Behavior and Mental Health: Recognizing Anxiety in Children with Behavioral Challenges

Behavior and Mental Health: Recognizing Anxiety in Children with Behavioral Challenges

May is Mental Health Awareness Month – a time to shine a light on the importance of emotional well-being for all of us, especially our children. For parents of children with ADHD, Oppositional Defiant Disorder (ODD), or other behavioral challenges, it’s critical to understand the strong connection between mental health and behavior. One key area often overlooked? Anxiety.

Why Anxiety Often Goes Unrecognized in Children with Behavioral Issues

Children who struggle with behavior are often labeled as “defiant,” “disrespectful,” or “out of control.” But what if, beneath those explosive outbursts or refusal to follow rules, lies a deep sense of anxiety?

Anxiety doesn’t always look like fear or worry. In children with ADHD, ODD, or similar conditions, it can show up as:

  • Anger or irritability
  • Physical complaints like stomachaches or headaches
  • Difficulty concentrating
  • Avoidance of certain places or tasks
  • Tantrums or aggressive behavior when overwhelmed

These signs can easily be misunderstood as “bad behavior,” but they may actually be your child’s way of coping with inner distress.

The Link Between Anxiety and Behavior

Research shows that children with behavior disorders often experience co-occurring anxiety or mood disorders. According to the CDC, around 7% of children aged 3 – 17 have diagnosed anxiety, but in kids with behavioral disorders, that number is likely much higher.

When anxiety goes untreated, it can fuel behavioral issues, leading to more conflict at home, school, and in social situations. It becomes a cycle: behavior problems worsen anxiety, and anxiety worsens behavior.

That’s why it’s so important to recognize anxiety as part of your child’s mental health picture – not just a “bonus problem” on top of behavior.

What Parents Can Look For

If you’re parenting a child with behavioral challenges, be on the lookout for:

  • Excessive worry or fear, even if it’s not expressed verbally
  • Avoiding situations (like school, group activities, or bedtime)
  • Restlessness or trouble sleeping
  • Seeking constant reassurance – or seeming unusually “needy”
  • Physical tension, such as clenched jaws, nail biting, or fidgeting

Trust your instincts. You know your child better than anyone.

How to Help Your Child: Managing Behavior Through Mental Health Support

At PMTI, we believe in treating the whole child. That means addressing both behavior and underlying mental health concerns like anxiety.

Here are a few steps to get started:

1. Seek a Mental Health Evaluation

If you suspect anxiety, start with a licensed mental health provider who understands childhood behavioral disorders. An accurate diagnosis helps guide the right support.

Use this tool from Mental Health America to explore whether your child might benefit from a professional evaluation.

2. Use Parent Management Training (PMT) Techniques

At PMTI, we train caregivers and professionals in evidence-based Parent Management Training (PMT).

The Parent Management Training Institute (PMTI) specializes in the Kazdin Method®, an evidence-based approach using positive reinforcement to help parents manage challenging child behaviors and create lasting, positive changes. Developed at Yale University, this proven method boasts a 92% success rate in reducing aggression, defiance, and oppositional behavior. It’s not about punishment – it’s about building new, positive habits and interactions that transform daily life for families.

👉Learn more about PMTI’s programs for parents.

3. Collaborate with Teachers and School Counselors

Children often express anxiety through school-related behaviors. Keep an open dialogue with your child’s school. A 504 Plan or IEP may be appropriate to provide additional emotional and behavioral support.

4. Validate Your Child’s Emotions

Let your child know that it’s okay to feel scared, nervous, or unsure. Practice phrases like:

  • “I see you’re feeling overwhelmed. I’m here to help.”
  • “You’re not in trouble. Let’s figure this out together.”

These small moments of connection can go a long way in easing anxiety and building trust.

You’re Not Alone

Mental Health Awareness Month is a powerful reminder that mental health matters – at every age. If your child struggles with behavior and anxiety, you are not alone, and help is available.

At PMTI, we are here to walk this journey with you. We offer practical, compassionate training and support that empowers families to better understand and manage behavior – while nurturing your child’s mental health.

👉 Contact us today to learn more about our parent training programs and professional workshops.

Let’s break the stigma. Let’s recognize anxiety. Let’s build a foundation for healthier behavior – together.

As we welcome the fresh energy of spring, it’s a perfect time for professionals in child behavior management to refresh their knowledge and stay current with the latest developments in the field. With research evolving rapidly, it’s vital for those working with children to be aware of the most effective, evidence-based strategies. This blog explores recent advancements in behavioral treatment and highlights how methods like Parent Management Training (PMT) can create lasting, positive changes in children’s behavior.

The Power of Evidence-Based Practices in Treating Behavioral Problems

Behavioral programs have long been a cornerstone in the treatment of ADHD, anxiety, Oppositional Defiant Disorder (ODD), and other behavioral challenges. Research consistently supports the effectiveness of structured, evidence-based approaches that empower parents and caregivers to manage negative behavior in real-time while reinforcing positive changes. These programs not only help reduce problematic behaviors but also teach and strengthen more appropriate skills, such as emotional regulation, problem-solving, and cooperation. By using clear expectations, consistent reinforcement, and effective strategies, parents can create an environment that encourages long-term behavioral improvements and skill development.

One of the most effective methods is Parent Management Training (PMT), a scientifically proven approach that provides parents with practical strategies to reshape their child’s behavior through consistency, clear expectations, and reinforcement.

