School Study Guide: Test Anxiety

Birmingham, Ala. (December 10, 2025) — Test anxiety is that nervous feeling a child may get when they are about to take a test. Experts say it is a normal part of the educational process and can have a positive or negative impact on a child. Dan Marullo, PH.D., a pediatric psychologist and neuropsychologist at Children’s of Alabama, says too much anxiety can cause a child to freeze. Still, some anxiety could push a child to meet their performance mark.

“Everyone is prone to experiencing that kind of anxiety where there is some sort of evaluative process,” said Marullo.” Now the question becomes what would be typical for most children versus what becomes something where they may need some attention.”

Children who worry a lot or who are perfectionists are more likely to have test anxiety. Students who are not prepared for tests but care about doing well are also expected to have test anxiety. Marullo also adds that younger children are more prone to having test anxiety than older children because they have not had the experience or opportunity to learn those skills yet. He also says there are some things parents can do to help their children cope.

“Parents need to make sure there is a good routine at home, set mealtime, set bedtime, and make sure the child gets good rest, proper nutrition, and some physical activity,” said Marullo.

In addition to those techniques, Marullo suggests that parents can teach their children test-taking skills, encourage them to ask questions when they do not understand the test instructions, and provide positive feedback. Parents can also teach their children relaxation strategies, such as taking slow, deep breaths if they feel their anxiety rising. Marullo says there are signs parents need to be aware of that indicate their child’s test anxiety is becoming too hard to handle.

“Anytime you see a child exhibiting a change in behavior or persistent behavior that is causing them stress, it is a sign to seek professional help,” said Marullo. “For example, if the anxiety is interfering with their sleep or their ability to engage with their friends, that can be a sign.”

Parents should consult their child’s teacher, school counselor, or therapist if test anxiety persists.

“We don’t need to protect our children from stressors; we need to give them the tools to cope and manage those stressors,” said Marullo. “If a child is struggling beyond what we expect for most children, that is certainly a time to seek professional evaluation and help.”

For more information on how to manage test anxiety, click here.