Pressure To Have Kids: Managing Anxiety Around Having Children

Medically reviewed by April Justice, LICSW
Updated January 14, 2025by BetterHelp Editorial Team
Content warning: Please be advised, the below article might mention trauma-related topics that could be triggering to the reader. Please see our Get Help Now page for more immediate resources.

Having children can be a great joy for some, but it’s not the desired life path for everyone. In fact, the birth rate is decreasing, likely due to economic pressures and the threat of climate change. Still, for many people, the societal pressure to have children can create stress and anxiety. 

This pressure may come from friends, family, a partner, the media, or society in general and may impact personal relationships, mental health, and overall quality of life. The pressure to have kids may affect individuals who want to remain child-free, those who want children but are unable to or uninterested in having them biologically, and even those who want or already have children. 

While there's a growing movement to support people in making the choices that are right for them and offer respect instead of judgment or unsolicited advice, the pressure to have kids remains for many people. Here, we’ll explore the societal and familial expectations related to having children and how both parents and those who are not parents may be able to reduce related anxiety in their lives.      

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Are you feeling pressured to have kids?

Exploring the pressure to have kids

There can be many sources of pressure for those deciding whether to have one or two kids or more. It often stems from societal norms or expectations, though a person’s age or biological clock may also be a factor in some cases. An individual’s own parents or other family members may also add pressure, such as if they’re hoping to be grandparents. Or sometimes, a person may have multiple friends who are having children and feel pressure to do so themselves. 

Even people who plan to have or already have children often experience related pressures and judgments around when to have them, how many to have, and countless other factors. Recognizing that the pressure to have children may affect almost everyone in their own lives in some way, at some point in their life may help promote more understanding and cooperation to push back against it.

While only the individual (and their partner, if applicable) can decide whether or not to have children, coping with pressure, expectations, and judgments around having kids can be difficult. It can harm relationships and may even create or contribute to mental health concerns such as increased anxiety, stress, or depression. This may be especially true for individuals whose decision to not have children or more children is related to trauma, such as those facing reproductive challenges, those living in poverty, or those who have experienced birth trauma.

Why is there pressure to have children? 

The source and reasons for the pressure to have kids may vary from person to person. That said, there are three common reasons why it often exists: social pressure, cultural roots, and personal factors. 

Societal and cultural pressure to have a child

Societal pressure to have children is thought to be rooted largely in long-standing norms and traditional beliefs about family and individual purpose. Religion and culture may also impact this pressure. In some societies, starting a family is viewed as a milestone in adulthood and may be equated with success or stability. Media and pop culture often reinforce these societal expectations by showcasing family life as the ultimate source of happiness while leaving out narratives about child-free individuals or alternative paths to fulfillment. 

Personal factors in the pressure to have children

Several personal factors may also cause or contribute to the pressure to have kids. Many people may grow up being taught that having children is a necessary part of life and that having children will lead to a sense of fulfillment. Pressure may also be caused by a fear of missing out or self-doubt. For example, a person may worry about regretting the decision to have or not have kids later in life, or they may fear being judged by peers or family members. As a person ages, the pressure to make a decision about having biological children may also increase. 

Pressure from a person’s partner could contribute to stress and anxiety when deciding on having children, too. For instance, one partner may strongly desire children while the other may be hesitant, which can create internal conflict and anxiety as well as external conflict in the relationship. 

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The impact of pressure and anxiety on overall health

The pressure to have children may cause feelings of anxiety and stress, which can negatively impact a person’s health. Anxiety in general is thought to be a survival mechanism that prepares the body to endure challenging conditions. In the modern world, however, anxiety can occur outside of survival situations. Since it causes the fight-or-flight response to be engaged for long periods even when no threat to survival is present, anxiety may cause symptoms like sleeping trouble, gastrointestinal issues, and difficulty concentrating and could also increase the risk of serious long-term health problems.

Pressure to have or not have children may be linked to anxiety in a few key ways. One is that a person may be afraid of making the wrong choice for them. This can increase anxiety over a fear of missing out or potential regret later on. People may also worry about personal timelines and planning or feel pressured to stick with a plan set earlier, even if their situation or desires have changed. A person may feel anxiety over their financial or emotional readiness to have a baby too. Or, they may feel anxious about how their relationships or social life might be affected by choosing to have or not have children.  

