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C hildren and teens experience some of the most important moments of their lives at school. It's where they spend two-thirds of their waking hours. Of course, school can be stressful, too - and not just because of pop quizzes and science projects. “Stress isn't the same for all children, and it impacts every one differently," said Dr. Cheryl S. Al- Mateen, medical director of the Virginia Treatment Center for Children. "In fact, in some cases this stress can even be traumatic. If left unnoticed, it can lead to real mental health concerns, including depression, anxiety, self-harm and even substance abuse." Everyone deserves to feel comfortable talking about mental health - it plays an important role in a child's overall health. Sometimes, however, topics around mental health can feel overwhelming or confusing for parents. Many may nd it difcult to spot the difference between traditional school stress and the possibility of potential trauma. Fortunately, there are many resources available to help. As a start, Dr. Al-Mateen has ve recommendations to support parents in understanding school issues, helping children cope and tackling potential problems.