The Anxiety Activity Workbook is a free, printable mental health resource for children and teenagers aged 11–18 who are struggling with school-related anxiety. Created by Cardiff and Vale University Health Board, this workbook is packed with Cognitive Behavioural Therapy (CBT) tools, calming strategies, and practical exercises to help young people understand and manage their anxiety in real-life school situations.
This self-help workbook explains what anxiety is, how it shows up in the body and mind, and how to challenge both the thoughts and behaviours that keep anxiety going. It’s designed for students who feel overwhelmed, avoid school, or find daily routines difficult due to anxious thoughts, panic, or worry.
Topics and activities include:
Understanding the fight, flight or freeze response
Identifying personal signs of anxiety
Grounding exercises and breathing techniques for anxiety
Progressive muscle relaxation
The vicious cycle of anxiety explained
Behavioural challenge trackers and exposure ladders
Thought-challenging tools, worry time and The Worry Tree
Positive self-talk strategies and printable coping statements
Distraction techniques and “take a break” activities
Links to recommended websites and mental health apps
Ideal for use by:
Teenagers and older children (ages 11–18) experiencing school refusal or attendance difficulties
Parents, carers and foster carers supporting anxious young people
Teachers, school counsellors, and SEND staff delivering 1:1 or small group support
Mental health practitioners, early help workers and youth mentors
Any young person looking for structured, age-appropriate CBT worksheets for anxiety
This school anxiety workbook for kids and teens can be used independently or with support from a trusted adult. It offers a step-by-step approach to reducing avoidance, building confidence, and developing emotional resilience.
Whether used at home or in school, this is a powerful and supportive tool for young people learning to take back control from anxiety.








