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        • Mental Health Conditions

        • AnxietyAnxiety disorders are one of the most common mental health problems identified in children. Estimates of the rates of prevalence vary greatly from 8% to 27% lifetime prevalence by age 18. Chronic anxiety disorders are associated with increased risk of other serious mental health problems in later life. Therefore, early identification and treatment is key. Watch our information and real life experience films below or view and download our fact sheet and supporting presentation.
        • Depression
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        • Why is my child self-harming?
        • TraumaTrauma in children may be: A one-off experience, such as a car crash Living in an atmosphere that feels unsafe, or where they are witness to violence Experiencing, or witnessing, harm Experiences of war, or of becoming a refugee Stressful and challenging experiences are a part of life, and most children will experience these at some point. This becomes traumatic if the event is more than a child can make sense of, or cope with. To learn more about Trauma in Children, please refer to our informational and real-life experiences videos.
        • Body dysmorphic disorder
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        • Conduct Disorders/ODD
        • DyslexiaDyslexia in children is a common neurodevelopmental disorder affecting language processing, particularly in reading, spelling, and writing. It emerges early in childhood and persists into adulthood. Encourage your child’s strengths and provide a patient, nurturing environment. Remember, dyslexia doesn’t define intelligence. With the right resources like ours below, your child can flourish and excel in their own unique way.
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        • UK Trauma Council ResourcesNip in the Bud is very grateful to the UK Trauma Council for permitting us to show on our website their series of four excellent animation films about Trauma and PTSD. The UK Trauma Council’s work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. These animations have been produced with the involvement of young people themselves, and are designed to help young people and the adults around them recognise the signs of post-traumatic stress disorder. They also suggest ways of coping with scary memories, explain the science around the best treatments, and answer any worries you might have about getting support.
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        • Mental Health Conditions

