Children who have anxiety tend to look scared a lot. They may often make comments, such as, “what if,” because they fear something bad happening in the future. These kids are often afraid of multiple things and may have intense fears of dogs, insects, or the dark. They may be very nervous around people and may avoid social events. They often avoid being the center of attention and get very nervous if people are looking at them too long. Children with anxiety often have trouble sleeping. They may have physical symptoms like tummy aches and headaches that have no clear health origin. Sometimes, they get so nervous that they cannot focus at school. It may appear that the child has ADHD or an attention problem, when actually he or she is too nervous to stay on-task for very long. Loud sounds or bright lights may easily overwhelm them. Some children with anxiety have behavioral tics, such as eye blinking, grimacing, or head nods. They may think about things with a “catastrophizing” perspective, always predicting the worst-case scenario. The glass is often half-empty. They might “make mountains out of mole hills,” in other words, making little problems into big problems. Some children with anxiety have compulsions, which are repetitive behaviors that are used to bring down anxiety. For example, the child may be constantly checking that the stove is turned off or even checking that toys are arranged just so. These kids get very upset if things are moved around in their rooms. They may be very overwhelmed by unexpected changes in their routine.