The backpacks are packed, routines are established, and the first few weeks of school are behind us. Now is an important time for parents and caregivers to ask: “How is my child really doing?”

Once the excitement of a new school year wears off, academic expectations, social pressures, changing friendships, extracurricular activities, and busy schedules can begin to take a toll. 

Some stress is normal. However, parents should pay attention when changes in mood or behavior persist, intensify, or interfere with a child’s ability to function at school, home, or socially.

“Every child experiences stress differently. Parents know better than anyone what is normal for their child. When you notice significant changes from that baseline, pay attention,” says Dr. Moneeb Chohan, Director of Child & Adolescent Psychiatry at BryLin Hospital.

Watch for Changes

Signs a child or teen may be struggling include persistent sadness, anxiety, or irritability; withdrawal from friends or family; changes in sleep or eating; declining grades; frequent headaches or stomachaches; school avoidance; loss of interest in activities; or significant behavioral changes. Parents may also hear statements such as “I can’t do this,” “Nobody likes me,” or “I don’t want to go to school anymore.” These can be opportunities to start a conversation. Ask open-ended questions and listen without immediately trying to solve the problem. 

Dr. Chohan says, “Parents don’t always need to have the answer. Sometimes the most important thing you can tell your child is, ‘I hear you. I’m glad you told me. We’re going to figure this out together.’” Parents can also connect with teachers, counselors, social workers, and other school professionals who may notice changes that aren’t as apparent at home.

When More Help Is Needed

Sometimes symptoms become too severe to manage with outpatient or school-based support. Severe depression, suicidal ideation, self-harm, psychosis, extreme behavioral changes, or an inability to function safely may require immediate professional intervention.

BryLin Hospital provides short-term inpatient psychiatric care for children and adolescents experiencing serious mental health crises, as well as inpatient care for adults. Families concerned that inpatient care may be necessary can call BryLin before going to an emergency room. A psychiatric registered nurse can conduct a confidential telephone screening and help determine the appropriate next step.

“We don’t have to wait until a child is in crisis to take their mental health seriously,” says Dr. Chohan. “Pay attention to changes, start the conversation early, and don’t hesitate to ask for help. With the right support, children can recover, return to their routines, and thrive.”

Call BryLin Admissions at (716) 886-8200, ext. 2264. For immediate crisis support, call or text 988. If someone is in immediate danger, call 911. With HELP, there’s HOPE.