        • AnxietyIt is becoming increasingly common that children and young people in your school or classroom may be diagnosed with anxiety. Symptoms of anxiety in children vary, but it’s important that you are able to understand and recognise how this might affect learning in a classroom environment. It’s normal for everyone to feel anxious from time to time – it’s a normal response to stress. However, some young people may experience uncontrollable levels of anxiety that are excessive in relation to what’s happening around them –can therefore struggle with their day-to-day tasks and schoolwork. Common worries can become overwhelming for children and young people with anxiety leading to them becoming quite distressed. If this does happen there are a few ways in which you can respond to try and calm the situation. Some signs and symptoms to look out for include tears when entering school, being withdrawn from their peers, concentration difficulties, fidgeting, changes in appetite, and irritability. Download our factsheet for more information on what to look for if you suspect a child or young person in your class is suffering from anxiety. Getting the conversation going can be a good starting point – for example, planning lessons themed around…
        • DepressionDepression is a common yet serious mood disorder that involves a persistence of deep sadness, hopelessness, and numbness. Someone experiencing depressing may feel a constant melancholy that prevents them from enjoying their everyday life. Children and young people especially can feel alone and misunderstood which often stops them from expressing how they feel to people close to them. This isolation can lead to suicidal feelings, self-harm and, in a worst-case scenario, suicide. Parents and teachers are often the first to identify the symptoms of depression in children and young people. Some key symptoms of depression include excessive and persistent worry, moodiness, over or undereating, and self-harm. Some symptoms manifest in physical ways that are a little easier to spot as a teacher during school time such as frequent aches and pains, not wanting to play, either complete isolation or clinginess, and uncharacteristic irritability and anger. There are many risk factors at school that can lead a child to develop depression. As a teacher, you should be on the lookout for children experiencing bullying, social isolation, a lack of self-confidence, and an inability to keep up with schoolwork, among other factors. Children particularly vulnerable to depression are ones who experience abuse,…
        • OCDObsessive compulsive disorder (OCD) is a mental health condition that involves repetitive, intrusive, and impulsive thoughts and images entering the mind, causing intense anxiety. As a result of this anxiety, the child or young person engages in compulsive or repetitive behaviours designed to ease their anxiety. They then obsessively repeat these behaviours to rid themselves of the anxiety, causing detriment to their daily life. Early signs of OCD can include excessive worrying and feeling a strong sense of responsibility over yourself and others. A child or young person will ask for constant reassurance about whether their homework is correct or whether they are doing something right or being a good student as they no longer trust their own judgement. As a teacher, these are early signs you can look out for which can inform how you approach the child going forward. Stress at school and bullying are key factors which exacerbate the development of OCD – the more overwhelmed a child feels, the more they give into their compulsive, repetitive behaviours to ease their anxiety. As a teacher, it is your duty to make sure the classroom is a safe space for all, keeping an eye on students who seem…
        • PTSDPTSD or post-traumatic stress disorder can be triggered in children and young people when they experience a particularly horrifying or scarring event. The cause can be as varied as a car crash or sexual assault. A child can develop PTSD if they are involved in this event, witnessed it, or even heard about it second-hand. It can be difficult to identify PTSD in children and young people, as they are reluctant to talk about the trauma they experienced as a way to protect themselves. However, there are some tell-tale signs of PTSD that you can look out for in your students. Children with PTSD will often have trouble concentrating and may even fall asleep during school time due to the lack of sleep they’re having at home, making learning much harder. A sudden plummet in grades is also a red flag – in such cases, it is important to check up on the student rather than reprimand them, which can cause further harm. PTSD also causes many children or young people to become highly irritable and angry due to the intense emotions they’re experiencing, often making them see other people as a threat. In this case, it is important to…
        • Eating DisordersAn eating disorder develops when a child’s and young person’s emotional well-being gets tangled up with their eating habits – for example, if their self-esteem is dependent on how much they eat or don’t eat. Eating disorders are most common in teenagers between the ages of 13 to 17 and they can manifest in a multitude of ways. Anorexia nervosa is a serious mental illness where a person has an intense fear of gaining weight, often accompanied by body dysmorphia – a distorted view of one’s body. This fear leads them to eat very little or nothing at all, leading to severe and potentially life-threatening weight loss. Bulimia nervosa is a serious mental illness that stems from being shamed about consuming large amounts of food, and your weight. A person will binge eat as much food as they can in a short space of time – this is often out of their control. They will then purge – making themselves throw up all the food they have eaten to avoid putting on weight from the binge. This leads to severe and potentially life-threatening weight loss. Binge eating is a serious mental illness which, similarly to Bulimia, involves consuming large amounts…
        • Self-harm in the ClassroomSelf-harm in children and young people happens when a person experiences an overwhelming flood of emotions such as guilt, shame, anger, hate, and a lack of control. This leads them to inflict deliberate harm upon themselves as a way to relieve the flood of emotions they are experiencing and punish themselves for feeling them in the first place. This can take the form of cutting themselves with sharp objects, over-eating or under-eating, pulling their hair out, burning themselves, and misusing intoxicants such as alcohol and drugs. Distress and overwhelming emotions often manifest during school time, and as a teacher it is important to have an awareness that school can be a trigger for students struggling with self-harming tendencies. Create a safe and open space for all students by letting your students know you are always here to support and hear them out whenever they need it. Common signs of self-harm include cuts, burns, and hair-pulling – these are easier to spot as they are often visible on the student’s body. However, young people can be very good at hiding their scars under long jumpers and trousers. If a student is adamant about keeping their jumper on even during hot temperatures,…
        • TraumaIf a child in your care is suffering with Trauma, they will be very distressed. This may be obvious, or it may show up in the form of physical ailments such as headaches or vomiting. They may show signs of regression in toileting or feeding, struggle with their schoolwork or find it difficult to concentrate. Watch our Informational film on Trauma and Children with Dr Sian Williams and Dr David Trickey to understand how children react to Trauma and how they can be helped.
        • Body dysmorphic disorder
        • Neurodivergent Conditions

