What is separation anxiety and how can you help your child overcome their fear of separation?

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November 28 2025
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    Has your baby just entered the "nothing without mommy" stage? Every time you try to leave them in the care of another person, they start crying and demand your presence alone? Although separation anxiety in a child—the fear of being separated from a beloved caregiver—is a natural stage of development, it can be incredibly taxing for parents, both mentally and physically. Parents share similar stories on numerous online forums, wondering: "Is separation anxiety in my child still normal, and how can I cope with it?" Is separation anxiety in a 4- or 5-year-old still within the range of typical development? Is separation anxiety in an 8- or 10-year-old a cause for concern? If you're interested in the topic of separation anxiety in children, we encourage you to read this article.

    What is separation anxiety in children?

    Separation anxiety in children is a phenomenon in which the toddler experiences very strong anxiety at the thought of being separated from a loved one, usually the mother or other primary caregiverIt can appear both in situations of actual separation (e.g., going to nursery or kindergarten) and when the child only imagines that the parent will not be around.

    At least some of the reactions described as separation anxiety in children are completely natural. Separation anxiety can affect both the child at various stages of development (from infants, through 4-year-olds, 8-year-olds, and even 10-year-olds) and the parent. Knowing at what age separation anxiety can be expected to peak helps distinguish normal development from situations that should cause concern.

    Separation anxiety in infants and separation anxiety in a 3-year-old – what is still developmental normal?

    It is worth emphasizing that separation anxiety in infants and young children, especially between 6 months and 3 years of age, is completely a natural stage in developmentThese little ones are just learning that separations from mom or dad are temporary, and that the fear of separation is their way of crying out for closeness and a sense of security. Descriptions of separation anxiety in infants recur like a boomerang on many parenting forums: "I can't even go to the bathroom, I immediately cry!"

    Common signs of separation anxiety in infants include:

    • clinging tightly to the caregiver and crying as soon as he or she is out of sight,
    • a strong need for physical closeness during separation attempts,
    • refusal to fall asleep without a parent nearby, sudden crying at night, even when the child had previously slept peacefully almost all night.

    Expert advises

    Such behaviors and symptoms of separation anxiety in a 3-year-old or younger child are usually within normal developmental norms. During this period, it's important to be sensitive to separation anxiety, respond to the child's need for closeness, and treat the child's anxiety with understanding—it's a natural stage of development. In children raised in a safe, supportive environment, normal separation anxiety in infants gradually subsides without disrupting their development. Over time, children become increasingly comfortable with short, and later longer, separations and learn that their parents always return.

    Justyna Hermaniuk
    Psychologist at the Department of Early Psychological Intervention and the Day Rehabilitation Center for Children, Institute of Mother and Child

    Difficult goodbyes – separation anxiety in a preschooler

    Preschool age (age 3) is a time of intense socialization, often associated with moving to a new school. Many children experience intense separation anxiety, and morning goodbyes become a difficult moment of the day.

    In this article you will read more about what to do if the child does not want to go to kindergarten.

    Expert advises

    When separation anxiety symptoms become more severe in a 3-year-old preschooler, it's usually a natural phenomenon, especially during the preschool adjustment period. They usually gradually subside and should diminish significantly in the first few months of preschool, gradually and almost completely disappearing by around age six. However, severe separation anxiety in preschoolers can also appear as a reaction to caregivers' anxiety or life changes (e.g., a move, the birth of a sibling, parental divorce, or family illness). 

    Justyna Hermaniuk
    Psychologist at the Department of Early Psychological Intervention and the Day Rehabilitation Center for Children, Institute of Mother and Child

    Symptoms of separation anxiety in a 3-year-old, separation anxiety in a 4-year-old, or separation anxiety in a 5-year-old include:

    • crying heavily when being taken to kindergarten, holding on to a parent tightly when saying goodbye;
    • refusing to stay in a room other than the caregivers, following the parent "step by step" even at home;
    • somatic symptoms just before separation from a parent (nausea, vomiting, abdominal pain, headaches);
    • separation anxiety in a 4- or 5-year-old can also be expressed bedwetting, loss of appetite, insomnia and general anxiety;
    • reluctance to play or interact with adults other than those closest to them;
    • fear of animals, monsters or the dark – this is often a manifestation of broader fears that, in the child’s imagination, may threaten the family.

    Even if separation anxiety in a 5-year-old can still be considered within the norm, it is worth monitoring it carefully – especially when it is very intense, does not subside over time or begins to hinder the daily functioning of the child and family.

    Persistent somatic symptoms such as abdominal pain, diarrhea or headache, it is also worth the first thing consult a pediatricianOn many forums, parents often describe how separation anxiety in preschoolers initially seemed "normal," but only over time did they realize that the separation anxiety was lasting too long and began to consider consulting a psychologist.

