Separation anxiety 6 months
Separation anxiety - NHS
Babies and toddlers often get clingy and cry if you or their other carers leave them, even for a short time.
Separation anxiety and fear of strangers is common in young children between the ages of 6 months and 3 years, but it's a normal part of your child's development and they usually grow out of it.
Why separation anxiety happens
If your baby used to be calm when you left the room and they were happy to be held by people they didn't know, it may not seem to make sense when they start crying whenever you're not there or strangers are close.
But separation anxiety is a sign your baby now realises how dependent they are on the people who care for them. That can include their grandparents or professionals closely involved with their care, as well as their parents.
As they get more aware of their surroundings, your baby's strong relationship with this small group means they don't feel so safe without you. Their growing awareness of the world around them can also make them feel unsafe or upset in new situations or with new people, even if you are there.
How to handle separation anxiety
Separation anxiety can make it difficult to leave your baby at nursery or in someone else's care. You may feel distressed by their tears and worry about the effect on your baby every time you need to leave them.
Remember, it's only natural for your baby to feel anxious without you, so there's no reason to feel guilty when you need to get on with other parts of your life. In fact, separation anxiety is usually a sign of how well you have bonded with them.
Instead, you can focus on helping your baby understand and deal with their feelings so they feel more secure. They'll learn that if you leave them, they will be OK and you will come back. If your baby's old enough, you can talk to them about what's happening, where you're going and when you'll be with them again.
By leaving your baby with another caregiver, you won't damage them. You're actually helping them learn to cope without you, and that's an important step towards their growing independence. Don't be too hard on yourself – separation anxiety is common and it's normal.
Tips for separation anxiety
Practise short separations from your baby to begin with
You could start by leaving them in someone else's care for a few minutes while you nip to the local shop. Leave your baby with someone they know well so they still feel comfortable and safe in your absence. Gradually work towards longer separations, and then leaving them in less familiar settings.
Talk about what you'll do together later
Talk to your toddler about what you're going to do when you see them again so they have something to look forward to with you. For example, you could say: "When Mummy comes back to pick you up, we'll go to the shop together to get food for dinner."
Leave something comforting with your baby
It may comfort your baby to have something they identify with you – like a scarf with your scent on or a favourite toy – close by. This may reassure them while you are away.
Make saying goodbye a positive time
When you leave your baby, however sad or worried you may be feeling, smile and wave goodbye confidently and happily, otherwise they will pick up on your tension. By giving your baby experience of saying goodbye then having happy reunions, you are teaching them an important life lesson.
When to get help for separation anxiety
It's completely natural for babies and toddlers to cry when they part from their main caregiver. But as babies get older, they're more able to understand that people and things exist even when they can't see them.
Until that happens, it's important your baby's anxiety doesn't stop them getting the most from new experiences like socialising and learning at nursery. And it shouldn't stop you going to work.
If your child's separation anxiety is causing them a lot of distress, they are upset for a long time after you have left them, or it has been going on for more than a few weeks, talk to your health visitor.
Video: my child wants to be with me all the time - what can I do? (6 to 18 months)
This video explains what you can do if your child wants to be with you all the time.
Media last reviewed: 2 March 2021
Media review due: 2 March 2024
Page last reviewed: 24 August 2022
Next review due: 24 August 2025
Separation Anxiety in Babies: What You Need to Know
Has this ever happened to you? Your little one is around 6 months of age, cuter than ever and growing by leaps and bounds every day. You turn to leave the nursery for a moment to get something from the kitchen. You get maybe three feet from the crib when your baby starts crying hysterically.
On the one hand, you’re delighted that your baby misses you (even from three feet away!). On the other hand, what if you’re never able to leave the house for the next 18 years without your child crying?
Rest assured, dear reader, you will be able to leave your house again. The culprit behind your little one’s behavior is most likely due to separation anxiety, a very normal part of baby’s development and, thankfully, a temporary disruption.
So what can you do about it? We talked to expert and sleep consultant Brooke Nalle of Sleepy on Hudson to get all the details on this important milestone and how it can affect your baby’s sleep.
