As a parent, witnessing your child struggle with anxiety can evoke a profound sense of helplessness and concern. After all, it’s natural to feel a deep emotional connection to their experiences, as you no doubt wish to alleviate their pain. However, simply knowing that you’re not alone and gaining a better understanding of adolescent anxiety may diminish some of your concern.
Data from the Anxiety & Depression Association of America indicates that anxiety disorders affect 31.9% of those aged 13 to 18. And unfortunately, anxiety disorders put adolescents at a higher risk to perform poorly in school, miss out on important social experiences, and engage in substance use.1 Â
When mental health disorders such as anxiety occur alongside substance use disorders, the condition is referred to as a co-occurring (or dual diagnosis) disorder. Furthermore, data shows high rates of anxiety disorders and substance use, the combination of which increases the risk of substance use disorders later in life.2
Although the data seems grim, transformation is possible. And Guardian Recovery can help.Â
At Guardian Recovery, we are dedicated to providing evidence-based care for teens facing anxiety and other behavioral disorders. Our holistic approach to treatment addresses the underlying causes of mental health and behavior concerns and empowers teens and their families to step into a bright new future.
To fully support your teen’s journey toward healing and growth, it’s essential to explore the complexities of adolescent anxiety, including how to recognize its signs and symptoms and understand its causes as well as the importance of seeking timely intervention. Let’s take a deep dive into teenage anxiety.
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What is Anxiety?
Anxiety exists on a broad spectrum, ranging from the occasional, manageable feelings of unease that all teenagers experience at one time or another to more severe, debilitating anxiety disorders. Here’s a brief overview of common anxiety disorders as outlined by the National Institute of Mental Health (NIMH):3
- Generalized Anxiety Disorder—Generalized anxiety often involves a persistent feeling of anxiety or dread that interferes with daily life and lasts for months if not years when left untreated.Â
- Panic Disorder—People with panic disorder have frequent and unexpected panic attacks, which are sudden periods of intense fear, discomfort, or a sense of losing control even when there is no clear danger or trigger.Â
- Social Anxiety Disorder—Social anxiety disorder is an intense, persistent fear of being watched and judged by others. The fear of social situations may get in the way of going to work, attending school, or doing everyday activities.
- Phobia-Related Disorders—Although it’s normal to be anxious in some circumstances, a phobia is an intense fear or aversion to specific situations or objects, such as flying, blood, spiders, snakes, enclosed spaces, being alone outside the home, etc.
- Separation Anxiety Disorder—Separation anxiety disorder is characterized by a fear being away from loved ones. Those with separation anxiety often worry that something bad might happen to their loved ones while they are not together, and as such, they tend to avoid being alone and may have bad dreams about being separated. Â
Signs & Symptoms of Anxiety in Teens
Anxiety in teenagers can manifest in a variety of signs and symptoms that may vary in intensity and duration. One of the most common emotional indicators is excessive worry or fear about everyday situations, such as academic performance, social interactions, or future events.4
Teens may also experience feelings of restlessness or irritability, often becoming easily frustrated or overwhelmed by minor challenges. Additionally, they might have difficulty concentrating or making decisions, which can further exacerbate their anxiety and impact their academic performance.4
Physically, anxiety can present through a range of symptoms, including headaches, stomachaches, fatigue, and changes in sleep patterns. Teens may also report trouble falling asleep or staying asleep due to racing thoughts or feelings of dread. They may also exhibit avoidance behaviors, shying away from activities or social situations that trigger their anxiety.4
In some cases, anxiety can also lead to panic attacks, characterized by a sudden onset of intense fear accompanied by physical symptoms such as heart palpitations, shortness of breath, or dizziness.Â
Recognizing these signs is crucial, as early intervention can help teens develop effective coping strategies and reduce the long-term impact of anxiety on their lives.
How Do You Know If Your Teen’s Anxiety is Normal?
