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Anxious parenting: how to avoid handing it on

Almost every anxious parent I work with eventually asks the same question, near the end of a session and in a smaller voice than the rest. They want to know whether they are giving it to their child. They have watched their eight year old turn down a party invitation, or their teenager check the forecast four times before a school trip, and thought: that is me, looking back at me.

It is a horrible thing to sit with, and it points at something real. Children of anxious parents are more likely to develop an anxiety disorder themselves. But genes are only part of that, and you cannot change those, so set them down. What you can influence is the behaviour sitting on top of them, and two habits do most of the work.

The short version

  • Children of anxious parents are at higher risk, but the routes are only partly genetic.
  • Two habits do most of the work: accommodating your child's fear, and modelling your own.
  • When parents change what they do, children's anxiety improves, sometimes without the child in the room at all.
  • Treating your own anxiety is not a side project. It counts as parenting.

Habit one: accommodation

Accommodation is the name for the small, loving adjustments a family makes to keep a child's anxiety quiet. Ordering for them in the cafe. Sitting on the bed until they fall asleep, every night, for two years. Ringing the school to say they are unwell when what they are is frightened.

None of this is bad parenting. Each one is an act of love made by a tired person at the moment their child's distress became unbearable. That is exactly why it is hard to spot.

A meta-analysis found a moderate association when parents reported on their own accommodating: more accommodation, more severe anxiety. The direction is not settled and probably runs both ways, since a more anxious child pulls harder for it. But the two travel together, and it fits what we see in clinic. Every time a child is rescued from a feared thing, the fear gets a small confirmation it was right. It is the mechanism in avoidance and anxiety, with someone else doing the avoiding.

Habit two: modelling

The other route is simply what your child watches you do.

Here parents draw the wrong conclusion. They decide they must hide it: swallow the nerves, keep the face flat, say everything is fine in a voice that says nothing of the kind. Children read that gap easily, and what they learn is that this feeling is unmentionable.

We know this route matters because researchers have tried closing it. In one trial, 136 families with an anxious parent and a child who did not yet have an anxiety disorder were randomly assigned to a short family programme or to information only. Over the following year, 31 per cent of the control group children developed an anxiety disorder, against 5 per cent in the intervention group. What explained the difference was a drop in how much parents modelled anxiety in front of their children, and in the parents' own distress, not any change in the children's thinking.

So the thing to model is not calm. It is coping.

Children do not need a parent who is never anxious. They need to see what a person does when they are.

Say it plainly, then let them watch the next bit. "I am nervous about this meeting. I am going to do it anyway, and I will tell you how it went." That is everything you want them to know about fear, delivered in twelve seconds at the breakfast table.

What to do instead of rescuing

NHS advice is clear on both edges: do not push a child into a frightening situation without talking it through first, and do not become overprotective. The space between is where the work happens.

Name the feeling before you solve it. "You are worried about tomorrow" lands better than "there is nothing to worry about", which is unconvincing and, underneath, a request to stop talking.

Swap reassurance for confidence. "I think it will be hard, and I think you can handle it" puts you on the side of their capability rather than the side of the fear.

Shrink the step, do not remove it. Not the whole party, but twenty minutes with a plan to leave. Agree it in advance, when nobody is frightened.

Let them see you get it wrong and repair it. Snapping at the end of a long day is not the damaging part. Never coming back to it is.

Your own anxiety is part of the job

In a UK trial run through NHS child mental health services, 194 anxious children were randomly allocated to guided parent-delivered CBT or a wait list. Parents had a handful of sessions and did the work at home. Half the children in the full treatment group had recovered from their primary anxiety diagnosis afterwards, against a quarter of those waiting. The child was the patient. The parent was the one in the appointment.

So if your own anxiety has been the selfish item on the list, the one that waits until the children are older, move it up.

It does have to be realistic. Parents rarely delay this because they doubt therapy. They delay because an hour, plus the mental run-up, is not something you can find with children in the house. That is much of why we built brightloaf around 20 minute sessions. Twenty minutes is a lunch break, or the gap between the school run and work. It survives contact with a real week, which matters more than the ideal length of a session nobody books.

When to get more help

Some childhood anxiety is normal and passes on its own. Separation anxiety in toddlers, fear of the dark, nerves before exams: developmental, not diagnostic. The line the NHS draws is interference. If the anxiety is strong, not going away, and getting in the way of things your child would otherwise be doing, speak to your GP or the school. In England in 2023, 20.3 per cent of eight to sixteen year olds had a probable mental disorder, so if you are making that call you are in large company.

For children who need treatment, NICE recommends CBT, individually or in a group, with parents involved where that helps it work. You are not handing the problem over. You stay in it.

One last thing worth saying plainly: the parents who worry about handing anxiety on are, almost without exception, the ones least likely to.

This article is general information, not a substitute for personal medical advice about you or your child. If your child is in immediate danger or talking about harming themselves, contact your GP urgently or call 111. In an emergency call 999. brightloaf is not a crisis service.

Mel, Lead Psychotherapist at brightloaf

Written by Mel, Lead Psychotherapist at brightloaf.

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References

  1. NHS (2026). Anxiety in children. nhs.uk, anxiety in children
  2. NHS England Digital (2023). Mental Health of Children and Young People in England, 2023, wave 4 follow up. Part 1: Mental health. digital.nhs.uk, MHCYP 2023
  3. Ginsburg, G.S. et al. (2015). Preventing onset of anxiety disorders in offspring of anxious parents: a randomized controlled trial of a family-based intervention. American Journal of Psychiatry, 172(12), 1207-1214. doi.org/10.1176/appi.ajp.2015.14091178
  4. Iniesta-Sepulveda, M. et al. (2021). The relationship of family accommodation with pediatric anxiety severity: meta-analytic findings and child, family and methodological moderators. Child Psychiatry and Human Development, 52. doi.org/10.1007/s10578-020-00987-6
  5. Thirlwall, K. et al. (2013). Treatment of child anxiety disorders via guided parent-delivered cognitive-behavioural therapy: randomised controlled trial. British Journal of Psychiatry, 203(6), 436-444. doi.org/10.1192/bjp.bp.113.126698
  6. NICE (2013). Social anxiety disorder: recognition, assessment and treatment. Clinical guideline CG159, treatment for children and young people. nice.org.uk, CG159