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Mayo Clinic Q&A: Strategies for calming back-to-school anxiety

DEAR MAYO CLINIC: I have two sons, ages 5 and 11. My eldest is always excited to start school and have new adventures. My younger son will begin kindergarten this year. Although he went to child care part-time, my younger son has begun to express concern about being away from me all day and is showing increased anxiety as we talk about school. How can I help him be less anxious?
ANSWER: Getting ready for a new school year can be exciting for children, parents and caregivers. It may also be a major cause of anxiety or stress.
Most people get nervous when they face change. Whether kids are heading off to elementary, middle or high school, or even college, leaving the safety and familiarity of home can prompt feelings of fear.
One of the most helpful things you can do is reassure your son that what he's feeling is normal. Separation anxiety happens to many people of all ages. Then, as much as possible, help him gradually gain exposure to, and get comfortable with, going to school.
Talking through fears
Try to gain a sense of what it is about school that makes your son nervous. Is he concerned about making new friends? Is he concerned about the teachers? Is he worried about the classwork? Is there something new that may be causing anxiety, like riding a bus? Sometimes, just being able to talk about those details and put the nervousness into words can help a child who is feeling anxious.
Continuing to show love, support and warmth can go a long way. Share with your son an experience you had when you were anxious about facing something new. Talk to him about how you handled the situation. Ask your older child to share some experiences and how he overcame his fears. Doing this will let your younger child know that he is not alone in the situation, that it is OK to be nervous, and he can get through it.
Preparing ahead of time
To help your son prepare for school, talk to him about what his school day might be like. You could also visit the school to meet his teachers, take a tour of his classroom, see the playground, or even locate the bus stop. If your son is nervous about getting on the school bus, call the transportation department to see if he can meet the bus driver early.
Another idea is to find social opportunities with other incoming kindergarten students. Reach out to parents of children in your neighborhood who will be going to school for the first time. Then, plan a social gathering at a local playground.
A week or two before school starts, develop a routine. Begin to wake up early and get ready on time. Also, consider practicing some schoolwork. You can get your older child involved in sharing his thoughts about what was the best part of school when he was that age.
Spending time apart
Begin by spending some time away from your son. Maybe it's having your child go to a friend's home for an hour. Then, slowly increase the time away from your son so that he has an opportunity to feel comfortable being with others for longer periods of time.
All of these steps will help him know what to expect, prepare him gradually for what school will be like, and ease the transition. This approach is based on one of the core principles of treating anxiety. That is, when you are frightened of something that is not dangerous, you need to have practice dealing with the source of your fear until it becomes routine or boring. You cannot be talked out of anxiety. You need exposure to, and experience in, dealing with the situation.
If your child is resistant to the attempts you are making, or if his anxiety doesn't decrease even after you've taken these steps, talk with your pediatrician or primary care clinician about seeing a healthcare professional who can help. Books on coaching for anxiety can also be a resource. Anxiety is a normal part of life that can't be completely eliminated, but many successful strategies can reduce anxiety and how often it causes problems.
Stephen Whiteside, Ph.D., Psychology, Mayo Clinic, Rochester, Minnesota
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