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Anxiety in Highly Sensitive Kids: What It Looks Like and How to Help

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I’m a mama-in-training of a highly sensitive son. I love yoga pants, dungeness crab season, and working from my San Francisco flat in my PJs. My mission? To help other mamas raise a thriving highly sensitive child without losing their ever-lovin’ minds!

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For a long time, my son would just say, “I’m scared.” Scared to go to school. Scared to try something new. Scared to be alone in his room. And honestly, I didn’t recognize it as anxiety at first—because the way adults talk about anxiety is so different. We use words like “worried” or “overwhelmed” or “stressed.” But for kids—especially highly sensitive ones—it often just feels like fear. And when they don’t have the language to explain what’s happening inside, they say the only thing that makes sense to them: “I’m scared.”

But over time, I started to see the pattern: this was anxiety. And for highly sensitive kids, it’s incredibly common. They feel everything more deeply—the sounds, the lights, the chaos around them—and they absorb the emotions of everyone in the room, even if no one says a word. So of course they’re more prone to anxiety. Of course the world can feel overwhelming.

If your child says they’re scared—or even if they don’t have the words yet—this post is for you. Let’s unpack what anxiety can really look like in sensitive kids, and how we can help them feel safer, understood, and more in control.

Understanding Highly Sensitive Children with Anxiety

A highly sensitive child—about 30% of all children—has a more finely tuned nervous system. They process sensory and emotional information more deeply, which means busy environments, sudden changes, loud noises, or social pressures can feel overwhelming or overstimulating.

When anxiety is part of the picture, it often shows up in specific ways:

  • Refusing to go to school or participate in new activities. For example, your child might insist they feel “too scared” or “not ready” to enter the classroom, even if they usually enjoy school. This hesitation is their way of avoiding a place that feels overwhelming or unpredictable to them.
  • Meltdowns before transitions. Imagine trying to leave the house, and your child suddenly becomes very upset when asked to change clothes or put on shoes. These moments aren’t just stubbornness—they’re their nervous system reacting to the stress of shifting from one activity to another.
  • Over worrying about others’ feelings or making mistakes. Your child might spend a lot of time asking if they hurt someone’s feelings or apologizing repeatedly for small errors, fearing that they’ve caused harm or disappointment.
  • Physical symptoms like stomachaches, headaches, or fatigue. Anxiety often shows up in the body. Your child might complain of stomach pain before a social event or feel unusually tired after a busy day, signaling their nervous system is working overtime.
  • Needing frequent reassurance or expressing “what if” fears. They may repeatedly ask questions like, “What if I get lost?” or “What if nobody talks to me?” These worries are their way of trying to prepare for and control uncertainty.

These reactions aren’t overreactions or misbehavior. They’re your child’s nervous system sounding an alarm—signaling that they need your calm, clear presence to feel safe again. Your understanding and support can help them build the tools to manage these feelings and grow stronger through the challenge.

Practical Ways to Help Your Highly Sensitive Child with Anxiety

1. Anticipate and Prepare for Triggers

For highly sensitive children, the unknown can feel huge and scary. Predictability brings comfort, and knowing what’s coming helps them feel in control in a world that often feels overwhelming. When something catches them off guard—a surprise visitor, a new routine, even an unexpected noise—it can trigger anxiety, meltdowns, or shutdowns. That’s why preparation isn’t just helpful—it’s a game-changer.

Try this:

  • Before a doctor’s visit, walk them through each step: “We’ll check in, sit in the waiting room, then go back for your checkup. You can bring your stuffed animal.”
  • Use social stories or visual schedules with photos or drawings to prepare for changes (vacations, new babysitter, or starting school).
  • Role-play social situations like meeting new kids or ordering food in a restaurant. Keep the tone light and positive to encourage and comfort them.

Tools to use: visual timers, picture schedules, “First/Then” charts, or checklists they can cross off.

2. Create a Sensory-Soothing Environment

When your child is feeling overwhelmed, anxious, or overstimulated, they need more than just a break—they need a space that helps their nervous system reset. For highly sensitive kids, the world can feel like it’s coming at them full volume, all the time. Bright lights, loud sounds, scratchy clothes, clutter, or even strong smells can all contribute to sensory overload. Having a go-to calming environment—something they know is theirs—can make a huge difference in how quickly they bounce back.