First thing’s first, what is separation anxiety?
Separation anxiety refers to a developmental milestone that occurs in most babies between 6 to 7 months of age, when they gain sense of object permanence.
We know what you’re thinking. Object-perm-a-what? It’s a fancy term that basically means your baby knows that objects and people – like yourself – exist even if they’re not in the room or close by. Separation anxiety happens as a direct result of this important new development.
“Before object permanence kicks in, you can put your child in the crib, walk away and if they cry it’s not necessarily because they miss you,” Brooke says. “This is a big milestone because now babies start to sense that when Mommy walks away, she’s sometimes gone for a long time, sometimes for five minutes.”
It’s the not knowing how long you’ll be gone for that affects a baby’s sense of security and makes them feel vulnerable. Hence the hysterical crying when you put the baby to bed, leave for work in the morning or drop them off at daycare. A strange environment or unknown caregiver can make separation anxiety worse. But, for the most part, your baby will be okay once they feel secure again. “As soon as they feel safe and happy with wherever they are next, they’re fine,” Brooke says. “It’s just that transition moment.”
Both moms and dads can experience the side effects of separation anxiety, as well as other caregivers. “There’s separation anxiety from the parent who takes care of the baby the most,” Brooke says. “It’s usually most amplified if you’re a breastfeeding mother.”
If separation anxiety is a milestone, does that mean it’s actually a good thing?
Yes! Separation anxiety is a sign that baby’s growing up. “When I hear families are going through this, I say congratulations,” Brooke says. “It’s such a big deal. It means that your baby understands you and feels connected to you, and that’s a good thing.”
When is separation anxiety most common and how long does it last?
Separation anxiety typically lasts two to three weeks and can pop up throughout infancy and toddlerhood, as well as later in childhood. For babies under two years, it’s most common during the following ages:
- 6 to 7 months: Around this time, and sometimes earlier, many infants gain a sense of object permanence.
- 9 to 10 months: This is when your baby starts to have a much better sense of their daily routine. “Separation anxiety can flare up around this time as babies start to understand different social scenarios a bit more,” Brooke says. “They know, ‘Oh, I get dropped off in the morning at day care and Mom’s gone for a really long time.’”
- 13 to 14 months: At this stage, your baby might have trouble expressing how they feel, which can lead to a resurgence of separation anxiety. “During the time, they have great receptive language, meaning they understand what you’re saying, but they can’t express how they feel,” Brooke says. “They want to say, ‘Why do you have to go to work? Why are you leaving me?’ But they can’t say that, so they cry.”
According to Brooke, separation anxiety will eventually ease once your baby gets the hang of a new milestone. She compares it to what happens when you start a new job. “It’s exciting to have a new job, but it doesn’t feel very comfortable,” Brooke says. “That’s how milestones can be for children. It’s a great thing, but they just don’t really know how to handle it and they don’t feel comfortable. After a couple weeks, though, they’ll get it and relax.”
What does separation anxiety look like?
Signs of separation anxiety are rarely physical, Brooke says, and can include:
- Increased clinginess
- Crying when you leave a room, even for a short period of time
- Resistance to being put down to bed
- Increased nighttime wakeups
- Stranger anxiety, i.e. Grandma says, “Let me hold my grandson!” and as soon as you hand the baby over, he starts crying
How will you know if it’s separation anxiety and not something else?
Brooke’s test: pick your baby up. If you hold them and they stop crying, the cause of their tears most likely has to do with separation anxiety. If they continue crying, even after you pick them up, something else might be going on.
What can you do about separation anxiety?
You can’t necessarily prevent separation anxiety. But there are a number of things you can do to help your baby – and your family – get through it.
- Play peekaboo: This classic game of childhood can do wonders for separation anxiety, as can games like hide-the-ball. These types of activities help babies realize that things that go away come back. “I tell families dealing with separation anxiety to play lots of ‘hide an object, show it to them’ games,” Brooke says. “And play peekaboo tons!”
