Managing Anxiety in Autistic Children: 10 Strategies for Success


Managing Anxiety in Autistic Children

Being a parent of an autistic child can be a challenging experience, especially when your child struggles with anxiety. Anxiety is a common co-occurring condition in children with autism spectrum disorder (ASD), and it can greatly impact their daily life.

Fortunately, there are strategies that parents can use to help their child manage anxiety. In this article, we will discuss 10 strategies for helping your autistic child with anxiety. These strategies include developing a routine, practicing deep breathing, using visual aids, creating a sensory-friendly environment, encouraging physical activity, practicing mindfulness, using social stories, providing a safe space, teaching problem-solving skills, and seeking professional help.

By implementing these strategies, you can help your child feel more comfortable and confident in challenging situations, leading to a happier and more fulfilling life for both you and your child. So, let's dive in and explore these 10 strategies in more detail!

#1. Develop a Routine

When creating a routine for your autistic child, it's important to make it visual and easy to follow. Use pictures, symbols, or words to represent each activity. You can create a visual schedule or a checklist that outlines the daily routine. Hang the schedule or checklist in a prominent location where your child can see it easily.

Be sure to include specific times for each activity, so your child knows what to expect throughout the day. Use timers or alarms to help your child transition from one activity to the next. For example, if it's time to stop playing and start getting ready for bed, set a timer for five minutes to give your child a warning that the activity is ending soon.

It's also important to be consistent with the routine. Stick to the schedule as much as possible, even on weekends or holidays. Consistency can help your child feel secure and reduce anxiety.

However, be prepared for unexpected events or changes to the routine. For example, if there's a snow day and school is closed, be sure to explain to your child why the routine is different and create a new schedule for the day. Being flexible and adaptable can help your child learn to manage unexpected changes and reduce anxiety.

#2. Practice Deep Breathing

Deep breathing is a technique that can help your child regulate their emotions and reduce anxiety. It's a simple yet effective technique that can be practiced anytime and anywhere.

To teach your child how to deep breathe, start by finding a quiet and calm place. Encourage your child to sit comfortably and close their eyes. Ask them to take a slow, deep breath through their nose, filling their lungs with air. Hold the breath for three seconds, and then exhale slowly through their mouth, pushing all the air out of their lungs.

Repeat this process three to five times or until your child feels more relaxed. It's important to practice deep breathing during calm moments, so your child can use it when they feel anxious.

You can also make deep breathing a fun and interactive activity. Play games such as "blowing out candles" or "smelling the flowers" to make deep breathing more engaging for your child. Encourage your child to practice deep breathing with you or other family members to make it a regular part of their routine.

Deep breathing can be a helpful tool for managing anxiety, but it's important to remember that it may not work for everyone. If your child is not comfortable with deep breathing, try other techniques such as progressive muscle relaxation or guided imagery. The key is to find a technique that works for your child and helps them feel more calm and relaxed.

#3. Use Visual Aids

Visual aids are a great way to help autistic children understand and process information. They can be especially helpful for reducing anxiety by providing a clear visual representation of what to expect in different situations.

There are many types of visual aids that you can use to help your child. One of the most common is a visual schedule. This is a schedule that uses pictures or symbols to represent different activities throughout the day. You can use a visual schedule to help your child understand what activities are coming up, and what they need to do to prepare for each activity. This can help reduce anxiety by providing predictability and structure.

Other types of visual aids include social stories, which use pictures and simple language to explain social situations and expectations, and picture communication cards, which can help nonverbal children communicate their needs and desires.

When using visual aids, it's important to keep them simple and easy to understand. Use clear and concise language, and avoid overwhelming your child with too much information. Be sure to review the visual aids with your child regularly, so they become familiar and comfortable with them.

Visual aids can be a powerful tool for reducing anxiety in autistic children, but it's important to remember that they may not work for everyone. Some children may prefer other types of communication, such as verbal or tactile cues. The key is to experiment and find what works best for your child, and to be open to trying new approaches as needed.

#4. Create a Sensory-Friendly Environment

Autistic children can be highly sensitive to their environment, and sensory overload can be a major trigger for anxiety. Creating a sensory-friendly environment can help reduce anxiety and make your child feel more comfortable and secure.