Typical teenage anxiety might manifest as temporary worries about academic performance, social interactions, or other age-appropriate stressors. These feelings are often situational and may come and go as circumstances change. Normal anxiety is generally manageable and does not significantly interfere with a teen’s daily functioning or overall well-being.
When anxiety symptoms escalate to the point of consistently hindering a teen’s ability to engage in daily activities, such as attending school, maintaining friendships, or participating in extracurricular pursuits, it may be a sign of an anxiety disorder that requires professional attention. Persistent feelings of worry, fear, or panic that cause significant distress or impairment in a teen’s life are indicators that it’s time to seek help from a qualified mental health provider.
If your teen is exhibiting these consistent symptoms—or if you’re not sure just how troubling your child’s anxiety really is—Guardian Recovery can help. Reach out now for a free and confidential call to talk to one of our treatment advisors. They can answer your questions, discuss behavioral treatment options, and even provide an initial assessment to help determine whether behavioral treatment might be beneficial.
Causes & Triggers of Adolescent Anxiety
Various environmental factors can contribute to the development and exacerbation of anxiety in adolescents. Insights from the NIMH illustrate the significant role that academic pressure, family dynamics, and social challenges can play in triggering anxiety symptoms. For example, a high-stress home or school environment can amplify a teen’s feelings of worry and unease.3
In addition to environmental factors, genetics and biology also play a significant role in the onset of anxiety disorders. A family history of anxiety can increase the likelihood of similar issues in adolescents. Biological factors, such as brain chemistry and hormonal changes, can further influence a teen’s susceptibility to and experience of anxiety.3
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What Are the Risks of Ignoring Anxiety in Adolescents?
Ignoring or failing to address anxiety in adolescents can lead to long-term mental health consequences, including the development of depression and substance use disorders. Research from the National Institute on Drug Abuse (NIDA) has shown that early intervention is crucial in preventing these comorbid conditions and promoting overall well-being.2
Additionally, untreated anxiety can severely impact a teen’s academic performance and social interactions, potentially leading to isolation, decreased self-esteem, and further exacerbation of their mental health struggles. Addressing these feelings early on can help promote healthier development and a more positive trajectory.
Relationship Between Anxiety and Substance Use
Dual diagnosis refers to the co-occurrence of a mental health disorder, such as anxiety, and a substance use disorder. NIDA research indicates that many adolescents turn to substances as a coping mechanism for their anxiety, leading to a vicious cycle of dependence and worsening mental health.2
Those grappling with severe, mild, or even subclinical mental health issues may turn to drugs and alcohol as a misguided form of self-medication. While some substances might offer a fleeting sense of relief from the symptoms, the substances can ultimately intensify symptoms both in the short term and over time. Understanding this intricate relationship is crucial to addressing both mental health and substance use effectively.5
Treating dual diagnosis requires a comprehensive, holistic approach that addresses both the mental health and substance use components of the disorder. This may include a combination of evidence-based therapies, medication management, and lifestyle interventions to support your teen’s overall well-being.
Even though the challenges of dual diagnosis might seem overwhelming, Guardian Recovery offers health and hope via our specialized dual diagnosis care. Our integrated approach simultaneously addresses both mental health and substance use issues, ensuring a comprehensive path to recovery. By utilizing evidence-based strategies, such as cognitive behavioral therapy (CBT) and motivational interviewing (MI), we help teens develop strong interpersonal coping skills and foster a genuine motivation for change. This holistic approach ensures that all underlying factors are addressed, creating a robust foundation for long-term recovery.
Treatment Therapies & Approaches for Teen AnxietyÂ
Anxiety disorders are typically addressed through a combination of psychotherapy, medication, or both, and finding the right approach for teen anxiety treatment is essential for long-term recovery and well-being.Â
As part of our comprehensive treatment offerings, Guardian Recovery’s psychotherapy is a powerful tool for managing anxiety. Our tailored treatment focuses on your teen’s unique anxiety triggers, and includes individual, family, and group therapy modalities.Â
Cognitive Behavioral Therapy (CBT)
Guardian Recovery clinicians regularly employ evidenced-based forms of psychotherapy such as cognitive behavioral therapy (CBT), which equips teens with new ways of thinking and responding to anxiety-provoking situations. CBT is well-researched and considered the gold standard in psychotherapy for anxiety.Â
Another effective technique within CBT is exposure therapy, which encourages teens to confront their fears gradually, helping them engage in activities they may have been avoiding.