- Say what you mean, mean what you say: Babies are really, really good at sniffing out inconsistencies in your behavior (hey, they like to keep you on your toes!). When you say goodbye to your baby in the morning or goodnight to them in the evening, be sure to mean what you say. “If you say, ‘Bye-bye, love you!’ and walk out of the nursery, stay out, even if the baby cries,” Brooke advises. “If you go back in, you’re kind of teaching the baby not to look to anybody else for safety and security.”
- Don’t sneak out: Brooke cautions against escaping before your baby notices you’re gone. “It’s confusing to the child,” Brooke says. “All of a sudden you’re gone and that can actually cause more problems. It really helps to be upfront with children.”
- Narrate what’s happening: Talking kids through what’s going on can be useful, particularly for older children. “Make a very clear routine and say, ‘You’re going to give me three hugs when I put my coat on and that means goodbye,’” Brooke suggests. “When you walk out, say, ‘Remember, Mommy always comes back’ or ‘Daddy always comes home.’”
- Prepare ahead of time: If you’re transitioning your baby 6 months of age and older to daycare or introducing another caregiver, like a nanny, it can be helpful to prepare slowly in advance – that way there are no surprises when transition time arrives. “There’s always an adjustment period, but if you can help phase it in a little bit that’s going to make things easier,” Brooke says. “For example, if you know you’re going back to work on May 1, have the nanny start on March 15 and come every morning for just a few hours. ” Brooke points out that it can also be beneficial to start a major transition like daycare at 4 or 5 months, instead of later on, that way “you’re not starting right at the peak of separation anxiety.”
- Harness the power of smell: Your scent is comforting to your baby and can even help them through the uneasiness of separation anxiety. “Give them something that reminds them of you,” Brooke says. “A lot of parents will sleep with a lovey for a week so that it picks up their scent.”
- Alternate the bedtime routine: If one parent typically handles the bedtime routine and skips a night or two, the baby will likely notice their absence and respond with tears. “If possible, alternate the person who does bedtime or have both partners play some role in the routine,” Brooke says. “For example, maybe on weekends, your partner handles naptime or does bathtime at night since they’re home from work. That’ll give your family more flexibility.”
- Make the crib a happy place: It’s important that your baby gets to know their crib and views it as a happy place. That way they feel secure there, even if you leave them there momentarily or they wake up in the middle of the night on their own. Brooke calls it positive crib acclimation. “The more positive experiences you have in the nursery the better,” she says. “Attend to or play with your baby while they’re happy in the crib and take them out of the crib while they’re still happy.”
- Keep calm: Last but not least, try to keep your cool. “Remember that babies mirror their parents’ faces and reactions and actions,” Brooke says. “If they start crying when you leave and you freak out, your baby’s going to kind of pick up on that. Be calm and just say, ‘It’s okay, I’ll see you later, bye-bye.’”
A quick note about sleep training…
By 6 months, many infants can start sleeping through the night without waking to feed, and a lot of families choose to sleep train then. That’s right around the time separation anxiety appears, though. So, if you do decide to sleep train, you might want to do so earlier around 4 or 5 months.
“You can still sleep train even if there’s separation anxiety,” Brooke says. “But you might get a little more drama when you walk out of the room than you would with a 4-month-old.”
Want to know more about how developmental milestones can affect sleep? Check out our breakdown of common sleep disruptors and what to do about them here.
Looking for more help? Find advice and tips from parents like you in our community.
Manipulation and separation anxiety: what is it and its manifestations
What is separation anxiety?
Separation anxiety is a disorder caused by the fear of separation, separation from a loved one (usually the mother or father of a young child) or an object (eg, a favorite toy). The fear of separation is considered normal in some circumstances: when the child is under two years old, if he goes to kindergarten or to a new school, if the family has recently moved to a new place. This fear can manifest itself in many ways, from mild anxiety to tantrums and intense constant anxiety. Parents can help the child deal with this, but if the fear develops into an anxiety disorder, the child may need medical attention.