This doesn’t have to be a fancy, Pinterest-perfect sensory room. A consistent, cozy corner of your home will do just fine. The magic isn’t in the decor—it’s in creating a safe, predictable space where your child knows they can go when things feel “too much.”

Include:

  • A beanbag or soft chair
  • Noise-canceling headphones or calming music
  • Weighted blanket or lap pad
  • Fidget toys, squishies, or kinetic sand
  • Books with calming imagery or affirmations
  • A feelings chart or mirror for self-expression

Let them help design their space. Say, “This is your calm corner. When your body feels too loud or your brain is racing, this space is here for you.”

3. Teach Concrete Coping Strategies

When it comes to managing anxiety, especially in highly sensitive children, don’t assume they’ll just “figure it out” over time. Coping skills aren’t instinctive—they’re learned. And sensitive kids often feel emotions so intensely that they can’t access logic or language in the heat of the moment. That’s why when and how you teach these skills matters just as much as what you teach.

Think of it like building a toolkit for their nervous system. You’re giving them practical, kid-friendly ways to feel safer, calmer, and more in control—but it takes repetition, modeling, and gentle guidance to make it stick.

Try these tools and make them part of your regular routine—not just something you reach for during a meltdown:

Specific tools to teach:

  • Hot cocoa breathing: Pretend you’re holding a warm mug. Breathe in through your nose (smell it), and out through your mouth (cool it down).
  • Five senses check-in: Ask them to name 5 things they see, 4 they can touch, 3 they hear, 2 they smell, 1 they taste. This grounds them in the present.
  • Muscle squeeze game: “Squeeze your fists as tight as you can… now release. Let’s do it again with our toes.” It teaches body awareness and helps release tension.

You can also help your child build a library of calming mantras—short, powerful phrases they can repeat when they’re feeling nervous:

  • “I am safe right now.”
  • “Feelings are like waves—they come and go.”
  • “I can do hard things, even if I feel nervous.”

Practice these together when things are calm—before school, during bedtime, or even while brushing teeth. The goal is to create muscle memory so that when anxiety shows up, these tools are already familiar and accessible. Over time, your child will begin to reach for them on their own—and that’s when the real magic starts.

4. Use Specific, Validating Language

When your child is melting down, your instinct might be to fix it. To soothe, distract, reason, or talk them out of their fear. That’s totally normal—you just want them to feel better. But for highly sensitive kids experiencing anxiety, the most powerful thing you can do in that moment isn’t to make it go away—it’s to help them feel seen.

When a child’s nervous system is flooded with fear, telling them “You’re fine” or “There’s nothing to be scared of” may feel reassuring to us—but to them, it can feel invalidating or even confusing. Their body doesn’t feel fine. Their brain is screaming “danger.” And being told otherwise can leave them feeling even more alone in their big feelings.

Instead, try meeting them exactly where they are—with calm presence and language that mirrors what they’re experiencing. That’s how we build emotional safety and teach them to trust their inner world.

Try saying things like:

  • “Your heart feels really fast right now. That makes sense—you weren’t expecting that.”
  • “I hear that this feels scary. I’m right here with you.”
  • “You’re feeling anxious, and that’s okay. We can take deep breaths together.”

These simple phrases do two important things:

  1. They name the feeling, which helps build your child’s emotional vocabulary and self-awareness.
  2. They regulate the nervous system—because when we feel understood, the brain and body start to settle.

Over time, your child learns that their feelings make sense, that they can be handled, and that you are a safe, steady presence they can count on. And that lesson lasts far beyond the meltdown.

5. Establish Predictable Routines

For highly sensitive kids, predictability is powerful. The world often feels chaotic and unpredictable to them, so having a routine they can count on gives their brain and body a sense of safety. It reduces anxiety by shrinking the number of “unknowns” they have to process—and gives them a clear roadmap for what’s coming next.

Routines don’t have to be rigid or military-style. Think of them as gentle rhythms—consistent patterns that create comfort and reduce overwhelm. When your child knows what’s coming, their nervous system can relax a little, which frees up more capacity for flexibility, learning, and connection.

CYou might create routines for moments that tend to feel rushed, emotional, or chaotic:

  • Mornings: Try a visual checklist to avoid constant reminders. For example—Brush teeth → Get dressed → Eat breakfast → Pack backpack. Post it somewhere visible and walk through it together until it becomes second nature.
  • After school: Build in quiet time before jumping into homework or chores. A snack, 15-minute movement break, or just lying on the couch with a book can help your child decompress from the sensory and social load of the school day.
  • Bedtime: A predictable wind-down routine signals safety and rest. Think: bath → PJs → story → calming music → lights out. The steps don’t have to be elaborate—they just need to happen in the same order most nights.

