Parents and children walking together

Like adults, anxious children and teens prefer to have a sense of control in their lives. They do not cope well with a disorganized, “spontaneous” family style.

They feel calmer when:

  • Life is predictable
  • Expectations are clear
  • Consequences are immediate and consistent

Two ways to help make life more predictable for everyone in the family are setting limits and creating routines.

Setting Limits

Setting limits can be a challenge for parents, especially when the anxious child or teen becomes upset, moody or has a “meltdown”. If limits are repeated and enforced, they help everyone feel more secure and, usually, his/her behaviour will improve. It can be a relief to have adults in charge! Be clear about what is expected of your child and what will happen if that expectation is not met. Ask your child to explain what is expected so you know s/he understands. Remember to praise or reward your child when s/he meets that expectation. And, follow through with the consequence when the expectation is not met. Every time.


Routines also help to reduce anxiety. But anxiety can disrupt routines. You need to work hard to build family routines so life is more predictable for your child. Help your child adjust to new family routines by preparing him or her in advance. Ask your child to help plan the new routine, and introduce it gradually. Making an attractive schedule for the fridge provides a sense of control and order. The following are several common areas where routines can be used:

Homework Routine:

This needs to be a regular part of the schedule, as anxious children tend to put things off. Anxious children can easily become overwhelmed with routine tasks, thus, it can be helpful to:

  • Allow for some down-time after school before starting homework
  • Refuel the body with a pre-homework snack
  • Set a specific time and place to work (most often this is not your child’s bedroom)
  • Agree to a post-homework activity to give your child something to look forward to
  • Break the task into small, manageable steps
  • Schedule in mini 2-5 minute breaks, if homework will take more than 1 hour
  • Praise and rewards for each step completed
Physical Activity Routine:

For the anxious child or teen, exercise may help reduce stress and induce relaxation. They often feel “tired all the time” because they exhaust themselves with worry, and don’t feel like exercising. But exercise will improve energy and reduce worry. Try to find something fun to do together rather than making this a chore. Ongoing participation in a physical activity program encourages self-discipline, leadership and opportunities to socialize with peers. Get the whole family involved! Examples include:

  • Bike riding
  • Dancing party
  • Going for a swim
  • Playing tag and other running games
  • Scheduling aerobic classes
  • Shooting hoops, street hockey, tennis, baseball, soccer…
  • Walking the dog
Food and Nutrition Routine:

While not exactly a routine, making healthy eating a daily habit is key. No one copes well when they are tired or hungry. Anxious children and teens often forget to eat, don’t feel hungry, or have upset stomachs. Thus, it’s okay for your child to “graze” as long as the snacks cover the basic food groups and the total amount consumed meets the required daily nutritional intake. Offer frequent, nutritious snacks. Instead of stocking up on chips and soda, have fresh fruits and vegetables and low-fat dairy foods available in your fridge or kitchen. Quick protein boosters can include hard-boiled eggs, pieces of cooked chicken, or nut butter on toast. As much as possible, make meal time “family time” and sit down and eat together, tuning into everyone’s day.

Note: Be a good role model! One of the first steps in creating a positive and predictable environment is to take stock of your own daily habits and ways of coping with anxiety. If you procrastinate your own work, opt for fast food on your way back form the office, and stay up all night on the computer, it should not be surprising if your child begins to adopt those habits. Use the coping tools to manage your own anxiety and share appropriate examples with your child. After all, you are the single biggest influence on your children!

Remember… a good routine can take several weeks to establish, but everyone will feel better once it is in place.