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7 Signs Your Teen Might Be Struggling With Anxiety

  • Writer: Kelli Bredehoeft, LMSW
    Kelli Bredehoeft, LMSW
  • 3 days ago
  • 4 min read

If you’re parenting a teenager, you know that stress and teens go together like paper and glue. Once they’re attached, it can be nearly impossible to separate them. Sometimes we even get stuck in the drama. And we know why: school, friends, hormones, and growing responsibilities can all feel like a lot.

 

How do you know if your teen has anxiety? 

 

Stressful days are common and can lead to moments of anxiousness, but diagnosed anxiety involves persistent, intense feelings that significantly change how your teen thinks, feels, and acts each day. Understanding this difference helps you recognize when professional help may be needed.

 

Most teens are not going to say, “I feel anxious.” Instead, their behavior will change. Recognizing these signs can help you help them. Here are seven signs to watch for, along with simple steps you can take to support their healing.

 


a teenage boy riding on a skateboard

 

1. Irritability or frequent frustration

Anxious teens may seem short-tempered or on edge. When their mind is busy or overwhelmed, even small problems can feel like too much. In these situations, you may notice mood swings or snapping at family members without a clear reason.

 

What you can do:

Stay calm and avoid reacting with anger. Your patience can help your teen feel more supported and understood. Try saying, “You seem upset. Want to talk about it?” Give them space, but stay available for support.

 

2. Pulling away from friends or family

Your teen may start spending more time alone or lose interest in things they used to enjoy. They might begin canceling plans, avoiding group settings, retreating to a private space, or keeping conversations short. This behavior can be a way to cope with feeling overwhelmed or worried about social situations.

 

What you can do:

Gently check in without pressure. Let your teen know you enjoy their company and offer simple ways to connect, like going for a drive or grabbing a treat together.

 

3. Frequent headaches or stomach aches

Anxiety can have physical symptoms. For example, your teen may complain about headaches, stomach pain, or feeling sick, especially before school or social events. These symptoms are real, even when there is no clear medical cause.

 

What you can do:

Take their discomfort seriously. If needed, check with a doctor. You can explain to your teen that stress affects the body and ask whether anything has been stressful lately.

 

4. Trouble sleeping

Anxious thoughts can make it hard to fall asleep or stay asleep. Your teen may lie awake worrying, wake up often, or feel tired during the day, which can intensify feelings of anxiety.

 

What you can do:

Help them create a simple, calming bedtime routine. Keep the lights low, limit screen time before bed, and aim for a consistent sleep schedule. Play quiet, soothing music and have them complete a body meditation scan to help them relax before bed.

 

5. Avoiding school or activities

When anxiety builds, everyday tasks can feel overwhelming. Your teen may ask to skip school or activities. This type of avoidance can bring short-term relief, but it can also snowball, making anxiety stronger over time.

 

What you can do:

Encourage your teen to face challenging situations in small steps. Even partial attendance or brief participation counts as progress. Celebrate effort and stay patient as they build confidence.

 

6. Changes in focus or school performance

Anxiety can make it hard to concentrate, follow instructions, or remember things. You may notice a drop in grades or increased frustration with homework. Your teen may feel stuck but not know how to explain why.

 

What you can do:

Create a quiet place for schoolwork and break tasks into smaller steps. Check in with your teen about what feels hardest. Offer to help with planning or finding a tutor for extra help.

 

7. Constant worry or negative thoughts

This one can be tricky, as many teens are caught up in drama. They might use extremes to describe things as “the worst” or as the end of their lives. But if your teen talks openly about fears that seem hard to control, it might be more than simple drama. Constant worry or negative thoughts can feel very real and hard to quiet.

 

What you can do:

Listen more than you speak. Try saying, “That sounds really hard,” instead of brushing off your teen’s concerns. Help them put words to what they are feeling so you can talk more openly about it.

 

When to seek extra support for anxiety

If these signs last for several weeks or begin to affect your teen’s daily life, it may be time to seek help. A mental health professional can support your teen in learning how to manage anxiety and feel more in control.

 

Parents: you know your teen best. If something feels off, trust your feelings. Keep communication open with your teen and remind them they are supported.

 

At Pink Couch Wellness, we work with teens and families to navigate challenges like anxiety. Reaching out for support is a strong and caring step toward healing.

 

Pink Couch Wellness accepts insurance from: BCBS, Optum/UHC, Aetna, Midlands Choice, Iowa Total Care, Molina, and Health Partners.​ 

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