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Help for Emotional Dysregulation in Kids | Dr. Roseann Capanna-Hodge

The #1 Parenting Mistake That Makes Emotional Dysregulation and Anxiety Worse

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If your child’s emotions feel out of control, you’re not alone. Learn why emotional dysregulation and anxiety go hand-in-hand, the #1 mistake parents make, and simple steps to calm the chaos.

What is Emotional Dysregulation and Anxiety in Children? 

Emotional dysregulationhappens when a child’s brain and body struggle to manage big feelings, leading to reactions that seem out of proportion to what’s happening. Anxiety in children often shows up as excessive worry, fear, or nervousness over things that may seem small to others but feel overwhelming to them. 

Together, emotional dysregulationand anxiety can create a tough cycle that affects your child’s mood, behavior, and daily routines. Remember, it’s not bad behavior—it’s a dysregulated brain.

Common Signs of Emotional Dysregulation and Anxiety in Children

  • Frequent emotional outbursts or meltdownsthat may seem to come out of nowhere
  • Difficulty calming down even with reassurance or comfort
  • Avoidance of certain people, places, or activities that trigger fear or worry
  • Physical complaints like stomachaches, headaches, or fatigue when anxious
  • Increased irritability or frustration over small changes or transitions
  • Excessive need for reassurance or repeatedly asking the same questions

These signs are a child’s way of communicating, “I don’t feel safe or in control.” As I always remind parents: It’s not bad behavior—it’s a dysregulated brain.

Comparison chart of emotional dysregulation and anxiety symptoms in children

Gender Differences in Emotional Dysregulation and Anxiety in Children and Adolescents

Gender differences in emotional dysregulationand anxiety are well-documented in psychological research. A study by McLaughlin et al. (2012) found that girls report higher levels of both anxiety and emotion dysregulation compared to boys. This disparity may be influenced by socialization patterns, hormonal differences, and coping mechanisms.

Behavioral Differences in Emotional Dysregulation and Anxiety by Gender

BehaviorCommon in GirlsCommon in Boys
Internalizing behaviors (worry, withdrawal, sadness)check
Externalizing behaviors (anger, defiance, acting out)check
Excessive reassurance-seekingcheck
Physical complaints (stomachaches, headaches)checkcheck
Avoidance of feared situationscheckcheck
Difficulty recognizing or verbalizing emotionscheck
Rumination (repetitive negative thinking)check

How Does Parental Dysregulation Impact a Child’s Anxiety?

Children are little emotional sponges—they absorb and reflect the energy around them, especially from their parents. When a parent becomes dysregulated, whether through frustration, yelling, or showing visible anxiety, it sends a message to the child’s brain that they too should stay on high alert. This escalates their anxiety and emotional dysregulation. As I always say, “Let’s calm the brain first.” That means regulating yourself before expecting your child to be calm.

Sarah, mom to 9-year-old Liam, realized that every time she raised her voice, it only fueled Liam’s emotional fire. The more dysregulated she became, the more dysregulated he became—a classic example of what I call the co-escalationtrap. Once Sarah committed to staying more regulated, even when it was hard, she saw a dramatic shift. Liam’s episodes became shorter, less intense, and they both felt more in control. It wasn’t perfect (and it never is!), but Sarah’s calm became Liam’s anchor.

Visual of how emotional dysregulation and anxiety escalate between parent and child

Is Accommodating My Child’s Anxiety Helpful or Harmful?

Accommodating anxiety feels helpful in the moment—you just want to stop the tears, the meltdown, or the panic. I get it! But while it provides short-term relief, it actually reinforces the belief that your child can’t handle hard feelings or situations. Over time, this keeps their anxiety and emotional dysregulationgoing. 

As I always remind parents, “Supporting your child doesn’t mean protecting them from every challenge; it means helping them build the skills to face those challenges with confidence.”

What Are Signs That I’m Over-Accommodating?

When you have a sensitive or reactive child, it is pretty common for parents to want to relieve your child’s discomfort but you now realize that it only serves to feed the worry monster.