Medication
On the medication front, while no substance can cure anxiety disorders, various options can alleviate symptoms. Guardian Recovery’s medical and psychiatric staff can prescribe medications tailored to your teen’s needs.Â
Common classes of medications include antidepressants, which can enhance the brain’s use of mood-regulating chemicals, and anti-anxiety medications, such as benzodiazepines. Beta-blockers can also be beneficial, particularly for managing physical symptoms of anxiety, like rapid heartbeat or trembling.
Support Groups
Guardian Recovery support groups allow teens struggling with anxiety and substance use to share their problems and achievements with their peers. Doing so creates a sense of community and fosters communication skills.
Stress Management Techniques
As part of our holistic treatment we also help teens implement various stress management techniques, such as exercise, mindfulness, and meditation, which can reduce anxiety symptoms and enhance the effects of psychotherapy.
At Guardian Recovery, our comprehensive, holistic approach to anxiety and behavioral treatment integrates multiple therapeutic modalities tailored to each teen’s unique needs and circumstances. By addressing the physical, emotional, and social aspects of anxiety and substance use, we provide a well-rounded and effective treatment plan that sets the stage for long-term success.
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Role of Parents & Caregivers
Parents and caregivers play a crucial role in their teen’s recovery from anxiety. By creating a supportive home environment that fosters open communication, empathy, and understanding, you can help your child feel safe and validated as they navigate their mental health challenges.
Encouraging your teen to openly express their feelings and concerns can be pivotal in their healing process. This open dialogue can help build trust, strengthen the parent-child relationship, and provide valuable insights that can inform the treatment plan.
At Guardian Recovery, we believe families are a powerful force of change. That’s why we leverage and fuel this power, enabling teens and families to heal and grow together. Along with providing ongoing communication regarding your teen’s progress, we offer a host of family-specific services as your teen progresses through our treatment options. Parents and guardians can participate in family therapy, workshops, educational sessions, and peer support groups.
How to Support Your Teen Through Anxiety Treatment
Supporting your teen through the behavioral treatment process requires a multifaceted approach that emphasizes patience, empathy, and active involvement.Â
One of the most effective ways to demonstrate your support is by attending therapy sessions when appropriate, which can help you better understand the challenges your teen is facing and the strategies they are learning to cope with anxiety. This involvement not only shows your commitment but also fosters open communication, allowing your teen to feel more comfortable discussing their feelings and experiences.Â
Additionally, engaging in relaxation activities together—such as mindfulness exercises, yoga, or simply taking walks—can create a safe space for your teen to unwind and share their thoughts, reinforcing your role as a supportive ally in their journey toward healing.
Beyond participation in therapy, it’s crucial to be a constant source of encouragement and validation. Regularly expressing your belief in their ability to overcome challenges can significantly boost their self-esteem and resilience. Celebrate small victories, whether it’s completing a difficult task or simply facing a fear, to help them recognize their progress.Â
Furthermore, maintaining a calm and understanding demeanor during difficult moments is key to providing emotional stability. Remind your teen that it’s okay to feel anxious and that seeking help is a courageous step. By consistently offering your understanding and support, you can help create an environment where your teen feels safe and empowered to navigate their anxiety treatment with confidence.
Qualified Providers for Adolescent Anxiety Disorders
Seeking out qualified providers who specialize in adolescent anxiety disorders is essential for ensuring your teen receives the most effective and tailored care. Look for therapists, counselors, and treatment facilities that have extensive experience working with teenagers and offer customized treatment plans. Also, limit your options to only those facilities with proper licensing and various accreditations.Â
Adolescents face unique developmental challenges that require specialized care. By choosing providers who understand the nuances of teenage anxiety, you can be confident that your child’s treatment will be relevant, age-appropriate, and designed to address their specific needs.
