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Chilled — Anxiety Program for Teens | Ages 12–17

When Anxiety Starts Deciding What’s Off the Table

Sometimes anxiety looks obvious. Other times it looks like turning down an invitation they actually wanted, not putting their hand up, avoiding a class or a subject, needing constant reassurance that something will be fine, going quiet, or spending days worrying about something before it happens.

When anxiety begins deciding where a young person goes, what they try, who they speak to or what they believe they can manage, the list of things that feel possible can quietly get shorter — often at exactly the age they are meant to be getting more independent.

Chilled is the teenage version of the Cool Kids® Anxiety Program. It gives young people and their parents a structured way to understand how anxiety works — and practical CBT-based strategies for gradually responding to fears differently.

The goal is not to tell an anxious teenager to “just push through it.” It is to explain how anxiety actually works, give them practical strategies they can use themselves, and take manageable steps with support.

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A psychologist explaining the anxiety and avoidance cycle on a whiteboard to a group of teenagers

When Anxiety Gets in the Way

Anxiety Can Make a Teenager’s World Smaller

Avoiding something frightening often brings immediate relief. That makes sense. If presenting to the class feels terrifying, staying quiet reduces the anxiety. If a social situation feels unbearable, saying no feels safer. If school feels overwhelming, staying home can bring relief.

The difficulty is that avoidance can also teach the brain: “I escaped it, so it really must have been dangerous.” Over time, anxiety can begin influencing more situations — sometimes including things the young person genuinely wants to be able to do.

Worry Avoidance Short-Term Relief Anxiety Stays Powerful
Understand Plan Take a Manageable Step Learn From the Experience

Cool Kids® helps young people and their parents understand this cycle and learn ways of approaching fears gradually rather than allowing anxiety to make every decision.

About the Program

Learning How Anxiety Works and What to Do With It

Cool Kids® is a structured cognitive behavioural therapy (CBT) program developed through Macquarie University for children and adolescents experiencing anxiety. The program has been developed for young people aged 7–17 and involves parents or caregivers alongside the young person.

Chilled is Macquarie’s adolescent version of Cool Kids® — the same CBT framework and the same core strategies, with examples, language and material pitched at teenagers rather than young children. This page covers Chilled, for ages 12–17. Children aged 7–12 do Cool Kids®. Where a young person sits near the boundary, placement is discussed at the initial consultation and takes developmental stage into account as well as age.

Rather than focusing only on talking about worries, Chilled teaches practical strategies for understanding anxiety and responding to it differently. Participants explore the relationship between thoughts, feelings, body responses and behaviour. They learn ways of recognising anxious thinking, approaching fears gradually, solving problems and developing practical strategies for situations that feel difficult.

Parents are part of the program because anxiety rarely occurs only inside the therapy room — and because a teenager working on anxiety usually still needs the adults around them to understand what they are trying to do. The balance deliberately shifts with age: young people take more of the lead, and parents support rather than direct. For autistic and otherwise neurodivergent participants, strategies are applied individually — not every avoidance response is assumed to be anxiety that simply needs to be challenged.

A psychologist showing a group of teenagers box breathing and helpful thoughts on a whiteboard

Choosing a Version

Standard Program or Autism-Adapted Version?

Chilled can be delivered using the standard program materials or, for autistic young people where it is appropriate, the Autism Spectrum Adaptation. Both are anxiety programs built on the same CBT framework and the same core strategies — understanding anxiety, more realistic thinking, facing fears gradually through stepladders, coping and problem solving, parent involvement and practice between sessions.

Standard Chilled

Uses the standard Chilled materials and CBT framework developed through Macquarie University.

Chilled Autism Spectrum Adaptation

The same core anxiety framework, with the way concepts are presented and the examples used adjusted to reflect learning styles and everyday experiences that are common among autistic teenagers.

Neither version is the better program — they suit different people. Being autistic does not automatically mean the adapted version is the right fit, and our team can discuss which is likely to suit a young person before the program starts. In both versions, an avoidance response is not assumed to be anxiety that simply needs to be challenged; sometimes it reflects a genuine sensory, communication or environmental need, and that distinction matters.

Program Suitability

Could Chilled Be a Good Fit for Your Teenager?

Chilled may be worth exploring when anxiety is beginning to interfere with everyday life and a young person may benefit from a structured CBT-based approach with active parent involvement.

Avoiding school, activities, social situations or unfamiliar experiences because of anxiety

Separation anxiety

Social anxiety or fear of judgement

Repeated reassurance-seeking

Physical symptoms associated with anxiety

Worry that feels difficult to manage

Specific fears or phobias

Difficulty coping with uncertainty

Anxiety interfering with participation in everyday life

A family wanting structured strategies they can practise together

A young person does not need to experience every one of these difficulties. An initial consultation helps us understand what is happening, their goals and needs, and whether Chilled and the available group format are likely to be appropriate.

