Separation anxiety in children
बच्चों में अलग होने का डर (सेपरेशन एंग्ज़ायटी)
Some worry about being apart from parents is normal in young children. Separation anxiety disorder is fear that is much stronger than expected for the child's age and lasts for weeks, affecting school and daily life.
With calm, consistent support and short-term therapy, most children improve well.
Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry
Common symptoms
- Excessive distress when leaving home or separating from parents
- Worry that something bad will happen to parents
- Refusing to go to school or sleep alone
- Stomach aches, headaches or vomiting on school days
- Nightmares about separation
Causes
- Anxious temperament, sometimes shared with a parent
- Stressful changes: new school, moving house, illness or death in the family
- Overprotective patterns that unintentionally keep fear going
Risk factors
- Anxiety or depression in a parent
- Bullying or a frightening event at school
How it is diagnosed
- Talking with the child and parents, and with the school when possible
- Checking for bullying, learning difficulties, physical illness and other anxiety
Classification: ICD-10 F93.0 · ICD-11 6B05
Treatment options
- 1CBT for the child with active parent involvement
- 2A gradual, planned return to school with the teacher's support
- 3Medicines only rarely, for severe cases
Psychotherapy and counselling
- Teaching the child to name worries and use coping steps
- Gradual practice of short separations with rewards
Guidance for family
- Keep goodbyes short, warm and predictable; do not sneak away
- Avoid keeping the child home on difficult mornings — it strengthens the fear
- Praise brave behaviour
When to see a psychiatrist
- The child has missed school for days or weeks
- Fear lasts more than a few weeks or keeps getting worse
Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.
Frequently asked questions
Is my child just being stubborn?
Usually not. The fear is real for the child; firm, kind support works better than punishment.
Should I let my child stay home until the fear passes?
Staying home usually increases fear. A gradual return plan works better.
Will my child grow out of it?
Many improve with time and support, but untreated anxiety can continue into other forms. Early help is useful.
Help is available — confidential, in Hindi or English.
Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.
This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.