Managing Anxiety in Children With Autism

04 Jul 2025 12:34 PM - By Divya Pillai

Anxiety can be one of the co-occurring conditions that can accompany Autism. It can also be more intensely experienced in autistic individuals. Let us look at the connection between autism and anxiety, as well as how to manage them.

What exactly is anxiety?

Anxiety is an emotion characterized by extreme periods of fear, tension, nervousness, and worry. Anxiety is a normal human emotion. However, if it becomes prolonged, then the person can be diagnosed with an anxiety disorder. Some symptoms of autism can often overlap with those of anxiety disorders. This can make it more challenging to diagnose and manage them.

Are autism and anxiety linked?

Yes, anxiety and autism are linked. Multiple studies suggest anxiety is more common in autistic people. Anxiety in autistic individuals can present in many different ways, as each child experiences it uniquely.


In children, anxiety can commonly be exhibited due to the following situations:

  • Separation anxiety: It often appears when the child separates from the caregiver. For instance, on the first day of school, separation anxiety would be commonly seen.

  • Change in routine: Difficulty adjusting to new places or situations can be a common cause of anxiety in autistic children.

  • Facing social situations: Fear or anxiety while meeting new people or trying to communicate with them is seen.

  • Sensory overload: Exposure to too much bright light, loud noises, specific food flavours, or strong smells can be a potential trigger.


A change in routine can be one of the most common causes of anxiety in autistic children.

What are some anxiety management techniques?

Let us look at some anxiety management techniques in autistic children:

  1. Reduce the triggers that are causing anxiety. For instance, if your child is extremely sensitive and feels anxious around bright lights in your house, try replacing them or keeping them switched off.

  2. Develop coping strategies to manage anxiety. For instance, asking them to take deep breaths during overwhelming moments can help.

  3. Creating a schedule can be beneficial. Autistic children might want to follow a fixed routine; hence, listing any changes to the routine can be noted down on the schedule. Make sure to sit down and communicate with your child regarding the same.

  4. Support groups can benefit some autistic children.

  5. Preparing a child to face the fear can be beneficial. For instance, if your child is afraid to go to a dentist, taking them to a dentist a week or a day before for a trial run can help the child be prepared to handle their fear.

When to consult a child psychologist?

If the anxiety is prolonged and interferes with day-to-day functioning, it would be recommended to consult a child psychologist. They might employ Cognitive Behavioural Therapy (CBT) and mindfulness strategies to address anxiety. In severe cases, medication might be recommended.

Managing anxiety in autistic children would require patience, love, and support. It is important to note that every child is different. What works for one child may not work for another. Adopting the right strategies can make your child feel safe and cared for.

Divya Pillai