One way to create a sensory-friendly environment is to reduce sensory input. This can mean dimming the lights, reducing noise levels, and minimizing clutter. You can also create designated quiet spaces where your child can retreat if they feel overwhelmed. This might be a small corner of a room, or a separate sensory room where your child can relax and engage with calming activities.

Another way to create a sensory-friendly environment is to provide sensory toys and tools that can help your child self-regulate. These might include weighted blankets or vests, fidget toys, or sensory balls. You can also provide headphones or earplugs to help your child block out noise.

It's important to remember that each child is different, and what works for one child may not work for another. Some children may prefer more sensory input, such as bright lights or strong smells. The key is to observe your child's behavior and preferences, and tailor the environment to their individual needs.

Creating a sensory-friendly environment can be a powerful tool for reducing anxiety in autistic children. By minimizing sensory input and providing calming tools and activities, you can help your child feel more comfortable and in control of their environment.

#5. Encourage Physical Activity

Physical activity is an effective way to reduce anxiety and improve mood, and it can be especially beneficial for autistic children. Encouraging your child to engage in physical activities they enjoy can help them release excess energy and tension, leading to a greater sense of calm and well-being.

There are many different types of physical activities that can benefit autistic children, from outdoor play to swimming, dance, or martial arts. Encourage your child to explore different activities to find something they enjoy, and then support them in pursuing it regularly.

Regular exercise can also improve sleep quality, which can further reduce anxiety. Encourage your child to engage in physical activity earlier in the day rather than later, as exercise too close to bedtime can actually disrupt sleep.

It's important to tailor physical activity to your child's individual needs and preferences. Some autistic children may have difficulty with team sports or group activities, while others may thrive in these settings. Be attentive to your child's behavior and mood, and adjust their activities accordingly.

In addition to reducing anxiety and improving mood, regular physical activity can also have many other benefits for autistic children, such as improving coordination, strength, and social skills. By encouraging your child to engage in physical activities they enjoy, you can help them build confidence and a positive self-image, while also promoting overall health and well-being.

#6. Practice Mindfulness

Practicing mindfulness can be a powerful tool for reducing anxiety in autistic children. Mindfulness involves paying attention to the present moment without judgment, and can help your child develop greater awareness of their thoughts and feelings, and learn to manage them in a more effective way.

There are many different mindfulness techniques that you can teach your child, such as body scans, meditation, or mindful breathing. Encourage your child to choose a technique that they find comfortable and enjoyable, and then practice it regularly.

One simple mindfulness technique is to focus on the breath. Teach your child to close their eyes and take a few deep breaths, focusing their attention on the sensation of the breath moving in and out of their body. When thoughts or distractions arise, gently guide your child's attention back to the breath.

Another technique is a body scan, where your child focuses their attention on different parts of their body, noticing any sensations or feelings without judgment. This can help them develop greater body awareness and learn to release tension and stress.

Mindfulness can be practiced anywhere, anytime, making it a convenient tool for reducing anxiety in any situation. Encourage your child to practice mindfulness regularly, even during calm moments, so they can develop the skills and habits necessary to manage anxiety when it arises.

By teaching your child mindfulness techniques, you can help them develop greater awareness of their thoughts and emotions, and learn to manage them in a more effective way. This can lead to greater overall well-being and a greater sense of calm and peace.

#7. Use Social Stories

Social stories are short, illustrated narratives that can help autistic children understand social situations and expectations. These stories can be particularly helpful for reducing anxiety in situations that may be unfamiliar or overwhelming, such as going to the doctor or meeting new people.

To create a social story, identify the specific situation that your child may have anxiety about. Then, create a story that explains what will happen, what is expected of your child, and how they can manage their anxiety. Use simple language and include pictures or other visual aids.

Reading the social story with your child regularly can help them feel more prepared and less anxious about the situation. You can also encourage your child to create their own social stories, which can be a fun and creative way to practice their storytelling skills while also addressing their anxiety.

#8. Provide a Safe Space

Creating a safe space for your autistic child is an essential strategy for helping them manage their anxiety. The safe space should be a place where your child feels comfortable and secure. It could be a quiet room with soft lighting, calming music, and comfortable seating, or a small area with sensory toys and objects that your child can use to self-regulate.

Encourage your child to use this space when they feel overwhelmed or anxious. Help them identify signs of anxiety and teach them to recognize when they need a break. It is also important to establish clear boundaries around this safe space and communicate with your child about when it is appropriate to use it.

