What you may be noticing
Any one of these can have many explanations. Patterns over time, across settings, and their impact on daily life matter more than a single behavior.
Frequent reassurance seeking
Avoiding school or activities
Physical complaints without a clear cause
Perfectionism or fear of mistakes
Sleep difficulty
Irritability or shutdown under stress
Important context
If a child may be at immediate risk of harm, call 911 or 988 in the United States, or seek local emergency help.
Evaluations commonly considered
The most appropriate evaluation depends on the questions you want answered. These are common pathways, not prescriptions.
What to gather before calling
A short timeline of concernsSchool or childcare observationsRelevant health and developmental historyPrior reports or intervention recordsYour three most important questionsExamples of strengths as well as difficulties