Navigating Back-to-School Anxiety: Supporting Children’s Mental Health

As summer winds down and the school year begins, many children experience a mix of emotions—excitement, nervousness, and for some, significant anxiety or distress. The back-to-school season can be especially challenging for children’s mental health as they transition from the freedom of summer into the structure and social dynamics of the classroom. According to Dr. Marlee Novak, Perham Health physician, understanding what to watch for and how to support your child can make all the difference.

Common Mental Health Challenges

Children may face a range of mental health issues at the start of the school year, including:

• Anxiety: Fear of the unknown, academic pressures, or social concerns can cause children to feel overwhelmed.
• Depression: Changes in mood, energy, and enthusiasm may signal something more serious than typical school reluctance.
• Social Stress: Peer pressure, bullying, or difficulty forming friendships can significantly impact a child’s self-esteem and sense of safety.
• Attention or behavioral struggles: These can emerge or intensify as children adjust to the classroom’s expectations and routines.

“These challenges may be especially pronounced in children who are entering a new school, have recently experienced a significant life change, or have a history of mental health concerns,” Dr. Novak said.

Mental Health Signs to Watch For

Every child reacts differently, but some common warning signs that may indicate a child is struggling include:

• Changes in sleep or appetite
• Frequent headaches or stomachaches
• Irritability, mood swings, or unexplained crying
• Withdrawing from friends or family
• Decline in school performance
• Avoidance of school or frequent complaints about going to school
• Excessive worry or fear about school-related topics

Parents and caregivers should also be aware of less obvious signs, such as perfectionism, constant reassurance-seeking, or negative self-talk.

“These are great signs to watch for,” confirmed Dr. Novak. “Irritability can be less obvious at times, especially in adolescents experiencing hormonal changes related to puberty. Additionally, our brain and our gut are quite interrelated with the same serotonin neurotransmitters, which is why we so often experience tummy upset with anxiety – sometimes as a consequence and sometimes as a trigger – but frequently together.”

How to Support Your Child

“Begin by creating a safe environment where your child feels comfortable sharing uncomfortable things,” said Dr. Novak. “Validating those feelings and possibly offering a comparable example the adult has experienced can minimize the child’s feelings of isolation.”

Ask open-ended questions about their day and truly listen to their answers. Establish consistent routines at home to provide structure and predictability, which can ease anxiety.

Encourage healthy habits, such as adequate sleep, regular physical activity, and balanced nutrition—all of which play a crucial role in emotional well-being.

“Know social media and screen time are things we cannot avoid entirely and often contribute negatively to mental health. Trying to incorporate limitations such as a two-hour limit per day, after school, realistically, is recommended,” Dr. Novak adds.

Let your child know that it’s normal to feel nervous or unsure. Remind them that many students feel the same way and that their feelings often improve with time.

When to Seek Help

If your child’s symptoms persist beyond the first few weeks of school, interfere with daily functioning, or seem to be worsening, it may be time to seek professional help. Start by talking with your child’s teacher, school counselor, or healthcare provider. They can help assess the situation and guide you toward appropriate mental health resources.

Dr. Novak emphasizes that early intervention can help your child develop coping skills and prevent more serious issues in the future. “Supporting your child’s mental health is just as important as assisting them to succeed academically, because a healthy mind is the foundation for lifelong learning and growth.”

Perham Health sends our warmest wishes to all students, teachers, and school staff as a new academic year begins! May this season be filled with exciting opportunities, inspiring moments, and joyful learning. You’ve got this—and we’re cheering you on every step of the way!