Approximately 10% of the pediatric population has a recognized diagnosis of anxiety, this is 5.8 million children. Of children diagnosed, 60% receive some form of treatment. Primary care providers are often a first encounter with these children and it is necessary for PAs to look for, investigate, assess and begin intervention for this common mental disorder in the pediatric population. PAs can make a difference, especially with the current limitation of and difficulty with access to mental health providers. This discussion will provide information, tools and resources to help pediatric PAs recognize, diagnosis, treat and support these children as anxiety is a lifelong struggle.