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Back to school anxiety: How much is too much?

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Starting the new school year can be exciting. But for many kids, it’s an uncertain, anxious time.

“Some anxiety at the start of school is normal. In most cases it will fade away over the first few days of school,” said Jeremy Pettit, an associate professor of psychology and psychiatry at Florida International University.
 
School anxiety is most common in elementary school aged children, Petit said. For most kids, parents only need to provide minimal assurance and encouragement.
 
“Kids have the tendency — especially older kids and adolescents — to think that what they’re feeling is unique to them,” said Kristen Jastrowski Mano, an assistant professor of psychology at the University of Cincinnati. “The reality is, everyone is nervous but not everyone talks about it.”
 
School anxiety can show up as physical complaints, belly aches, headaches. They may seem a little disengaged or worried. Younger kids will throw tantrums or get a little clingy.
 
“They act a little bit younger than their age,” Mano said. “They don't necessarily have the words to explain how they’re feeling.”
 
Mano suggests having low key, open-ended conversations with your children about what they think about starting the new school year. Parents should tell their children about their own anxiety during school and serve as a role model for them.
 
In some cases the anxiety can be more severe, to the point where a child refuses to go to school. Anxiety-based school refusal affects about 2 to 5 percent of children,according to the Anxiety and Depression Association of America.
 
Letting a child stay home is usually a bad idea.
 
“That tends to make things worse rather than better,” Pettit said. “That’s probably the time to seek help.”
 
There are several steps parents can take to help their kids:
 
• Attend open house or orientation activities that allow children to see their classroom and meet their teachers. That removes some of the unknowns.
 
• Establish a routine and stick to it. A predictable routine at home can be calming.
 
• Discuss the positive aspects of going back to school, like seeing friends again and extracurricular activities.
 
• Discuss your own experiences with anxiety and how you cope. Praise children when they face their fears and acknowledge those positive aspects.
 
• Some children may have more troublesome issues.  They may shut down and withdraw socially or keep asking for assurance that things will be OK.
 
While uncommon, some school-age children will express feelings of self-harm or suicide. Reach the National Suicide Prevention Hotline at 1-800-273-TALK.