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When School Is Stressful: 5 Tips for Helping Your Child’s School Anxiety

If your child is nervous or apprehensive about school, communication is key

(Article and photo credit: Cleveland Clinic. Team, C. H. (2023, August 4). When school is stressful: 5 tips for helping your child’s school anxiety. Cleveland Clinic. https://health.clevelandclinic.org/when-to-get-help-for-school-anxiety/)


Sure, school is where we send our kids to learn their ABCs, 123s and (hopefully) the difference between “there,” “their” and “they’re.”


But when you think about it, the academic lessons learned in school are just part of a much larger equation. Many of the lessons learned in school have little to do with grades. With each day of school, your child is developing and practicing social skills.


And combining all those lessons day-by-day and year-by-year can be overwhelming. Even anxiety-provoking.


“Younger children learn how to greet adults and teachers, as well as how to play with classmates and navigate the playground,” says pediatrician Ellen Rome, MD.


Older students learn to juggle competing demands on their time. They’re learning who they are and navigating new relationships. Oh, and then there’s that whole get-good-grades-and-do-all-the-extracurriculars-or-you-won’t-get-into-college thing.


No doubt about it, the academic, social, emotional and mental strain of school can be stressful. And in the wake of the COVID-19 pandemic and its increased challenges of isolation, limited social interactions and virtual classrooms, navigating school-related stressors hasn’t gotten any easier. No matter their age, it’s normal for kids to have a certain amount of nervousness — even anxiety — about school.


Luckily, there are steps you can take to help them learn to navigate those fears. And opportunities to engage professional support.


We talked with Dr. Rome, along with psychiatrist Joseph Austerman, DO, about how you can support a child who’s coping with school-related anxiety — including signs it’s time to get help from a professional.


Signs of school anxiety

For some kids, nervousness about school can be an occasional thing. Maybe they had a bad day and they worry about what the next will bring. For some kids, a little encouragement from a parent or caregiver can be enough to face the next day with confidence. For others, fear and anxiety about school can be consuming.

“School refusal” is the term used to describe the problem of children whose anxiety keeps them from attending school on a regular basis. About 2% to 5% of children have school-associated anxiety, according to the Anxiety and Depression Association of America.

Signs your child is experiencing school-related stress and school refusal include:

  • Skipping school or refusing to go.

  • Frequently visiting the school nurse complaining of illness and asking to go home.

  • Often calling home during the day and asking to be picked up.

  • Going to school only after crying, tantrums, defiance or other problem behaviors.

  • Regularly complaining of physical symptoms like nausea, headaches or stomach pain.

School anxiety can put strain on the whole family. And it can keep your child from progressing both academically and socially.

“You want your child to build their strengths — to successfully overcome a fear and come out on the other side,” Dr. Rome notes. “You’re trying to get them into what we call a growth mindset, which is the ability to adapt, develop and work their hardest.”

Dr. Rome and Dr. Austerman share advice for how to help your child navigate school-related stresses.

1. Check in regularly

Dr. Austerman says communication is the key to spotting a child’s anxiety before it gets out of hand. Make a daily habit to debrief. Ask your child about their day, every day. Here are ways Dr. Rome suggests framing the conversation:

  • “What was the best part of your day? What was the worst part?”

  • “What was the funniest thing that happened today?”

  • “Who did you sit with at lunch today?”

  • “What’s something new you learned today?”

  • “Yesterday, you said you were worried about (fill in the blank). How did it go?”

Asking specific questions can help you understand more about your child’s day and how they feel about it. You’ll typically learn more about how they’re doing and what’s on their mind this way than when you generically ask, “How was your day?

Remember, too, that sharing goes both ways. Be prepared to answer those questions for yourself.

“You can explain to them how you handled stressful moments in your own life,” Dr. Rome suggests. “Through these conversations, your child can understand that stress is a part of everyone’s lives, and they can learn some coping skills from you.” To help your kids open up to you, Dr. Rome says it’s important that they know you’re 100% there. “When your kid wants to talk, even if it’s an inconvenient time, practice putting your phone away. It not only helps you give them your full attention; it also models good behavior.”

And make use of your precious time in the car with them.

