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Anxiety can be hard to recognize. Children with anxiety often exhibit decreased concentration or behavioral problems in the classroom, which prevents them from engaging in class activities. Children may also be disruptive in class, or report feeling sick (upset stomachs). Anxiety disorders often co-occur with learning disorders, depression, and other mental health issues, which results in lower engagement in class.

Students with anxiety disorders may have trouble sleeping, which will result in decreased energy at school and less participation in classroom activities. Students with anxiety disorders will also experience higher levels of stress, and more illnesses preventing them from attending class due to weakened immune systems. These students are more likely to try to avoid answering questions, giving presentations, and participating socially, which will negatively affect academic performance and grades. Students may also avoid attending school altogether.

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