        • ADHDADHD, or Attention Deficit and Hyperactivity Disorder, presents itself in many ways which can sometimes make it difficult for teachers to spot the signs. It is characterised by difficulties in the areas of attention, level of activity and impulse control. ADHD is a recognised developmental disorder which can affect many areas of a child’s life – including in a learning environment. It is common for ADHD to be misdiagnosed in girls, as the symptoms of ADHD present differently to that of boys, and aren’t as commonly shared. One of the most important things you can do as a teacher for a student with ADHD is to learn and understand how they are feeling, and how they see the world around them. Sometimes for students with ADHD it may feel like nobody understands them. In this video, we go through our tips for teachers who have a child in their class who has Attention Deficit Hyperactivity Disorder (ADHD). Also, view our Practical Tips for Teachers in the Classroom below .
        • Autism
        • Conduct Disorders/ODDODD, or oppositional defiant disorder, is diagnosed in children and young people that are persistently and repetitively antisocial, disobedient, have frequent tantrums, can not listen to authority, and purposely harm others. Conduct disorders are the most common disorders in children and are more frequent in boys, with 7% of boys and 3% of girls meeting the criteria for conduct disorders. It is normal for children and young people to be defiant towards authority to some degree, but if a particular student stands out from the others in your class and is perpetually defiant, violent and resentful towards others, this can develop into ODD. A child or young person with ODD will often engage in a range of violent and destructive behaviours such as fighting, temper tantrums, arguing with adults and peers, and lying and blaming others for their behaviour. In some extreme cases, the child or young person may engage in being cruel to animals and starting fires. As a teacher, it can be difficult to know how to handle a student with ODD in a way that ensures they make the most of their learning and helps their behaviours and social relationships. However, there are things you can do…
        • DyslexiaChildren with Dyslexia have a different intelligence, way of thinking and way of seeing the world.  Many innovators, inventors and successful entrepreneurs have been Dyslexic.  Dyslexic thinking skills include imagination, inspiration, creativity and the ability to solve things. They sometimes find it difficult to fit into rigorous, inflexible education methods. Our resources for teachers and professionals on Dyslexia explain that if the condition is spotted early, there are strategies that can be used to work on the strengths of Dyslexic children which will allow them to develop different talents and thrive in life.
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        • Early Intervention SeriesThis Early Intervention series of short episodes produced by Nip in the Bud are a guide to how schools can help parents if they notice changes in behaviour or in emotional wellbeing in a child and how parents and teaching staff can work together to address potential children’s mental health conditions.
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        • UK Trauma Council ResourcesNip in the Bud has been given permission by the UK Trauma Council to share this series of four short animations which they have produced on the topic of Trauma and PTSD. The UK Trauma Council’s work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License. These animations have been produced with the involvement of young people themselves, and are designed to help young people and the adults around them recognise the signs of post-traumatic stress disorder. They also suggest ways of coping with scary memories, explain the science around the best treatments, and answer any worries you might have about getting support.
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Blog / Updates from NITB / The May Pressure Cooker: Navigating SATs stress free

The May Pressure Cooker: Navigating SATs stress free

Posted on: 18th May 2026
children looking at a whiteboard in classroom from behind

For many Year 6 pupils, May doesn’t just bring the promise of summer; it brings the worry of May SATs. While a small amount of positive stress can be a motivator, the often high-stakes environment of SATs can push children toward chronic stress. This is a state that doesn’t just affect children’s test scores, which end up not representing what they actually know and understand, but can also affect their developing brains.

Understanding the Shift: Acute stress vs. Chronic stress

I think it is important to distinguish between a healthy flutter of nerves and a systemic problem where some children can end up thwarted in their learning, missing school, feeling inadequate and no longer enjoying the final year of their primary school journey.

Acute Stress is a short-term reaction to a specific event. The heart beats faster before a test paper, then returns to normal. This is seen as expected and can actually aid focus. It can also help prepare the child for the normal stresses and rigours of life, thus equipping them for their next educational phase and beyond. Short-term stress can build resilience and help a child to understand their own strengths and that they can cope with difficult things.

Simon Sinek shares a powerful perspective on the importance of allowing children to work through difficulties for themselves. He often argues that we cannot and should not ‘protect’ children into being strong; they must experience the friction of life for themselves to develop their own capabilities.

“Resilience is not the ability to avoid hardship, but the ability to thrive despite it. We don’t build grit by making things easy; we build it by doing hard things.” 

 Simon Sinek

In schools we do a lot to prepare our Year 6 pupils for coping with SATs week and for the new challenges they will begin to face as they move into secondary school. This work is commendable and in most cases works well enough. 

Our role as adults isn’t to clear every obstacle from a child’s path. I believe that would be a disservice to their future selves. Instead, we must help them to see that the SATs should be a ‘manageable difficulty.’  By providing the right emotional scaffolding, we allow children to experience the friction of a challenge, proving to themselves that they are capable of doing hard things and coming out the other side intact and even refined in some ways. This is the very definition of grit – the quiet confidence that a child feels when they can think: ‘I have been through a challenge before, and I can do it again.’ But what of those that are suffering from chronic stress?

Chronic Stress is when a child feels under constant threat for weeks or even months. They are in a state of fear and this is often mixed with feelings of shame and isolation. The body stays in a ‘fight, flight, flock or freeze’ state, and this autonomic reflex floods the brain with cortisol and adrenalin. When a child is experiencing this they are not open to learning, to remembering or to growth. Things can become static time for the child, ironically at a time when they are expected to perform in order to show the culmination of their years of learning and growing throughout primary school.

“When we are in shame or fear, we are in a state of self-protection. And when we’re in self-protection, we’re not open to growth. We’re in ‘lockdown.’ You can’t learn when you’re in lockdown.”