Separation anxiety occurs in almost all children. It can appear as early as 4 months and usually goes away by the age of two years. At this point, the child develops a sense of the permanence of the object, he understands that the parents continue to exist, even if they are not around. If the anxiety persists at an older age, the baby may need help.
Certain situations and factors can increase anxiety and increase the risk of an anxiety disorder, even in older children. Among them:
- stress associated with difficult life situations: illness or loss of a loved one, divorce of parents, relocation;
- temperament that affects the level of anxiety and increases it;
- the presence of anxiety problems or anxiety disorders in close relatives.
Separation anxiety is manifested by characteristic behavior. When parting with one of the parents, with any loved one or an important object for the child (toy, clothes), he begins to cry, worry, worry. The child may ask not to leave him, beg his parents not to leave. If this does not help, he may be very worried and continue to cry even in the absence of parents. After their return, the baby will calm down, but if the stress was strong, the condition may remain agitated or anxious.
Major symptoms of separation anxiety disorder include:
- Concentration problems. It is difficult for a child to concentrate on a game or any other activity, he constantly checks to see if he has been left;
- Constant anxiety: the child is constantly afraid that something bad will happen to him or his relatives, they will be kidnapped, they will disappear, they will disappear;
- Sleep problems: difficulty falling asleep, occasional awakenings, nightmares. The child may refuse to sleep alone and come to his parents at night;
- Disorders of appetite;
- Unstable emotional state: irritability, anxiety, constant tension, tearfulness;
- Obsessive behavior: the child tries to be as close as possible to the parents, even if they do not go anywhere;
- Frequent urge to urinate, enuresis.
These signs can be used to distinguish anxiety from manipulation. If the child tries to manipulate the parents, he will calm down immediately after their return, behaving in the usual way. If anxiety or its consequences manifest themselves in those moments when parents do not go anywhere, this is due to a strong fear of loss.
How to deal with separation anxiety?
The fear of parting and the anxiety associated with it is part of normal growing up. It is important to help your child deal with them.
Let the changes be gradual. It is better if the baby stays without parents in an environment familiar to him: for example, with his grandmother, but at home, in his room, among the things that he knows. If the child needs to be left with a nanny, give him time to get to know her, get used to it. It is better if both the mother and the nanny will be next to the baby for the first few times. It is also better to increase the separation time gradually, if possible.
It is important to say goodbye correctly. To do this, you can create your own short but emotional rituals: for example, a strong hug. Even if the baby is crying, screaming, it is important to remain firm and calm. It is better to say goodbye briefly and leave quickly, but at the same time pay attention to the child, tell him that you will definitely return.
Promises must be made correctly and kept. Promise your baby to come back at a certain time so that he understands and remembers when this will happen: for example, after a walk or before dinner. It is important to keep these promises: they will give confidence that in the future mom or dad will return on time.
Important ! It is better to leave the child when he has eaten and slept. Hunger or fatigue increases irritation, and the baby may react to parting much more sharply.
It is better to stick to a certain regimen. It will be easier for the child if the parents always leave and return at the same time. At the same time, the daily routine of the baby should be constant. Then he will know for sure that dad returns from work before dinner, or, for example, that mom goes to the store after breakfast. This will give a sense of constancy, and it will be easier to get used to parting. By maintaining calmness and consistency, anxiety can be overcome, even if its manifestations are very violent (Fig. 1).
Figure 1. What to do if a child has a tantrum. Source: MedPortalIs it possible for a mother to leave her child?
Even when the child is very small, the mother cannot be near him all the time. Sometimes she has to leave him with her dad, grandma or babysitter, and that's okay. The baby must gradually learn independence, and parting with mom is part of that. Mom can leave the child for a long time, for example, if she works. If at the same time the baby stays with a person he knows, receives the necessary care, as well as attention and love from his parents, this will not cause him injury, will not affect his development, and in the future will even simplify his social adaptation.
Separation from mother is a necessity during growing up. Photo: https://ru.freepik.comHow to prepare a child for kindergarten?
