The Royal College of Psychiatrists Podcast
Sep 9, 2026 · 1 hr 1 min · 11 segments
In this episode of Children's Mental Health Listen Up, hosts Dr Elaine Lockhart and Dr Asilay Seker are joined by Dr Jose Mediavilla, a consultant child and adolescent psychiatrist to explore anxiety…
Jose MediavillaGuest
Asilay SekerHost
Ian KelleherGuest
Elaine LockhartHostLucasGuest
And, um, is there anything that parents or teachers or other people who are involved in a child or young person's life can do to support them when they're going through treatment for an anxiety disorder?

This is, um, really an important point because the way parents and teachers, um, react or respond to a child where, wh- who's developing an anxiety disorder will be key in terms of accessing help and support, and also in terms of sometimes defining how the anxiety disorder evolves or develops.

So the main thing to consider as a parent or as a teacher is that the child is not being difficult.

Um, the fear response from the child is a genuine response, even though we might see what they fear most, the feared situation, as not dangerous, and we might really not quite understand why the child feels so overwhelmed by it.

So the child might behave in ways that we might misinterpret as misbehaving, but actually is not.

It's important that parents validate those feelings, but without reinforcing them.

It's a really fine line between being able to validate feelings without reinforcing them.

So for example, if a child comes to, uh, to, to you as a, as a father and asks, um, or wants some, some, some reassurance about a, a feared situation, instead of saying or res- r- responding with, "Don't worry, you'll be fine," um, saying something like, for example, "I can see that you really struggle with this and that this is difficult for you, but don't worry about this.

Firstly, because it, it's, it's, um, empathic, validates a worry, and also it offers, it gives a positive, optimistic message to the child that actually difficulties can be overcome.

Uh, as a, as a parent or as a teacher, we also need to, to encourage the child to face those fears in a way that is manageable.

So sometimes we need to have a plan, do this, uh, jointly done with the child in terms of breaking down those fears into small steps that are manageable.

But rather than completely avoiding them altogether, which we just mentioned that, uh, it just, um, it would increase a- avoidance and, and in time, it will make the anxiety disorder worse.

So, for example, if a child struggles with school for a specific reason, we might think of a plan to tackle that issue at school rather than a- agreeing with the child to be off school for the next month.

And, um, is there anything that parents or teachers or other people who are involved in a child or young person's life can do to support them when they're going through treatment for an anxiety disorder?

This is, um, really an important point because the way parents and teachers, um, react or respond to a child where, wh- who's developing an anxiety disorder will be key in terms of accessing help and support, and also in terms of sometimes defining how the anxiety disorder evolves or develops.

So the main thing to consider as a parent or as a teacher is that the child is not being difficult.

Um, the fear response from the child is a genuine response, even though we might see what they fear most, the feared situation, as not dangerous, and we might really not quite understand why the child feels so overwhelmed by it.

So the child might behave in ways that we might misinterpret as misbehaving, but actually is not.

It's important that parents validate those feelings, but without reinforcing them.

It's a really fine line between being able to validate feelings without reinforcing them.

So for example, if a child comes to, uh, to, to you as a, as a father and asks, um, or wants some, some, some reassurance about a, a feared situation, instead of saying or res- r- responding with, "Don't worry, you'll be fine," um, saying something like, for example, "I can see that you really struggle with this and that this is difficult for you, but don't worry about this.

Firstly, because it, it's, it's, um, empathic, validates a worry, and also it offers, it gives a positive, optimistic message to the child that actually difficulties can be overcome.

Uh, as a, as a parent or as a teacher, we also need to, to encourage the child to face those fears in a way that is manageable.

So sometimes we need to have a plan, do this, uh, jointly done with the child in terms of breaking down those fears into small steps that are manageable.

But rather than completely avoiding them altogether, which we just mentioned that, uh, it just, um, it would increase a- avoidance and, and in time, it will make the anxiety disorder worse.

So, for example, if a child struggles with school for a specific reason, we might think of a plan to tackle that issue at school rather than a- agreeing with the child to be off school for the next month.
The rest of this transcript — segmented and speaker-labeled, so you land on the exact moment something was said
Search every transcript — by keyword, by phrase, or by meaning, across every show Radar indexes
Trends — what is surging across podcasts, measured against its own baseline
Alerts — when a name you follow appears in a newly indexed episode
No account is needed to search Radar.