Can I ease my child's performance anxiety?

Many girls at this age begin to report social anxiety, performance fears and fear of rejection. They may have had anxious feelings before, but they were described as "a little shy" rather than "having anxiety." Whether her behavior is isolated to performance, or is more generalized to include poor peer relationships, oversensitivity to criticism and low self-esteem, the treatment is similar.

The tools used for anxiety reduction will be helpful throughout her life. A common approach is to ask a person to notice her body's reactions and then rate the severity of the experience on a scale of one to five. If she can stop and feel her body's response, she can start the process of relaxing, before the anxiety takes over. Children can learn to calm themselves by muscle tightening and relaxing, slow breathing and visualization.

Helping children link their body's sensations to their negative thoughts also helps children slow their automatic reactions down. This process allows them to accept the feelings and begin to replace the scary thoughts with positive coping statements.

A school counselor, child therapist or behavioral pediatrician can help determine the severity of your daughter's anxiety and offer further help and guidance. Two very popular books with practical "how to" information are: "Freeing Your Child From Anxiety" by Tamar E. Chansky and "Helping Your Anxious Child" by Ronald M Rapee, Susan H. Spence, Vanessa Cobham and Ann Wignall.