Anxiety affects an individual’s ability to concentrate, sleep, and carry out basic daily tasks. Anxiety affects 1 in 10 children and is the most common type of mental health condition in both children and adults. Often, children who seem angry, defiant, or oppositional are severely anxious, and can be misdiagnosed as their presentation differs greatly from how anxiety presents itself in adults. In children, age appropriate ‘fears’ are often mislabelled as anxiety. Fear itself is a natural emotion that helps us survive, cope with difficulties, and manage challenging situations. The key difference between fear and anxiety is that we often feel fear in regard to a real threat or danger. Anxiety however is commonly a response to an imaginedthreat or danger. Anxiety becomes a concern for children when it begins to impact their everyday life: from difficulty maintaining friendships, to lack of engagement in social activities, and behavioural problems such as avoidance/difficulty separating.