Having a safe space can give your child a sense of control and security, which can help reduce anxiety in other areas of their life as well. Be sure to check in with your child regularly and ask them if their safe space is meeting their needs.

#9. Teach Problem-Solving Skills

Autistic children may struggle with problem-solving and may feel overwhelmed in challenging situations. Teaching them problem-solving skills can help them feel more confident and empowered.

One effective problem-solving technique is to break down the problem into smaller, more manageable parts. Encourage your child to think about possible solutions and weigh the pros and cons of each option. This can help them feel more in control and less overwhelmed by the problem.

Additionally, teach your child how to ask for help when needed. This could include asking a teacher for assistance with a difficult school assignment or seeking support from a trusted adult when they feel anxious or upset. By teaching your child how to seek help and support when needed, you can help them build their problem-solving skills and improve their overall resilience.

#10. Seek Professional Help

Sometimes, despite your best efforts, your child's anxiety may not improve. It's important to know when to seek professional help. If your child's anxiety is severe, persistent, or interfering with their daily life, consider consulting with a mental health professional.

A therapist who specializes in working with autistic children can provide additional support and strategies for managing anxiety. They can also work with you to develop an individualized treatment plan for your child.

Therapy may include cognitive-behavioral therapy (CBT), which is a type of therapy that helps individuals identify and change negative thought patterns and behaviors that contribute to anxiety. Other types of therapy may include play therapy, art therapy, or sensory integration therapy.

Medication may also be an option in some cases. Some medications, such as selective serotonin reuptake inhibitors (SSRIs), can be effective in reducing anxiety. However, it's important to discuss the risks and benefits of medication with your child's doctor.

In addition to therapy and medication, there are other resources available to help you and your child manage anxiety. Support groups for parents of autistic children can be a valuable source of information and emotional support. Your child's school may also have resources, such as a school psychologist or guidance counselor, who can provide additional support and strategies for managing anxiety.

Remember, you are not alone in this journey. Seeking professional help is a sign of strength, not weakness. With the right support and strategies, your child can learn to manage their anxiety and thrive.

In conclusion, anxiety is a common experience for many autistic children, but there are various strategies parents and caregivers can use to help manage it. Developing a routine, using visual aids, providing a sensory-friendly environment, encouraging physical activity, and teaching problem-solving skills are just a few examples. It is also important to create a safe space for the child, seek professional help when necessary, and understand that what works for one child may not work for another. With patience, support, and understanding, we can help our autistic children better manage their anxiety and live their best lives.


Q: What causes anxiety in autistic children?

A: Anxiety in autistic children can be caused by a variety of factors, including sensory overload, changes in routine, and difficulty with social interactions.

Q: How can I tell if my child is experiencing anxiety?

A: Signs of anxiety in autistic children may include increased agitation or restlessness, difficulty sleeping, decreased appetite, and avoidance of certain activities.

Q: Can anxiety be treated in autistic children?

A: Yes, anxiety in autistic children can be treated through a combination of behavioral therapy, medication, and lifestyle changes.

Q: Will my child outgrow their anxiety?

A: It depends on the individual child and the severity of their anxiety. Some children may outgrow their anxiety with time, while others may require ongoing treatment.

Q: Can anxiety in autistic children be prevented?

A: While anxiety cannot be completely prevented, there are strategies that can help reduce the likelihood and severity of anxiety in autistic children, such as developing a consistent routine and creating a sensory-friendly environment.

Q: Is medication always necessary for treating anxiety in autistic children?

A: No, medication is not always necessary for treating anxiety in autistic children. Behavioral therapy and lifestyle changes can be effective in reducing anxiety symptoms.

Q: How can I support my child with anxiety at home?

A: You can support your child with anxiety by creating a safe and supportive environment, developing coping strategies together, and seeking professional help when needed.

Q: Are there any alternative therapies that can help with anxiety in autistic children?

A: Some alternative therapies, such as art therapy and animal-assisted therapy, have been shown to be helpful in reducing anxiety in autistic children.

Q: Can anxiety in autistic children lead to other mental health issues?

A: Yes, untreated anxiety in autistic children can lead to other mental health issues, such as depression and behavioral problems.

Q: Can anxiety in autistic children affect their academic performance?

A: Yes, anxiety can impact a child's ability to focus and learn, which can lead to academic difficulties. It is important to address anxiety in order to support academic success.

What to do next?

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