Even small transitions during the day can be smoothed out with a simple “heads up”:

“Five more minutes of playtime, then we clean up.”

“After this show ends, it’s time for dinner.”

When change is unavoidable—an unexpected appointment, a new babysitter, a late start to school—narrate it gently and ahead of time. Say something like, “Usually we go to the park after lunch, but today we have a doctor’s appointment. I’ll be with you the whole time, and we can talk about it together before we go.”

The goal isn’t perfection. It’s to create a sense of stability and predictability your child can lean on—even when life gets messy.

6. Limit Overstimulation Proactively

Highly sensitive children need regular downtime to help their nervous system process everything they experience. When overstimulated, they might become irritable, zone out, cry seemingly “for no reason,” or cling to you with repeated questions like “Are we almost done?” or “What’s going to happen next?”

Real-life example: After a busy day at a crowded amusement park, your child might suddenly become tearful and withdrawn, refusing to talk or join in family activities. This is their way of signaling that their nervous system is overwhelmed.

Preventative tips to help:

  • Keep extracurricular activities limited. Choose just one or two activities per week that your child enjoys and feels comfortable with, rather than packing the schedule full.
  • Avoid crowded places during busy times. For example, skip the grocery store on Sunday afternoons when it’s busiest. Instead, plan trips for quieter times like weekday mornings.
  • Build in daily “quiet time.” Set aside 20–30 minutes each day for your child to have a break without talking, screens, or loud noises. This might be reading alone, lying down with soft music, or simply sitting outside.
  • Bring sensory supports to events. At noisy birthday parties or fireworks shows, bring noise-canceling headphones or sunglasses to help your child feel more comfortable and in control of their sensory input.

By noticing early signs of overstimulation and planning ahead, you can help your child feel safer, calmer, and more balanced throughout the day.

7. Partner with a Therapist When Needed

Even with all the right tools at home, sometimes anxiety takes up more space than you can manage alone—and that’s okay. If your child’s anxiety is starting to interfere with everyday life—like their ability to sleep, eat, attend school, engage with peers, or enjoy things they used to love—it might be time to bring in extra support.

Therapy isn’t a last resort. It’s a proactive, compassionate step. And for highly sensitive kids, working with a skilled child therapist can be life-changing.

Here’s what to look for:

  • Someone who understands sensory processing sensitivity and doesn’t pathologize your child’s sensitivity, but works with it as a strength.
  • Therapists trained in play-based therapy or cognitive-behavioral therapy (CBT)—two approaches that are often effective for children struggling with anxiety.
  • Providers who involve you in the process—offering parent coaching, regular check-ins, or collaborative strategies so you’re not left guessing what’s happening in the therapy room.

If you’re not sure where to start, consider asking your pediatrician for referrals or searching for providers who specialize in anxiety or neurodivergent children. Don’t be afraid to ask questions or even meet with a few therapists before finding the right fit. The relationship and trust between your child and the therapist is what matters most.

And most importantly—please hear this: asking for help is not a failure. It doesn’t mean you’ve done something wrong. It means you love your child enough to get them the support they need. Therapy can help your child build confidence, understand their feelings, and develop lifelong coping tools. And it can help you breathe a little easier knowing you’re not carrying it all alone.

Conclusion

Raising a highly sensitive child with anxiety isn’t a typical parenting experience—and that’s why your approach matters so much. This isn’t about toughening them up or fixing who they are. It’s about helping them feel safe, understood, and confident in their own skin. Their sensitivity is a strength—one that, with the right support, can become a powerful asset. It may take patience and gentle persistence, but each small step forward is progress worth celebrating. Remember, your child’s emotions are their way of communicating just how deeply they experience the world. By honoring their feelings and offering steady support, you help build a foundation of trust and resilience that will carry them through challenges.

You can help by being their emotional guide, teaching coping strategies like deep breathing and grounding during calm moments, and offering calm, consistent routines that create safety. Let go of comparison and trust their unique path. And don’t wait for everything to feel easy before you celebrate them. Love them now, exactly as they are. With your steady support, they won’t just get by—they’ll thrive.

Anxiety in Highly Sensitive Kids: What It Looks Like and How to Help

Jill Gilbert

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