    Separation anxiety in an 8-year-old and a 10-year-old – not just nightmares

    In school-age children separation anxiety disorder in children is diagnosed most often. This stage of life is usually associated with an expansion of autonomy: the child spends more time outside the home, develops peer relationships, and faces new responsibilities.

    This is why separation anxiety in an 8-year-old or separation anxiety in a 10-year-old should be of particular concern to parents – it is no longer consistent with a typical developmental stage (which could be considered separation anxiety in a 3-year-old or a slightly older preschooler).

    How might separation anxiety manifest in children aged 8–12?

    • Refusal or strong reluctance to attend school (school phobia) stemming from fear of separation from a parent. School phobia can be one manifestation of separation anxiety in children.
    • Nightmares about separation from a parent, common between the ages of 5 and 8.
    • Symptoms of separation anxiety in an 8- or 10-year-old may also include: apathy, sadness, decreased concentration, and loss of appetite in response to separation from mom or dad.
    • Separation anxiety in a 10-year-old often manifests itself in the need for constant contact with a caregiver (e.g. frequent phone calls, messages), as well as the fear that the parents will become ill or have an accident.
    • In the pre-pubertal period (13–16 years of age), somatic symptoms predominate more often: abdominal pain, headaches, vomiting in situations related to separation.

    Expert advises

    It's worth remembering that a morning fear of separation from a parent doesn't always indicate separation anxiety in the child. As parents write on numerous online forums, sometimes a minor argument with a friend or a difficult test in a disliked subject can trigger temporary separation anxiety symptoms even in a 10-year-old. There's no need to panic immediately, but it's definitely worth thoroughly examining the situation, including at school, and talking to the child about whether they're experiencing violence, discrimination, bullying, or learning difficulties at school. If symptoms worsen, it's worth considering consulting with teachers and a psychologist.

    Justyna Hermaniuk
    Psychologist at the Department of Early Psychological Intervention and the Day Rehabilitation Center for Children, Institute of Mother and Child

    On almost every forum, parents ask: when does the fear of separation from a parent become a warning sign?

    Natural separation anxiety in infants and young children usually subsides gradually without disrupting development.The problem arises when the fear of separation:

    • is of extremely high intensity,
    • is inconsistent with the child's developmental age,
    • it lasts for a long time and instead of weakening, it grows,
    • clearly disrupts everyday functioning.

    Severe separation anxiety in children, without appropriate support at some stage, can affect learning, peer relationships and increase the risk of anxiety disorders in adulthood.

    When to consult a child psychologist?

    It is worth considering consulting a specialist when:

    🔹 symptoms last longer than typical developmental anxiety and are much more severe. For diagnosis, the disorder usually requires that it persists for more than about 2 weeks (or 4 weeks in some criteria),

    🔹 Separation anxiety in a child significantly disrupts social functioning – e.g. a child chronically refuses to go to kindergarten or school (school phobia),

    🔹 a child, e.g. an 8-year-old with separation anxiety, persistently worries that something bad will happen to him or her or his loved onesthat the parents will leave and not come back,

    🔹 recurring physical symptoms appear (nausea, abdominal pain, vomiting) in situations related to separation – in such a situation, a pediatric consultation is recommended first to exclude somatic causes,

    🔹 parent – ​​e.g. a mother experiencing separation anxiety in a 4-year-old child – she feels lost, helpless, unsure of her reactions, and the tension associated with the separation becomes difficult for the entire family.

    How to Deal with Separation Anxiety in Children: Practical Tips for Parents

    If your child is experiencing separation anxiety, remember that Your support and peace of mind are of the utmost importanceIt's not about never leaving the house, but about how you talk about breakups and how the moment of saying goodbye itself goes.

    In many situations, joint action by parents, a psychologist and – where applicable – the kindergarten or school proves helpful, especially when separation anxiety in children affects the child's daily functioning at the facility.

    Building a sense of security from the first months

    In the early period, when separation anxiety appears in infants or separation anxiety in a 3-year-old, the most important thing is strengthening secure attachment and gradual independence.

    • Tell me what happens next – children are afraid that their parent will not return. Short messages like, "I'll pick you up after work and we'll go to the playground" actually reduce fear of separation.
    • Extend your breakups gradually – start with a few minutes, then increase the time. This is a safe way to reduce separation anxiety in children.
    • Introduce new caregivers in advance – a few short meetings build a sense of security, especially during the period of adaptation to nursery, kindergarten or staying at home under the care of grandparents or nannies.
    • Take care of the transitional item – for a 4- or 5-year-old who experiences separation anxiety, a favorite stuffed animal, blanket or bracelet with an inscription or symbol handmade by mom/dad are often gadgets that help them calm down after separation from their parent. 
    • Practice daily independence – the more independent a toddler is, the easier they cope with change because they feel they can largely manage things on their own, for example, dressing or using the toilet. This helps reduce separation anxiety in a preschooler.

