Q: How can I help my family handle the rush of back-to-school?

originally published August 6, 2025

A: As August arrives, families across Berks and Chester Counties are preparing for a return to classrooms, sports fields, and after-school routines. As a physician, I see this time of year as a perfect opportunity to focus on three key areas that can set children and teens up for a healthy and successful school year: staying current on immunizations, resetting sleep schedules, and addressing back-to-school anxiety.

First, ensure your child is up to date on their vaccinations. Pennsylvania law requires specific immunizations for school attendance, including Tdap and meningococcal vaccines for older students. Pediatricians also recommend the COVID-19 vaccine and annual flu shots for added protection during the school year. If your child is involved in sports, now is the time to schedule any required physicals as well.

Second, re-establish consistent sleep habits. During summer, it’s common for kids to shift to later bedtimes and less structured routines. But quality sleep is essential for learning, mood regulation, and immunity. In the weeks leading up to the first day of school, gradually move bedtimes earlier by 15–30 minutes every few days. Elementary school-age children should aim for 9–12 hours of sleep; teens, 8–10 hours.

Finally, don’t overlook the emotional transition. For many students, the return to school can bring anxiety—especially for those entering a new school or facing academic pressures. Talk with your child about their feelings, listen without judgment, and help them problem-solve any specific concerns. If stress or mood changes persist, reach out to your pediatrician or a school counselor. Mental well-being is just as important as physical health.

A healthy school year begins with preparation. By addressing preventive care, sleep, and emotional readiness now, families across southeastern Pennsylvania can help students of all ages start the academic year with confidence and resilience.