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Growth and Development

Separation Anxiety

What is separation anxiety?

Part of a baby's normal development is learning that separations from parents are not permanent. Young babies do not understand time, so they think a parent who walks out of the room is gone forever. Also, they have not yet developed the concept of object permanence - that a hidden object is still there, it just cannot be seen. Without these concepts, babies become anxious and fearful when a parent leaves their sight. Separation anxiety usually begins around the age of 6 months. Babies may suddenly be afraid of familiar people such as babysitters or grandparents. Stranger anxiety is also common at this age, when they are fearful of unknown people. Separation anxiety is usually at its peak between 10 and 18 months. It typically ends by the time a child is 3 years old.

What are the signs of separation anxiety?

Babies experiencing separation anxiety fear that a parent will leave and not return. The fear may be worsened in the presence of a stranger. Typical responses of babies experiencing this normal phase of development may include the following:

  • crying when you leave the room
  • clinging or crying, especially in new situations
  • awakening and crying at night after previously sleeping through the night
  • refusal to go to sleep without parent nearby

How can you help your child with separation anxiety?

Children who feel secure are better able to handle separations. Cuddling and comforting your child when you are together can help him/her feel more secure. Other ways to help your child with separations include the following:

  • Comfort and reassure your child when he/she is afraid.

  • At home, help your baby learn independence by allowing him/her to crawl to other (safe) rooms for a short period of time by himself/herself.

  • Tell your baby if you are going to another room and that you will be back, then come back.

  • Plan your separations when your baby is rested and fed, rather than before a nap or meal.

  • Introduce new people and places gradually, allowing your baby time to get to know a new care provider.

  • Do not prolong good-byes and have the sitter distract your baby or child with a toy as you leave.

  • Introduce a transitional object such as a blanket or soft toy to help ease separations.

  • For night awakenings, comfort and reassure your child by patting and soothing, but avoid letting your child get out of bed.



The information on this Web page is provided for educational purposes. You understand and agree that this information is not intended to be, and should not be used as, a substitute for medical treatment by a health care professional. You agree that Lucile Salter Packard Children’s Hospital is not making a diagnosis of your condition or a recommendation about the course of treatment for your particular circumstances through the use of this Web page. You agree to be solely responsible for your use of this Web page and the information contained on this page. Lucile Salter Packard Children’s Hospital, its officers, directors, employees, agents, and information providers shall not be liable for any damages you may suffer or cause through your use of this page even if advised of the possibility of such damages.


Lucile Packard Children's Hospital is located in Palo Alto, adjacent to Stanford University Hospital, approximately 20 miles north of San Jose, CA and 40 miles south of San Francisco.


Lucile Packard Children's Hospital
725 Welch Road
Palo Alto, California 94304
(650) 497-8000


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