The impact of the pressure to have a child on a mother or birthing parent

The impact of the pressure to have children may be different depending on the individual’s gender and the role that they want or are feeling pressured to take on in the process of having a child. Societal differences in expectations may cause the variation in how pressure to have children impacts different individuals. 

Impacts on a mother or other birthing parent

For individuals who could or would have to become pregnant in order to have a child, the pressure and impact may be more pronounced and multifaceted. Women and those of other genders with the reproductive capabilities required to carry a child often face heightened societal scrutiny around their reproductive choices. 

Additionally, during pregnancy and childbirth, birthing parents experience significant physical changes and health risks as well as the emotional demands of carrying and delivering a child. These factors may heighten the stakes and the pressure around deciding whether to have children. They can also make defending one’s decision to not have children more frustrating.

Impacts on a non-birthing parent

Fathers who do not carry the child and other non-birthing individuals may face their own pressures as well. Many partners of birthing parents feel the need to fulfill traditional roles as financial providers and protectors, which can lead to stress over job stability and economic security when considering the decision to have children. They may also face challenges in redefining modern parenthood and balancing emotional involvement in parenting with other responsibilities. 

Strategies for managing anxiety

In addition to setting boundaries on the topic with friends and family as needed, there are some proactive strategies that may help a person more effectively cope with anxiety related to the pressure to have kids. Techniques such as mindfulness practices, self-reflection, and seeking support from a friend, a support group, or a professional may help reduce feelings of stress and anxiety and improve overall mental health and well-being. 

Mindfulness and self-reflection

Mindfulness and self-reflection can be two powerful ways to manage feelings of anxiety. These techniques can involve practices such as deep breathing, meditation, and journaling, which may help a person put feelings or thoughts into perspective. It can also be helpful to engage in gratitude practices, which may shift a person’s mindset from negative thoughts or worries to positive aspects of life. These practices may also have a calming physiological impact on the body, slowing heart rate and breathing and relaxing the nervous system. 

Seeking support for the pressure to have kids

It can be helpful for people feeling anxious about the pressure to have children to understand that they are not alone. Seeking support from friends, online communities, or in-person support groups made up of individuals in a similar situation may help a person feel more confident in their conscious decision, whatever it may be. It may also be beneficial to connect with a therapist. They can help a person talk through the decision of having children or not if they’re unsure or learn to cope with the pressure and judgment they may face if they’ve made a choice. 

Reframing the narrative

Whether a person or couple decides to have children or not, reframing the narrative around the decision may be beneficial for all. This may include challenging societal norms and normalizing a variety of life paths, including choosing not to have children. Instead, it may be important to focus on celebrating the ability to make choices that align with one’s own values, goals, and preferences.   

A part of reframing the narrative may include redefining what a fulfilling life can look like. This could include reflecting on what a successful life may involve for you rather than thinking about what other people expect of you. It may also include exploring alternative ways to connect with others, build community, or find purpose. 

A couple seated at a table, smiling while looking at the laptop screen.
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Are you feeling pressured to have kids?

Connecting with a mental health professional

For individuals experiencing anxiety over the pressure to have or not have a child, connecting with a mental health professional like a therapist may be beneficial. A therapist can listen nonjudgmentally to a person’s hopes and fears and may implement different therapeutic or mindfulness techniques to help their client improve mental health and reduce anxiety. 

While therapy can be helpful for people in a variety of different situations, it may be challenging to find a therapist who fits your needs in an area close to where you live or work. It’s one reason why online therapy has increased in popularity in recent years. With a platform like BetterHelp, you can get matched with a licensed therapist according to your needs and preferences as outlined in a questionnaire. You can then meet with them remotely from anywhere you have an internet connection, which means online therapy can be a more convenient and flexible way to receive care—in addition to often being more cost-effective than traditional in-person sessions. Plus, research suggests that online therapy can often be as effective as face-to-face therapy for treating anxiety, depression, and other concerns.

Takeaway

The decision to have children or not have children is intensely personal and one only you can make for yourself. However, pressure from friends, family members, and society at large can cause individuals to feel stress and anxiety, whether they’ve already made a choice or are still deciding. This pressure likely comes from societal norms and expectations that link success and fulfillment to having children. Engaging in mindfulness practices, finding social support, and connecting with a therapist are approaches that may help relieve feelings of anxiety and provide clarity when making a big life decision.
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