A child should not be left alone in kindergarten right away. It is better if at first he comes to the group with his mother or nanny. On the first visits, he can be in the garden only during a walk, outside, without going inside. Gradually, the baby will become interested, and then you can increase the time of stay. When it's time to leave him alone in kindergarten, let him take with him his favorite toy or thing that will remind you of home.
It's better to start telling your child about the kindergarten, how interesting it is there, about how the child will be able to find new friends in the kindergarten. On walks, you can pass by the kindergarten so that this place is familiar to him. If the child still does not want to stay in the garden and cries, you need to say goodbye to him in the same way as at home: showing both love and firmness. It is important to say exactly when you will return for it.
Let your child gradually get used to the new environment in kindergarten. Photo: https://ru.freepik.comWhen should I visit a doctor?
Consult a doctor if separation anxiety develops into an anxiety disorder and the following symptoms occur:
- vomiting, shortness of breath, nausea, headache, or abdominal pain associated with imminent separation from parents;
- sleep disorders: insomnia, refusal to sleep in own bed, nightmares;
- excessive anxiety: fears, anxiety that something might happen to the parents, tension, behavioral disturbances.
It is best to contact your pediatrician first. He will give recommendations and, if necessary, refer the child to a child psychologist.
If the child has frequent episodes of anxiety and tantrums, the pediatrician should be consulted. Photo: https://ru.freepik.comConclusion
Little children are afraid to be left without parents. They may react to separation with crying, anxious behavior. This is normal and usually goes away by the age of two. Sometimes separation anxiety is so strong that the child develops an anxiety disorder, and then it is important to help him cope with this, teach him to calmly respond to separation from mom and dad, to show that there is nothing wrong with parting with them.
Sources
Childmind. Separation Anxiety Disorder Basics.
Help guide. Separation Anxiety and Separation Anxiety Disorder.
Separation anxiety in newborns and toddlers
Separation anxiety (ST) is the fear of increasing distance, the fear of separation, separation.
Pregnancy
Pregnancy is a period of symbiosis, when mother and baby form a single psycho-physiological system. Birth is the first stage of separation in a mother-baby pair, here the first boundaries are formed - bodily, physical.
The following separation stages are related to the growing up of the baby, when he learns something new. Each of these stages may be accompanied by a sleep regression:
6 months
6 months - the baby learns to sit, distinguishes well between loved ones, and therefore he may experience a fear of separation from his mother.
Mom's ST at this age is manifested by fear of the growing independence of the child, as well as fear of change (swaddling, unsafe co-sleeping, falling asleep only with a breast or a bottle)
Help your baby: gently teach him the first steps in independence both during wakefulness and during sleep.
- To do this, you can:
- involve other family members in the process of laying down (alternate laying down with dad or grandmother)
- teach the baby to sleep in his crib (if the format of joint sleep, then concern for his safety)
- react differently ways for different needs of the baby (crying is not always about hunger)
- gradually increase the distance during the game during the day, showing your presence with your voice (mother is in the room, but not on the rug, but a little further) show the baby that mom is always there)
- emotionally encourage independent play (praise the baby, smile, do not "go to the phone" when the baby is calmly playing)
- Help mom: support for loved ones, building a plan to start working with sleep, physical and emotional self-care.
9 months
9 months - the baby gets up, his activity increases, he has a "fear of strangers", he seems to regress and again becomes very dependent on his mother.
Help for the baby:
- relevant ways of helping from the previous stage of development
- active separation of negative habits and sleep (using different types of help when falling asleep) emotional)
- emotional encouragement of the baby's free play ("you play very well by yourself", "it's great", etc.)
- a neutral reaction to "negative" behavior in the process of falling asleep (when the baby gets up, crawls, does not want to sleep, but does not cry - do not lay down, do not get angry, do not actively help), and mandatory help when crying.
Help for mom: delegation of help, attitude towards a positive result, differentiation of needs: one's own and the baby's.
12 months
12 months - first words, first steps.