    Drama-free goodbyes

    Your attitude matters both when separation anxiety appears in a 5-year-old and when you observe separation anxiety in an 8-year-old.

    • Say goodbye briefly and calmly – assure your child that you will return, but do not prolong the goodbye.
    • Listen and show understanding – do not ignore your fears, even if they seem “inappropriate” to you.
    • Keep your word – pick up your child at an agreed time, e.g. after soup at kindergarten; this builds trust and reduces fear of separation.
    • Avoid "shock therapy" – leaving a child “by force” most often only increases the fear.

    When separation anxiety in an 8- or 10-year-old begins to interfere with their functioning

    At school age, severe separation anxiety, for example in a 10-year-old, may lead to refusal to go to school, severe somatic symptoms or withdrawal from relationships.

    In such a situation, the help of a specialist is needed, most often a psychologist or psychotherapist working in a field appropriate to the problem.

    Examples include methods used in cognitive-behavioral therapy:  

    🔹 Psychoeducation for parents and children – understanding the mechanisms of anxiety helps a lot, especially when it is persistently intense separation anxiety in an 8- or 10-year-old.

    🔹 Gradual exposure – the child gradually becomes accustomed to situations that previously aroused fear.

    🔹 Working on worry (rumination) – older children learn to recognize catastrophic thoughts and replace them with more realistic ones.

    🔹 Social skills training – in some children, anxiety is combined with difficulties in relationships; in such cases, it is worth strengthening assertiveness and independence.

    🔹 Cooperation with the school - When separation anxiety in children leads to refusal to attend classes, joint action by parents and teachers is crucial.

    Parents, you don't have to be alone with your child's separation anxiety!

    If you are experiencing severe separation anxiety in your infant, 4-year-old, long-term separation anxiety in your 8-year-old, or symptoms in your older child, remember that you don't have to deal with it alone.

    Parents describe similar experiences on many internet forums, but remember - if a child's fear of separation from a parent gets out of control, intensifies and disrupts the daily functioning of the family, consulting a psychologist is the best step.

     

    Bibliography (access to internet sources as of 17.11.2025/XNUMX/XNUMX):

    1. Dąbkowska, M. (2007). Separation anxiety in childhood. Polish Pediatrics, 82 (4), 329–332.
    2. Drazheva, E. (2021). A preliminary study of the phenomenon of "Separation Anxiety" through the eyes of the Positive and Transcultural Psychotherapy Method. The Global Psychotherapist, 1(1). Available online: https://www.positum.org/wp-content/uploads/2022/02/DRAZHEVA.pdf
    3. Patel JD, Asha K, Singh A, Vats S, Gupta P, Monika -. A LONGITUDINAL STUDY OF CHILDHOOD SEPARATION ANXIETY DISORDER AND ITS IMPLICATIONS FOR ADOLESCENT PSYCHOPATHOLOGY. GeorgianMedNews. 2023 Dec;(345):105-111. PMID: 38325307.
    4. Santarossa A, Nabbijohn AN, van der Miesen AIR, Peragine DE, VanderLaan DP. Separation anxiety and gender variance in a community sample of children. Eur Child Adolesc Psychiatry. 2019 Dec;28(12):1629-1643. doi: 10.1007/s00787-019-01319-3. Epub 2019 Apr 16. PMID: 30993534.
    5. Weeks GA, Sakmar E, Clark TA, Rose AM, Silverman WK, Lebowitz ER. Family Accommodation and Separation Anxiety: The Moderating Role of Child Attachment. Res Sq [Preprint]. 2023 Nov 20:rs.3.rs-3621755. doi: 10.21203/rs.3.rs-3621755/v1. Update in: Child Psychiatry Hum Dev. 2024 May 16. doi: 10.1007/s10578-024-01705-2. PMID: 38045422; PMCID: PMC10690319.
    6. Preś, J., Świątkowska, K., Kołakowski, A. (2024). Cognitive-behavioral therapy in the treatment of separation anxiety disorder in children – a review of research and a case report. Polish Psychiatry, 58 (5), 761–771.
    7. Garmroudinezhad Rostami E, Touchette É, Huynh N, Montplaisir J, Tremblay RE, Battaglia M, Boivin M. High separation anxiety trajectory in early childhood is a risk factor for sleep bruxism at age 7. Sleep. 2020 Jul 13;43(7):zsz317. doi: 10.1093/sleep/zsz317. PMID: 31894243; PMCID: PMC7355392.
    8. UNICEF Poland (2024). How to deal with separation anxiety in children? Online access: UNICEF Poland (Article dated April 22, 2024). Available online (UNICEF Poland).

    Medical consultation

    Justyna Hermaniuk
    Psychologist at the Department of Early Psychological Intervention and the Day Rehabilitation Center for Children, Institute of Mother and Child

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