 Brené Brown

Vulnerability researcher Brené Brown famously noted that you cannot learn when your brain is in lockdown. For a Year 6 pupil, chronic stress isn’t just a heavy feeling, it is a biological wall. When the SATs are felt as a threat to their self worth or often to their school’s reputation, the child’s brain enters a state of self-protection. Chronic stress essentially hijacks the brain’s resources. Instead of learning how to use a semi-colon, the child’s brain is busy trying to manage the threat of disappointing their parents or failing their school.

In this lockdown state, the prefrontal cortex, which is the part of the brain we use to solve a complex word problem or remember a grammatical rule, effectively goes offline. If we want children to perform at their best, we must first ensure they feel safe enough to keep their ‘learning brain’ open. But how do we know when a child has moved from acute to chronic?

The warning signs for educators and parents/carers

Some children may be able to articulate how they are feeling and what they are afraid of. Having meaningful relationships and time to talk will help to encourage the type of conversation where adults may be able to ‘nip in the bud’ anxiety in the early stages. As we know, early intervention is key. But without a child being able to speak about their worries, often because they are not completely sure of them, the following signs might help us to recognise and respond quickly:

  • Physical: Recurring stomach aches, headaches, or a sudden change in appetite.
  • Emotional: Heightened irritability, emotional (e.g., crying easily), or a ‘flat’, non-engaged mood.
  • Behavioural: Regression (e.g., bedwetting), sleep disturbances, or school refusal tendencies.

What can schools and parents/carers do?

Schools are under immense pressure to perform, but we need to remember that a child’s mental health is the foundation of their academic success, not an obstacle to it. We can easily engage strategies with our children both in school and at home to ensure they do not get to the point where they feel the chronic stress that will prevent them from thriving over this time and beyond: 

  • De-escalate the language: Avoid phrases like ‘this will determine your future’. Instead, frame SATs as a ‘check-point’ for the school, not a label for the child.
  • The soft start: Consider Breakfast Clubs or Celebration Breakfasts during SATs week to ensure children have eaten and feel socially connected before the papers begin. (This is a good opportunity to give the children foods that will help to keep them focused and energised.)
  • Brain breaks: Explicitly teach mindfulness, breathing and grounding techniques. A 5-minute breathing exercise before a test can lower cortisol levels enough to unlock the ‘thinking’ part of the brain (the prefrontal cortex).
  • Curriculum balance: Keep the less academic subjects (Art, PE, Music) on the timetable. Stripping the curriculum down to just English and Maths signals to children that their other talents don’t matter.

At home, you can be the emotional thermostat. If you are anxious, your child will notice and reflect that.

  • Be their cheerleader: At home, they need a parent who values their kindness and creativity over their punctuation, give them time away from studying and revising to notice their other qualities.
  • The ‘Power of Yet’: Use Growth Mindset language. Remember words matter and your child believes what you say about them. You can say sentences like “You haven’t mastered long division yet,” rather than “You’re bad at Maths” in order to encourage them.
  • Protect their sleep: Chronic stress thrives on exhaustion. Ensure good sleep hygiene by having a ‘digital sunset’ at least an hour before bed, no screens, just stories, quiet talk or a breathing exercise to calm the mind.
  • Normalise failure and set backs: Share stories of your own mistakes or challenging tests and how you learned and grew from them.  Help them to realise that their identity is not linked to their SATs score. Help them to see themselves holistically.

Researcher and child psychologist Dr Carol Dweck sends a message to parents on what to gift their children as they face challenge: 

“If parents want to give their children a gift, the best thing they can do is to teach their children to love challenges, be intrigued by mistakes, enjoy effort, and keep on learning.”

And finally a message to the children

We want children to understand that they are far more than a data point. A test cannot measure their bravery, their sense of humor or what a good friend they make. Those are the things that help make them who they are and can remain forever; SATs are just for a week.

Nip in the Bud encourages any parent or teacher who notices a child struggling significantly to seek early support. By recognising the signs of chronic stress now, we can ensure that a single week in May doesn’t cast a long shadow over a child’s love for learning.

As adults our goal should be to keep children in a state of calm alertness and curiosity to develop them as life-long learners. We can all do this by reminding them that while the SATs are a task to be completed, they are not a definition of who they are now or who they are going to be in the future. As educators and parents, we must champion the ‘non-testable’ qualities we see in our children every day – their resilience, empathy, kindness and curiosity. Every child who feels valued for who they are is far more likely to have the cognitive freedom to succeed in what they do.

 

Alis Rocca

Education Consultant.

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