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Exploring Acceptance Commitment Therapy for Children

  • caitlinstarink
  • Aug 1
  • 4 min read

Anxiety can feel overwhelming, especially for children and adolescents who are still learning how to understand and express their emotions. When worries and fears start to interfere with daily life, it’s important to find gentle, effective ways to support young minds. One approach that has been gaining attention is acceptance commitment therapy. This therapy offers a compassionate path to help children face their feelings with kindness and courage. In this post, I want to share insights about therapeutic strategies for childhood anxiety, focusing on how acceptance commitment therapy can be a nurturing tool for growth and resilience.


Understanding Therapeutic Strategies for Childhood Anxiety


When children experience anxiety, it can show up in many ways - from feeling nervous about school to avoiding social situations or struggling with sleep. Therapeutic strategies for childhood anxiety aim to provide children with skills and support to manage these feelings. These strategies often include:


  • Building emotional awareness: Helping children recognize and name their feelings.

  • Developing coping skills: Teaching calming techniques like deep breathing or mindfulness.

  • Encouraging positive thinking: Gently challenging unhelpful thoughts.

  • Promoting acceptance: Allowing children to experience emotions without judgment.

  • Setting achievable goals: Supporting small steps toward facing fears.


Each child is unique, so therapy is tailored to their needs, strengths, and pace. The goal is to create a safe space where children feel heard and empowered to explore their emotions.


Eye-level view of a cozy therapy room with soft lighting and comfortable chairs
A welcoming therapy space for children

How Acceptance Commitment Therapy Supports Children


Acceptance commitment therapy (ACT) is a gentle, mindful approach that helps children learn to accept their feelings rather than fight or avoid them. It encourages living in the present moment and committing to actions that align with their values, even when anxiety is present. This approach is especially helpful for children because it:


  • Normalises feelings: Children learn that it’s okay to feel anxious sometimes.

  • Teaches mindfulness: Simple exercises help children stay grounded and calm.

  • Builds psychological flexibility: Kids learn to adapt and respond to challenges with openness.

  • Focuses on values: Therapy helps children identify what matters most to them, like friendship or learning.


For example, a child who feels anxious about speaking in class might practice noticing their nervousness without trying to push it away. They then focus on their value of being a good friend or learner, which motivates them to participate despite the anxiety. This approach nurtures resilience and self-compassion.


Close-up view of a child practicing deep breathing with a therapist in a bright room
Child learning calming techniques during therapy

Is ACT or CBT Better for Anxiety?


When it comes to treating anxiety in children, two popular therapies often come up: Acceptance Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT). Both have strong evidence supporting their effectiveness, but they approach anxiety in different ways.


CBT focuses on identifying and changing negative thought patterns and behaviours. It helps children challenge fears and develop practical coping skills. For example, a child might learn to replace the thought "I will fail" with "I can try my best and learn."


ACT, on the other hand, encourages children to accept their anxious thoughts and feelings without struggling against them. It promotes mindfulness and living according to personal values, even when anxiety is present.


Choosing between ACT and CBT depends on the child’s personality, preferences, and specific challenges. Sometimes, therapists blend elements of both to create a personalised plan. The key is finding a supportive approach that feels right for the child and helps them build confidence and calm.


High angle view of a therapist’s desk with therapy tools and colourful children’s books
Therapy tools used in childhood anxiety treatment

Practical Tips for Supporting Children with Anxiety at Home


Supporting a child with anxiety at home can feel challenging, but small, consistent actions can make a big difference. Here are some practical tips to help children feel safe and understood:


  1. Listen with empathy: Let children share their worries without rushing to fix them. Sometimes, just being heard is healing.

  2. Create routines: Predictable daily schedules provide a sense of security.

  3. Encourage mindfulness: Simple activities like focusing on breathing or noticing sounds can help children stay present.

  4. Model calm behaviour: Children learn from how adults handle stress.

  5. Celebrate small victories: Acknowledge every brave step, no matter how small.

  6. Use stories and play: Books and games about feelings can open conversations.

  7. Seek professional support: When anxiety feels overwhelming, a therapist can offer specialised guidance.


Remember, patience and kindness are key. Anxiety doesn’t disappear overnight, but with steady support, children can learn to navigate their feelings with strength and hope.


Embracing Growth and Resilience Together


Helping children manage anxiety is a journey filled with learning, patience, and love. Therapeutic strategies like acceptance commitment therapy offer a warm, nurturing path that honours each child’s experience. By embracing feelings rather than fighting them, children can discover new ways to live fully and courageously.


If you’re looking for compassionate support for children and adolescents in Canberra, services like The Blue Wren provide expert care in a neuroaffirming environment. My approach helps young people and their families navigate anxiety and trauma with understanding and respect, so every child can truly thrive.


Together, we can create spaces where children feel safe to grow, explore, and shine brightly - no matter the challenges they face. The journey toward calm and confidence is possible, and it begins with gentle acceptance and commitment to what matters most.



Thank you for joining me in exploring these therapeutic strategies for childhood anxiety. May this information bring comfort and hope to those walking this path.

 
 
 

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The Blue Wren

Caitlin Starink-Kneebone BA BSc(Psych)(Hons) GDipPsych(Adv)
AHPRA registration:PSY0002467137
ABN: 49 821 513 849

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