us what anxiety is costing your child at the moment, and we will tell you honestly what treatment would involve and where to start.

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