Skills & Practice

Giving Young People a Practical Way to Work With Anxiety

Understanding Anxiety

How anxiety affects thoughts, feelings, body sensations and behaviour

Personal signs of anxiety

Situations that trigger worry

How avoidance can keep anxiety going

Flexible Thinking

Noticing anxious predictions

Looking at the evidence

Considering alternative possibilities

Developing more realistic and flexible ways of thinking about difficult situations

Practical Coping & Problem Solving

Relaxation strategies

Problem solving

Coping strategies

Planning for difficult situations

Ways of responding when worry becomes strong

Facing Fears Gradually

Identifying feared situations

Breaking challenges into manageable steps

Using stepladders / exposure hierarchies

Reflecting on what happened rather than relying only on what anxiety predicted

Parents Learn Too

Because Parents Get Pulled Into the Anxiety Cycle Too

When your teenager is anxious, helping them feel safe is a natural response. You might answer the same reassurance question again. Let them skip the day. Make the phone call for them. Change a plan. Avoid a situation you know will lead to distress.

Sometimes those responses are exactly what a young person needs. At other times, families can find themselves organising more and more of everyday life around anxiety — often without anyone deciding to.

Chilled involves parents because supporting an anxious teenager is not simply about telling them to worry less or pushing them to face a fear. Parents learn how anxiety works, how to recognise patterns of avoidance and reassurance, how to support gradual practice, how to encourage effort, how to help with problem solving, and when support is useful versus when anxiety may be asking the family to step in unnecessarily — while leaving room for a young person to take the lead on their own goals.

Parents are responding to distress with the information they have. The program provides additional strategies and choices.

A psychologist talking with parents and teenagers together during a Chilled session

How It Works

Understand It. Plan for It. Practise It.

  1. 01

    Understand

    Learn how anxiety operates and identify personal patterns.

  2. 02

    Notice

    Recognise anxious thoughts, body responses, avoidance and situations that trigger worry.

  3. 03

    Plan

    Use thinking skills, problem solving and stepladders to decide what to practise.

  4. 04

    Practise

    Take manageable steps in and between sessions.

  5. 05

    Review

    Look at what actually happened, what was learned and what the next step might be.

Why This Program?

What Makes This Program Different

Structured CBT Approach

Chilled provides a structured framework for understanding anxiety and practising evidence-based CBT strategies.

Teen + Parent Learning

Parents participate alongside the young person rather than being left outside the learning process.

Gradual Practice

Facing fears is broken into manageable steps rather than expecting a young person to confront their hardest fear immediately.

Real-Life Application

Strategies are practised in situations where anxiety actually occurs.

Developed Through Macquarie University

Cool Kids® has been developed and scientifically evaluated through Macquarie University's anxiety research and clinical programs over several decades.

Research & Evidence

What Does the Research Tell Us?

Chilled is the adolescent program within the Cool Kids® suite, which has been evaluated over several decades in Australia and internationally, including randomised controlled trials, international adaptations, different delivery formats and follow-up research. Across studies, CBT delivered through Cool Kids® has been associated with reductions in anxiety symptoms and diagnostic recovery for many children and adolescents. Outcomes vary across studies, participants and delivery formats, and not every young person becomes anxiety-disorder free following treatment. The research below is drawn from the Cool Kids® suite; where a study covers a particular age range, that range is stated.

Effects Replicated Outside Australia

A randomised controlled trial involving 109 children and adolescents aged 7–16 — an age range that covers most of the Chilled group — compared the Danish Cool Kids® group program with a waitlist condition. At post-treatment, 48.2% of participants receiving Cool Kids® were free of all anxiety diagnoses compared with 5.7% in the waitlist group. Improvements continued to three-month follow-up and were maintained at 12 months. Participants with a primary diagnosis of social phobia showed less improvement than those with other anxiety diagnoses. (Arendt et al., 2016 )

A Program Studied Over Time

Macquarie University reports that approximately 60 to 75 per cent of children who complete Cool Kids® are free of their anxiety disorder after treatment. This figure describes the broader Cool Kids® suite as evaluated and reported by its developers over three decades, rather than the result of any one trial or of the adolescent program specifically, and it describes those who complete the program. (Macquarie University, Emotional Health Clinic )

Important Context

Research findings describe outcomes observed across groups of participants and cannot predict how an individual young person will respond. The Cool Kids® suite has a substantial research base, but outcomes vary according to the participant, anxiety presentation, delivery format and other individual factors. The Social Space's 10-week, 90-minute group format is not identical to every protocol used in published Cool Kids® trials, and the Autism Spectrum Adaptation is not the version evaluated in the studies cited above. Participation does not guarantee that anxiety symptoms or diagnoses will resolve, and program suitability is considered individually.

Flexible Delivery

Where This Program Can Be Delivered

Mascot Clinic

Structured group delivery at The Social Space.

Online / Telehealth

Online delivery may be available depending on the program format and current offering.

School-Based Delivery

Chilled may also be considered for school delivery through The Social Space's School & Community Programs, with delivery adapted to the school context while maintaining the core program approach where possible.

Current delivery options can be discussed during the initial consultation.

Want to Learn More About Chilled?

Our team can learn more about what your teenager is experiencing, answer your questions and discuss whether Chilled, and which version of it, may be a suitable next step.

Enquire About This Program Book a Free Consultation

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