“Use your car as a vehicle of communication,” she recommends. “Kids may feel it’s safer to talk to a parent when they’re driving and not staring at you too much. It allows for casual conversation.”

Having regular conversations about what’s going on at school can help you get to the root of the problem. You’ll learn what’s working. What’s not. And you can help come up with appropriate solutions.

“Many times, people are quick to think their child may benefit from medication when they experience school-related stress and anxiety. And some kids do,” Dr. Austerman explains. “But the first step is to look for what’s triggering their anxiety and see if we can intervene. If the child is being picked on at school, for example, medication won’t fix anything.”

2. Get good sleep

Proper sleep is critical to our ability to manage stress and regulate our emotions. How much sleep your child needs will vary. But in general, kids between the ages of 6 and 12 should get about nine to 12 hours of sleep each night. For teens, the goal should be between eight and 10 hours.

But some kids may need more sleep than that. If your child has difficulty waking in the morning, has trouble concentrating in school or has trouble regulating their emotions, those could be signs they need some more ZZZs.

Dr. Rome offers a few tips for helping your child get the sleep they need:

  • Limit (or ideally, avoid) caffeine, including coffee, soda and energy drinks.

  • Keep cell phones and other electronic devices out of their bedroom.

  • Encourage your kid to unwind (screen-free) starting at least one hour before bedtime.

3. Have a consistent morning routine

Gearing up for the day can be hard for a lot of people. And for some kids and families, mornings are their most challenging time. And chaotic mornings can feed anxiety and nervousness about the coming day.

You can help set your child up for success by working with them to eliminate obstacles that keep them from starting their day on a good note.

  1. Make sure their alarms are set correctly and that their morning schedule gives them time to get ready for school without rushing.

  2. Help them establish a morning routine and stick to it. That might mean deciding whether they’re going to shower in the morning and a plan for how they’re going to get to school. Having a reliable routine can help your child mentally prepare for the day.

  3. Encourage them to choose clothes and pack their backpack the night before. That helps keep their morning on track and reduces decision-making stress.

4. Build a support team

If your child is consistently showing signs of school anxiety, a conversation with their teacher, principal or school counselor can help. You can gain perspective about any signs of anxiety your child is showing at school. And it can give you a chance to offer them insight about your child.

“For example, you might explain to the teacher, ‘If my kid seems like he’s tuned out, calling him out can make him more anxious. Here’s what has worked for us to help him tune in,’” Dr. Rome says.

Working with their teacher and others, you may be able to ask for some support measures to help your child’s stress. For some kids, that may be things like:

  • A gentle touch on the shoulder as the teacher goes by.

  • Seating that isn’t near children that they anticipate are a source of stress.

  • Partnering with a teacher to read your child’s cues.

“Establishing communication with teachers and other people at school helps create a support system for your child,” Dr. Austerman adds.

5. Consider professional support

Most kids have periods of time when they resist going to school. That’s normal. But if the behavior continues for two weeks or longer, it’s likely more than a passing phase. And it’s time to get help for their anxiety.

“If you see a difference in your child’s behavior, don’t minimize it — explore it,” Dr. Austerman advises. “It’s going to be better for your child if you seek help for their concerns when they’re smaller and manageable before they build into something bigger.”

He suggests finding a qualified therapist who specializes in treating children. If you don’t know where to start, try reaching out to your child’s pediatrician or other healthcare provider. Your child’s therapist may use several techniques to get to know your child, understand their concerns and work toward a solution. That may include elements like:

  • Exploring opportunities to change the environment or circumstances triggering your child’s anxiety.

  • Counseling them using cognitive behavioral therapy (CBT) — a goal-oriented talk therapy where counselors will help your child talk through their thoughts and emotions.

  • Considering medication for severe anxiety, such as selective serotonin reuptake inhibitors (SSRIs).

There’s no doubt that school can be stressful. But it doesn’t have to be overwhelming. Open up the lines of communication with your child and their school. And don’t hesitate to talk with a healthcare provider who can help your child manage their anxiety.


Team, C. H. (2023, August 4). When school is stressful: 5 tips for helping your child’s school anxiety. Cleveland Clinic. https://health.clevelandclinic.org/when-to-get-help-for-school-anxiety/


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