Anxiety Disorders are the most common mental health problem across the lifespan, create a huge personal burden for individuals and substantial economic burden for society. They have a particularly early age of onset and often run a chronic course- with half of all people who experience an anxiety disorder first experiencing those difficulties by the age of 11 years. Yet we have recently found that less than 3% of children with an anxiety disorder receive CBT, despite this being the only psychological treatment that has an evidence base. Service restrictions are clearly a key barrier- but families face many other barriers at much earlier stages. This talk will illustrate the multiple barriers that families experience from the emergence of problems to the point at which children and families access support, in which families can fall through the holes and be left to struggle unsupported. It will also describe our recent research on identification and efficient treatment delivery which provide the means to overcome many of the barriers families face and to empower families by providing the support they need to help them to help their children.