Common Parent Behaviors That Over-Accommodate Anxiety

BehaviorWhy It Feels HelpfulWhy It Backfires
Allowing frequent absences from school or eventsReduces child’s distress and prevents meltdownReinforces avoidance and increases anxiety over time
Constantly changing routines to avoid distressPrevents child from becoming upset in the momentTeaches child they can’t tolerate discomfort or changes
Shielding child from any challenging experienceAvoids conflict or emotional overwhelmPrevents child from learning coping skills and resilience
Repeatedly stepping in to resolve minor conflictsStops immediate frustration or upsetReduces child’s ability to problem-solve independently
Avoiding outings, vacations, or new experiencesKeeps child calm and prevents meltdownsLimits opportunities for growth and reinforces fears
Letting child completely dictate family plansKeeps the peace in the short termIncreases child’s control over family dynamics and anxiety
Frequently answering the same anxious questionsReassures the child and calms worries temporarilyStrengthens reassurance-seeking cycle and dependence

Mark’s daughter Emily, a bright and funny 10-year-old, began refusing invitations to birthday parties, school functions, and even playdates. At first, Mark thought protecting her from these situations would help ease her worry. But as the weeks turned into months, Emily’s anxiety only deepened, and she became more isolated and withdrawn. Once Mark learned to slowly introduce safe, low-pressure social opportunities with lots of support and encouragement, Emily began to re-engage and build her confidence. As I often tell parents, ‘We want to stretch—not stress—our kids into growth.’

Key Takeaway: “Behavior is communication.”

How Can I Support My Anxious Child Without Over Accommodating?

Supporting your child doesn’t mean eliminating every challenge. It means walking beside them as they build the confidence and skills to face anxiety head-on, knowing you’ve got their back. Here are simple ways to help without falling into the over-accommodation trap:

  • Gradual exposure to anxiety triggers
  • Validate feelings without fixing
  • Guide them to problem-solve small steps

How Are Emotional Dysregulation and Anxiety Disorders Connected? 

Emotional dysregulationand anxiety disorders are strongly linked. According to a 2021 review in Frontiers in Psychology, “Emotion dysregulation is not only a co-occurring problem but may also be a key factor contributing to the maintenance and severity of anxiety disorders in youth.”

Julia’s son Noah, a bright and curious 11-year-old, struggled with panic over tests that would spiral into intense emotional outbursts. Julia felt helpless watching him crumble under the pressure. After learning co-regulation techniques, such as calming her own energy first and practicing slow breathing and body grounding with Noah, she saw a huge shift. Over time, Noah began to recognize the early signs of his anxiety and used these new tools to settle himself before the panic fully took over. As I always say to parents, “The journey to calm starts with us. When we model how to stay regulated, our kids learn they can too.”

Is Emotional Dysregulation a Sign of Anxiety? 

Yes. Emotional dysregulation can signal underlying anxiety. The same 2021 study noted: “Emotion dysregulation is commonly observed in pediatric anxiety disorders and may be a core feature.”

Signs:

  • Meltdowns over minor frustrations
  • Mood swings
  • Excessive worry
  • Difficulty calming down

Example: David’s daughter Zoe had panic attacks about school that became emotional breakdowns. Calming strategies helped ease both.

Key Takeaway: “Behavior is communication.”

Quote: Emotional Dysregulation and Anxiety - Model Calmness

What Strategies Help Both Parent and Child Regulate Emotions?

Helping both yourself and your child learn to regulate emotions is one of the most powerful ways to break the dysregulation-anxiety cycle. Co-regulationmeans your calm presence helps your child feel safe enough to calm their own body and mind. When we teach our kids that big feelings are safe and manageable, they build lifelongemotional resilience.Let’s explore some simple yet impactful ways to foster calm together.

Simple Strategies to Help Parents and Kids Regulate Emotions Together

Strategy What It Teaches Your Child
Deep breathing exercises (like box breathing)How to calm their brain and body in the moment
Consistent daily routinesPredictability that reduces anxiety and builds security
Modeling calm behaviorHow to handle emotions with patience and resilience
Movement breaks (stretching, walking)Physical release of built-up stress or tension
Sensory calming tools (weighted blankets, stress balls)Practical ways to self-soothe and regulate emotions

Want more tools to help your child regulate their emotions?  Get the Quick Calm Toolkit for better behavior in 7 days.

"Dr. Roseann Capanna-Hodge promoting the Quick Calm Program, with calming visuals such as soft colors, a peaceful background, and text highlighting tools and techniques for reducing stress and anxiety in children and families."

When Should I Seek Professional Help for Anxiety-Related Dysregulation?

