It usually starts the second week, not the first. The first week runs on adrenaline and new shoes. Then a Sunday night comes around, and your fourteen-year-old, who hasn’t complained of a stomachache since fourth grade, has a stomachache.
By October, some of the families I work with are negotiating every single morning. Mondays are the worst. The school nurse knows their kid by name.
School anxiety in teenagers is common and very treatable, but it rarely looks the way parents expect. Here’s what I look for, and what tends to help.
What It Looks Like at Home
Teens almost never say “I’m anxious about school.” They say they’re sick, or tired, or that the teacher hates them, or nothing at all. What parents usually describe to me:
- Headaches and stomachaches on school mornings that clear up by 10 a.m., once staying home is settled.
- Long, tense mornings. Slow getting dressed, a meltdown over a hoodie, a missed bus.
- Trips to the nurse, or texts from the bathroom asking to be picked up.
- Sunday nights that go sideways, with homework “forgotten” until 9 p.m.
- Grades slipping in one class, which often turns out to be the class with the presentation, the lab partner, or the lunch period right after.
Your kid probably isn’t playing you. The stomach really does hurt. Anxiety churns the gut, and when they get to stay home the relief is instant, which teaches the brain that home is safe and school is dangerous. Every day at home tightens that loop a little more.
Find the Actual Thing
“School” is usually a stand-in for something more specific. When I sit with a teenager long enough, the fear tends to narrow down. A friend group that shifted over the summer. Getting called on in Spanish. The cafeteria, which is basically a social ranking system with tater tots. A teacher who yelled once in September. Sometimes it’s heavier: bullying, something that happened online, a body that changed fast, a divorce that made home feel shaky.
Ask, but ask sideways. Car rides are great for this because nobody has to make eye contact. “What’s the worst part of the day?” gets further than “Why don’t you want to go?” If you get a shrug, fine. Ask again Thursday.
The Part Parents Don’t Love Hearing
In most cases, the goal is to keep them going.
Nobody is suggesting you drag a sobbing kid into the building. Shrink the step instead of skipping it. Go for the first two periods. Drive them instead of the bus. Set up a check-in with the school counselor at a set time, so they know there’s an exit that isn’t home. School counselors and social workers have seen this many times and can help build a plan, and if anxiety is getting in the way of learning, ask about a 504 plan.
Also, watch your own face at 7 a.m. Teens read parental anxiety instantly. If you’re bracing for a fight, so are they. Calm is a lot to ask. Aim for slightly calmer than your kid.
A few small things help more than they should:
- Sleep. A teenager running on six hours has the stress tolerance of a toddler. Phones charging outside the bedroom is unpopular, and it works.
- Breakfast, even a small one. Anxious stomachs get worse empty.
- Fewer surprises. Go over tomorrow’s schedule the night before, including the parts they’re dreading.
- Something to look forward to after school that isn’t a screen. It gives the day an ending.
When to Call Someone
Reach out to a therapist if your teen has missed more than a few days in a month, if mornings have turned into a daily battle, or if the worry is spreading to practice, friends’ houses, or weekends. If you’re seeing panic attacks, self-harm, or talk of not wanting to be here, don’t wait. Call or text 988, or Colorado Crisis Services at 1-844-493-8255, any time of day.
Therapy for school anxiety is pretty practical. With teens, we figure out what the fear is really about and practice facing it in doses they can handle, plus tools for when their body starts to spiral. With families, we often work on the morning itself: who says what, what happens when the plan falls apart, and how parents can stop being the bad guy every day. Jillian Corpora sees a lot of teens and young adults in our practice, and she wrote a good piece on what teenagers actually need from therapy. Our family therapy often brings parents and teens into the same room.
The earlier in the school year you start, the easier this is to turn around. If you can’t tell whether it’s a rough patch or something more, a free consultation is a good place to talk it through.

