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Back to School Jitters
By Nina Bronk Kellner

As the summer, along with sleeping late, lounging by the pool, and going to camp, winds to a close, life begins to take structure again. The days before the beginning of a new school year are characterized by both the joy of buying fresh, clean school supplies and new school clothes as well as by the apprehension of going back to school. Usually, with these back-to-school jitters, parental support and getting back into the school routine are enough to dispel any lingering uneasiness.

However, a child sometimes experiences more than just normal apprehension. They refuse to go to school or have trouble staying at school once there. Refusing to go or to stay at school has serious consequences on developing socialization skills, self-confidence, coping skills as well as education. While school-based anxiety differs among age groups, it affects about 3 to 5% of all school-age children and usually has to do with separation anxiety, fear of a teacher or peer, and anxieties over school performance and making friends.

Parents and caregivers can help children develop coping strategies that will help them not only deal with school anxieties but also with other times of stress. One way to teach children that time will ease the anxiety and fear is to expose anxious young children to school in small degrees, increasing exposure slowly over time. Eventually, this will help the child realize that there is nothing to fear and that nothing bad will happen despite their feelings that it will. Other ways to prepare your anxious child include:

  • Speaking to your child about his/her fears because encouraging verbalization of the fears will help reduce them;
  • Emphasizing the positive aspects of going to school, like being with friends, learning a favorite subject, and playing at recess;
  • Arranging a one-on-one with the child's new teacher in an informal setting away from the classroom; and
  • Meeting with the school guidance counselor for extra support and direction.

Remember, while the fear of going to school is treatable and curable, getting control of the fear does take effort on the part of both the child and parent. Finding and getting to the bottom of a child's fears and then working to dispel those worries will serve the child in countless ways throughout their lives.

Common school fears to look for include:

  • Being separated from caregivers
  • Riding on the bus
  • Eating in the cafeteria
  • Using the school bathroom
  • Being called on in class
  • Changing for gym
  • Interacting with other children or teacher
  • Being picked on by peers or older children

When is it time to call the doctor?

According to Dr. Daniel Pine, a psychiatrist at the National Institute of Mental Health and a member of ADAA's Scientific Advisory Board, "parents of a child not making it to school, or even missing just one day, because of anxiety, should speak with their child's pediatrician or consider getting an evaluation by a mental health professional." Physical and emotional signs of anxiety in children manifest in many different ways. If you think your child may have an anxiety disorder but are unsure of what to look for, start by answering the following questions. Make sure to discuss your answers, and other issues, with your child's physician.

  • Does your child seem out of step with peers?
  • Has your child's eating habits/appetite (sleeping, general mood) changed?
  • Has your child's schoolwork suffered? Are his/her grades falling?
  • Does your child seem to have less energy? Has his/her activity level changed?
  • How are your child's relationships with family and friends?
  • Does your child show signs of aggressive behavior?
  • Has your child regressed to behavior of a younger child?
  • Where is your child on age-appropriate, developmental milestones, such as speech and language?

Other self-help tools are available online at http://www.adaa.org.

You can locate a therapist in your area by visiting http://www.adaa.org/GettingHelp/FindATherapist.asp.

Helpful Resources for Dealing with Childhood Anxiety

Online

Books
All books listed below are available for purchase through the ADAA Online Bookstore at http://www.adaa.org/bookstore/Onlinebookstore.asp

  • Catch a Falling Star, Gayle Grass
  • Helping Students Overcome Depression and Anxiety, Kenneth Merrell
  • Helping Your Anxious Child: A Step-by-Step Guide for Parents, Ronald Rapee, Ph. D., Susan Spence, Ph. D., Vanessa Cobham, Ph. D., Ann Wignall, M. Psych
  • Freeing Your Child from Anxiety: Powerful, Practical Solutions to Overcome your Child's Fears, Worries, and Phobias, Tamar E. Chansky, Ph.D.
  • What to do When You're Scared & Worried: A Guide for Kids, James J. Crist




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