Guardian Recovery’s Holistic Approach to Anxiety Treatment and Dual Diagnosis
At Guardian Recovery, we are dedicated to providing a comprehensive, holistic approach to the treatment of anxiety disorders and dual diagnosis in adolescents. Our team of qualified professionals collaborates closely with families to develop individualized treatment plans that combine evidence-based therapies, holistic practices, and ongoing support.
If you’re worried about your teen’s struggles with substance use, troubling behaviors, or mental health—or you’re not sure whether you should be worried—Guardian Recovery can help.
Reach out now to speak with a treatment advisor, who can answer your questions, offer a brief assessment of your teen’s struggles, and discuss treatment options. Staff can also verify your insurance benefits and discuss alternative payment options. The call is free and confidential, and you’re under no obligation to enter care.
Health, hope, and healing are not just possible—they’re within reach. Let Guardian Recovery help you and your teen start this important journey today.
Frequently Asked Questions
Persistent feelings of worry, fear, or panic that significantly interfere with your teen’s daily functioning, such as their ability to attend school, maintain friendships, or participate in extracurricular activities, may indicate an anxiety disorder that requires professional intervention.
Ignoring anxiety in teens can lead to the development of comorbid mental health conditions, such as depression and substance use disorders. Early intervention is crucial to prevent these long-term consequences and promote overall well-being.
At Guardian Recovery, we utilize a range of evidence-based therapies such as CBT, which have been shown to be effective in treating anxiety disorders in teenagers.
Parents and caregivers can support their teen by creating a nurturing, understanding environment, encouraging open communication, and actively participating in the treatment process. This may involve attending therapy sessions, engaging in relaxation activities together, and providing constant encouragement and validation.
Adolescents face unique developmental challenges that require specialized care. Providers who have extensive experience working with teenagers and offer customized treatment plans are better equipped to address the specific needs and concerns of young people struggling with anxiety.
Our adolescent program offers the full continuum of care, from medical detox and residential/inpatient care to our partial hospitalization program (PHP) with or without housing, our intensive outpatient program (IOP), and outpatient and aftercare options. Since treatment isn’t a one-size-fits-all solution, your teen may progress from the most intensive form of care to the least intensive in a linear fashion—or they may skip some steps or even start right in the middle. No matter what level of behavioral care your teen needs, we meet you where you are.
Since each treatment program is customized to the unique needs of each teen in our care, no two care plans are alike. As such, costs vary dramatically. However, we accept most major insurance plans, and both mental health and substance use disorder care are typically covered by insurance. To know for sure how much you’ll pay and how much insurance will cover, reach out now for a free and confidential phone call. Our staff can answer your questions, discuss care options, verify insurance benefits, and discuss alternative payment options if necessary.
Getting started is as simple as making a phone call. Contact us now for a free, confidential, and no-obligation call to discuss treatment options, insurance benefits, and more. If you choose to proceed, we’ll provide an initial assessment and treatment plan, and we’ll offer explicit directions for check-in and next steps.
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Disclaimer: Does not guarantee specific treatment outcomes, as individual results may vary. Our services are not a substitute for professional medical advice or diagnosis; please consult a qualified healthcare provider for such matters.
- Anxiety & Depression Association of America. (2022). Anxiety Disorders – Facts & Statistics.
- National Institute on Drug Abuse. (2018). Common Comorbidities with Substance Use Disorders Research Report. Part 1: The Connection Between Substance Use Disorders and Mental Illness.Â
- National Institute of Mental Health. (n.d.) Anxiety Disorders.
- National Alliance on Mental Illness. (2017). Anxiety Disorders.
- National Institute on Drug Abuse. (2018). Common Comorbidities with Substance Use Disorders Research Report. Why is there comorbidity between substance use disorders and mental illness?