As a parent, it’s not always easy to know when you’ve reached the point where outside help is needed. But recognizing the signs early can make all the difference. Seeking support isn’t a sign of failure—it’s a step toward empowerment for both you and your child. Look for professional help if:

When to Seek Professional Help: Red Flags Checklist

Red Flag BehaviorWhat It Could Mean
Avoidance of school, social events, or activitiesPossible anxiety or emotional dysregulation
Frequent unexplained physical complaints (headaches, stomachaches)Anxiety manifesting as physical symptoms
Intense or frequent meltdownsEmotional dysregulation may need professional support
Expressions of hopelessness or talk of self-harmImmediate professional intervention needed
Excessive need for reassurance or constant checking behaviorsHeightened anxiety that could benefit from therapeutic guidance

Dr. Matthew Rouse, a clinical psychologist at the Child Mind Institute, notes, “Teaching self-regulation skills can significantly improve a child’s ability to manage emotions” (Child Mind Institute, 2021).

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Your Next Step in Managing Anxiety Fueled Emotional and Behavioral Dysregulation

You’re not alone. Parenting a child with emotional dysregulation and anxiety can feel like riding a roller coaster without a seatbelt—but there is a way to regain balance. It starts with you. 

By addressing your own regulation first, you become the steady anchor your child so desperately needs. Remember, the calmer you are, the easier it is for your child to borrow your calm until they can create their own.

Ready to take the next step? Download the Quick Calm Toolkit and start your journey to a calmer, more connected family at drroseann.com/quickcalm/. 

It’s never too early—or too late—to help your child learn how to regulate their emotions. Whether you’re just starting to notice signs or you’ve been struggling for years, your commitment to understanding and supporting your child can transform your family dynamic for the better. 

Every step you take matters, and I’m here to guide you through it.

"Dr. Roseann Capanna-Hodge promoting the Quick Calm Program, with calming visuals such as soft colors, a peaceful background, and text highlighting tools and techniques for reducing stress and anxiety in children and families."

Is anxiety and emotional dysregulation in children different than in adults?

Yes. Children often show anxiety and emotional dysregulation through behavior—like meltdowns, avoidance, or irritability—while adults may experience more internal distress or worry. Kids rely on parents to help them co-regulate and learn coping skills.

What are the 5 signs of anxiety?

Anxiety in children can show up in ways that aren’t always obvious. The five most common signs I see as a clinician include: excessive worry, restlessness or trouble sleeping, avoidance of people or situations, physical complaints like stomachaches, and emotional outbursts or meltdowns. Remember, behavior is communication and often a child’s way of saying, “I need help calming my brain.”

What is the difference between emotional dysregulation and a tantrum? 

Tantrums are common in toddlers. Emotional dysregulation involves extreme emotional reactions at inappropriate ages.

Can children outgrow anxiety and emotional dysregulation?

 Some children improve over time. Many need structured support and interventions.

How can I model healthy emotional regulation? 

Demonstrate positive coping strategies: deep breathing, calming self-talk, taking breaks.

Citations:

Bender, P. K., Reinholdt-Dunne, M. L., Esbjørn, B. H., & Pons, F. (2012).  Emotion dysregulation and anxiety in children and adolescents: Gender differences. Personality and Individual Differences, 53(3), 284–288. https://doi.org/10.1016/j.paid.2012.03.027 

Paulus, F. W., Ohmann, S., Möhler, E., Plener, P., & Popow, C. (2021). Emotional Dysregulation in Children and Adolescents With Psychiatric Disorders. A Narrative Review. Frontiers in psychiatry, 12, 628252. https://doi.org/10.3389/fpsyt.2021.628252

Zeman, J., Cassano, M., Perry-Parrish, C., & Stegall, S. (2006).  Emotion regulation in children and adolescents. Journal of Developmental & Behavioral Pediatrics, 27(2), 155–168. https://doi.org/10.1097/00004703-200604000-00014 

Dr. Roseannis a mental health expert in Self-Regulation who frequently is in the media:

  • HealthlineUnderstanding Self-Regulation Skills
  • Scary MommyWhat Is Self-Regulation In Children, And How Can You Help Improve It?
  • The Warrior Parent PodcastIt’s Gonna Be OK! Changing Behaviors and Responses (And The Magic of Magnesium)In Your Family with Dr. Roseann Capanna-Hodge

Always remember… “Calm Brain, Happy Family™”

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

Are you looking for SOLUTIONS for your struggling child or teen? 

Dr. Roseann and her team are all about science-backed solutions, so you are in the right place! 

"Dr. Roseann Capanna-Hodge promoting the Quick Calm Program, with calming visuals such as soft colors, a peaceful background, and text highlighting tools and techniques for reducing stress and anxiety in children and families."

© Roseann-Capanna-Hodge, LLC 2025

Dr. Roseann Capanna-Hodge smiling and pointing toward a promotional banner for a free 'Solutions Matcher' tool, designed to help families find personalized mental health resources, with vibrant colors and a call-to-action button visible.
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