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The new school year comes with a lot of change for children—a different classroom, teacher, peers, learning material and routine. These changes can cause stress and anxiety in some children and teens, especially if they struggle in school and dread going back.

How to respond to stress

Kids and teens of all ages can feel stress at times, and that’s normal. It’s essentially a signal to get ready for what’s coming. With typical back-to-school stress, a parent or caretaker can help adolescents start the school year with confidence—and gain important coping skills—with the following tips.

1. Listen and validate your child or teen’s feelings.
2. Talk through what they can expect of everything from the morning routine to the bus ride to the school day and dismissal.
3. Visit the school and the classroom, especially if the child is younger or is new to the school.
4. Check in with your child about how the year is going so far.
5. Look ahead at what the rest of the year could be like.

Recognize chronic stress and anxiety

Stress can be good for kids. But on the other hand, chronic stress and anxiety that lasts for more than a few weeks aren’t healthy. In recent years, Wellstar Pediatrician Dr.  Andrew Doyle has noticed a growing number of adolescents, especially females, have anxiety.

“It’s normal to have stress; it’s not normal to have anxiety,” Dr. Doyle said. “Understandably you get nervous with new situations that make you uncomfortable, but you’re still able to do it and have fun. Significant anxiety starts to interfere with a child or teen’s ability to do what they need to do—homework, school, social situations. That’s when it’s helpful to get it checked out.”

In addition to having difficulty participating in and completing activities, signs of anxiety in children and adolescents can include difficulty sleeping, abdominal pain, headaches, significant changes in appetite or an explosive temper.

Effective treatments include lifestyle changes, medication and therapy. For example, lifestyle changes can include getting enough sleep, exercising, eating a healthy diet and planning downtime from social media and life responsibilities.

“Therapy and role-playing can help you recognize your stressors and think through how to handle them ahead of time so you can face those situations,” he said. “For example, on exam day, start with positive self-talk. You can say, ‘I’m feeling nervous. I have a headache and an upset stomach. I know that’s because I’m anxious. I’ve taken many tests before and I can do this, so I don’t need to worry about it.’ Breathing exercises before the test can help you stay calm.”

Start the year strong with a wellness screening

Another way to begin the school year right is to check in on your child’s emotional and physical health. Wellstar pediatricians will get to know your child and help them live their healthiest.

“I try to do whatever I can to help our patients and families so that when they leave my office, I've given them something to hold onto that is going to make life better for them,” Dr. Doyle said.

Find a pediatrician near you and book your child’s back to school exam so they can start the year strong.

Robert Frederick was living a typical life, going to work and spending time with his mother, siblings and children. But then it became hard to breathe when walking short distances or climbing stairs. He got dizzy. Perhaps most disturbingly, he passed out several times—once at a Braves baseball game he attended with his siblings.

"I didn't know what was going on!" Robert recalled.

Difficulty controlling AFib with medication

After passing out the first time, he went to urgent care and was then taken to the hospital by ambulance. He learned his symptoms were caused by atrial fibrillation (AFib), an irregular heartbeat.

Robert began to see Dr. David Caras, a Wellstar general cardiologist, and learned AFib is related to high blood pressure. Successfully managing high blood pressure often helps people keep AFib under control. Despite their efforts, AFib sent Robert to the emergency room two more times.

Suspicion of HCM

Dr. Caras reviewed Robert’s hospital records and found he had increased wall thickness of the left ventricle and a gradient—a pressure difference between the left ventricle and the aorta when the heart pumps. These findings were consistent with a condition called hypertrophic cardiomyopathy (HCM). Characterized by abnormal thickening of the heart muscle, this disease makes it difficult for the heart to pump blood effectively.

Dr. Caras referred Robert to Dr. Melissa Burroughs, an HCM specialist at Wellstar. As a Center of Excellence designated by the Hypertrophic Cardiomyopathy Association, Wellstar is one of the leading providers of comprehensive HCM care in Metro Atlanta.

"We have physicians in the group—designated HCM specialists—that are the point person of the patient’s care," Dr. Burroughs explained. “This includes close communication and collaboration with electrophysiologists, surgeons, advanced heart failure specialists, social workers and behavioral health professionals.”

A rare finding leads to Mayo Clinic Care Network collaboration

Robert said, “Dr. Burroughs wanted to do genetic testing to verify that I had HCM."

But genetic testing revealed a rare genetic variant—one not known to be associated with HCM. Dr. Burroughs called it a “diagnostic conundrum.” The genetic variant found was typically associated with a different cardiac disease that Robert did not have. However, he did have clear signs of HCM.

To investigate further, Dr. Burroughs collaborated with other HCM experts through the Mayo Clinic Care Network, of which Wellstar is a member. Mayo Clinic, which is also an HCM Center of Excellence, provided access to its unpublished database, finding Robert’s rare mutation was present in two other family groups with HCM.

“It’s very important that we add to the science—that we include our patients in the registry to enhance what is already known about HCM,” Dr. Burroughs said.

Robert added, “Dr. Burroughs is very persistent. She wanted to know, ‘Why are you having these problems? What’s the root cause?’ She went above and beyond to find that out.”

A new school year is right around the corner. While kids may be the ones returning to the classroom, parents still have their own homework to do too: making sure their child has a healthy start.

Before heading back to school, Wellstar health experts say it’s more important than ever prioritize your child’s physical and emotional well-being.

“Parents can help their children be prepared for school by starting early,” said Wellstar Pediatrician Dr. Andrew Doyle. “Be sure to speak to your children and address any anxieties they may have now about the new school year.”

“Also, getting them scheduled to see their pediatrician for important screenings and immunizations will help them be their healthiest,” he shared.