At the forefront of this field is the Parent Management Training Institute (PMTI), founded by Tracie Bush, M.A., CKPMT. PMTI offers an intensive, structured program that equips parents and professionals with the skills needed to promote positive behavior, reduce disruptive behaviors, and create lasting change.

The Kazdin Method® Parent Management Training: A Groundbreaking Approach to Treating Children 

Dr. Alan Kazdin, a distinguished child psychologist at Yale University, made one of the most groundbreaking contributions to this field over 50 years ago. He developed Parent Management Training (PMT) to address challenging behaviors associated with Oppositional Defiant Disorder (ODD), Conduct Disorder, and ADHD. The Kazdin Method® focuses on equipping parents and caregivers with strategies to manage behavior effectively, set clear expectations, and use reinforcement consistently. With a 92% success rate his evidence-based approach has demonstrated remarkable success in both clinical practice and real-world applications, transforming the way professionals and families approach behavioral challenges.

Tracie Bush is one of only four Kazdin Method® Specialists worldwide who had the privilege of working directly with Dr. Alan Kazdin at Yale University. With her expertise, she empowers families to successfully implement this transformative program. Additionally, as a certified specialist, she is authorized by Dr. Kazdin to train and certify other professionals in Kazdin Method® Parent Management Training (PMT), further expanding its impact in both clinical and real-world settings.

Under her leadership at the Parent Management Training Institute (PMTI), countless families and professionals have gained a deeper understanding of this evidence-based approach, leading to meaningful and lasting behavior change. As research continues to highlight the crucial role of parental involvement in changing a child’s behavior, the Kazdin Method® remains a cornerstone in shaping behavior, reducing disruptive actions, and fostering positive, long-term change.

The Role of Positive Reinforcement in Managing Behavior

Research continues to stress the importance of positive reinforcement. Studies suggest that children are more likely to respond well to behaviors that are consistently acknowledged and rewarded. Positive reinforcement encourages kids to repeat desirable actions and reduces the likelihood of unwanted behaviors. Programs like PMT place a strong emphasis on this principle, helping parents create an environment where their child’s positive behaviors are recognized and celebrated in a consistent, structured way.

It’s important for professionals to stay aware of the growing body of research that supports the critical role of reinforcement. Kazdin’s studies imparticular, showed that the timing of reinforcement, the type of reward, and the consistency with which rewards are provided can significantly affect the outcome of treatment. Professionals can use these insights to refine their approaches and better support families seeking effective behavior management strategies.

Recent Articles On Behavioral Treatment For Children

5 Signs of Disorganized Attachment in Kids, and How to Support Them: Parents

This article explores the concept of disorganized attachment in children, which can arise due to inconsistent or frightening behavior from caregivers. It highlights five key signs that may indicate a child has disorganized attachment, including unpredictable behavior, difficulty trusting others, and emotional dysregulation. The article also offers strategies for supporting children with this attachment style, such as creating a stable, predictable environment, providing consistent emotional support, and fostering secure relationships.

How to Support a Child With Disruptive Mood Dysregulation Disorder (DMDD): VeryWellMind

This article provides an overview of Disruptive Mood Dysregulation Disorder (DMDD), a mood disorder in children characterized by severe temper outbursts and irritability. It explains the symptoms and diagnostic criteria for DMDD, which often include frequent mood swings and difficulty regulating emotions. The article outlines strategies for managing DMDD, such as setting clear expectations, using cognitive-behavioral therapy (CBT), and, in some cases, considering medication to help stabilize mood and behavior.

Staying Current with the Latest Studies and Resources

The landscape of behavioral treatment is always evolving, and professionals must stay updated on the latest research and evidence-based practices. To stay informed, here are some key resources and research articles:

  • Enhancement of Inhibitory Control in Children: A study in Frontiers in Psychiatry reported that Behavioral Parent Training (BPT) not only decreases ADHD symptoms and negative parenting practices but also significantly improves children’s inhibitory control, which is crucial for self-regulation. Study
  • PMTI Blog and Website: For those interested in learning more about the Kazdin Method® approach to PMT and the latest insights on behavioral interventions for children with diagnoses such as ADHD and ODD, visit PMTI’s website.
  • Recommendations from Health Authorities: The Centers for Disease Control and Prevention (CDC) recommend that for children younger than 6 years old, parent training in behavior management should be the first line of treatment before considering medication. This approach equips parents with skills and strategies to help their child succeed across various settings. cdc.gov

Why Spring is the Perfect Time for a Fresh Start

Just as we refresh our homes and gardens during the spring season, it’s also an ideal time to refresh your approach to behavior management. Whether you’re a professional working with families or a parent looking to implement strategies at home, the spring season provides an opportunity for new beginnings and positive change. With the latest research on the importance of behavioral interventions, including Parent Management Training, now is the perfect time to take action and improve the behavior outcomes of the children you work with.

Take the Next Step with PMTI

If you’re a professional interested in enhancing your skills or a parent eager to implement the latest behavior management strategies, consider reaching out to Tracie Bush and the PMTI team. With decades of expertise and a proven track record, PMTI offers training, support, and resources that can make a real difference in the lives of children and their families.

For more information on how PMTI can support your work, visit PMTI’s About Us page.

By staying current with the latest research and integrating methods like PMT into your practice, you can spring into better behavior management and help children thrive in their homes and communities.

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