Separation Anxiety

What is Separation Anxiety?

Separation Anxiety is a normal part of development for young children, but it can become a disorder when it interferes with daily life and functioning. Separation anxiety disorder (SAD) is a psychological condition characterized by excessive and persistent fear or worry about harm coming to oneself or a loved one, particularly when separated from them. This fear can cause significant distress and interfere with daily activities, such as going to school or work, and forming relationships with others.

Separation Anxiety

Symptoms of Separation Anxiety

The symptoms of Separation Anxiety Disorder can vary in intensity and duration, but typically include:

  • Refusal to go to school or other activities outside the home. Children with SAD may experience intense distress when away from a parent or caregiver and may refuse to attend school or participate in social activities.
  • Repeated nightmares about separation. Children with SAD may experience vivid and disturbing dreams about losing a parent or caregiver, or about harm coming to them.
  • Physical complaints, such as headaches or stomachaches, when separated from a parent or caregiver. Children with SAD may experience physical symptoms when separated from a loved one, such as headaches, nausea, or stomachaches.
  • Excessive clinging, crying, or temper tantrums when separated. Children with SAD may cling to a parent or caregiver when separating and may experience intense distress, crying, or temper tantrums.
  • Constant worry about losing a parent or caregiver, or about harm coming to them. Children with SAD may experience persistent worry about losing a loved one or about harm coming to them.

Causes of Separation Anxiety

The exact cause of Separation Anxiety Disorder is not known, but several factors may contribute to its development, including:

  • Genetics: a family history of anxiety disorders may increase the risk of developing Separation Anxiety Disorder. Studies have found that individuals with a family history of anxiety are more likely to develop SAD.
  • Developmental factors: Separation Anxiety Disorder is more common in children and may be related to their developmental stage and attachment style. Children who have a secure attachment to their parent or caregiver may be more likely to experience SAD when separated.
  • Life stressors: traumatic or stressful events, such as the death of a loved one or a move to a new home, can trigger symptoms. Exposure to traumatic events or stressful life changes can increase the risk of developing SAD.

Diagnosis of Separation Anxiety

Diagnosing Separation Anxiety Disorder may involve a comprehensive evaluation by a mental health professional, including a medical history, psychological evaluation, and observation of the individual’s behavior and symptoms. Mental health professionals may also use diagnostic tools, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) or the Child Behavior Checklist (CBCL), to help diagnose SAD.

Treatment of Separation Anxiety

Treatment for Separation Anxiety Disorder may include:

  • Cognitive Behavioral Therapy (CBT): a type of therapy that helps individuals identify and change negative thought patterns and behaviors. CBT can help individuals with SAD learn to manage their anxiety and reduce avoidance behaviors, such as refusal to attend school or social activities.
  • Family Therapy: this type of therapy involves the entire family and may help address family dynamics and communication issues. Family therapy can help families work together to support a child with SAD and reduce conflict and stress in the home.
  • Medication: in some cases, medication, such as selective serotonin reuptake inhibitors (SSRIs), may be prescribed to help manage symptoms. Medication can help reduce symptoms of anxiety and depression and improve overall functioning.

Coping with Separation Anxiety

In addition to professional treatment, there are also several strategies that individuals and families can use to help cope with Separation Anxiety Disorder:

  • Gradual exposure: gradually exposing a child to situations that trigger their anxiety, such as being away from a parent or caregiver, can help them become more comfortable and reduce their fear.
  • Encouragement and support: providing encouragement and support to a child with SAD can help them feel more confident and secure.
  • Maintaining routines: maintaining a consistent routine, such as a set bedtime and wake-up time, can help reduce anxiety and provide a sense of stability and security.
  • Mindfulness and relaxation techniques: practices such as deep breathing, meditation, and yoga can help reduce stress and promote relaxation.


Separation Anxiety Disorder can cause significant distress and interfere with daily life, but with proper treatment and support, individuals can learn to manage their anxiety and lead fulfilling lives. If you or a loved one is experiencing symptoms of SAD, it is important to seek help from a mental health professional. With the right treatment and support, individuals can overcome their fears and reach their full potential.