New School Year, Big Emotions—Let’s Talk About It

Vinay Saranga • August 7, 2025

Summer is winding down, and you can feel the change in the air. The easy, relaxed days of summer vacation are about to be replaced with earlier mornings, packed schedules, and back-to-school tasks. Whether your child is starting kindergarten for the first time or heading into their last year of high school, back-to-school season brings more than just new backpacks and fresh notebooks; it brings a flood of emotions for everyone in the family.


For kids, this time of year stirs up all kinds of emotions. Some can’t wait to see their friends again or meet their new teacher. Others feel nervous about fitting in, keeping up, or facing something new. Many kids experience a mix of excitement and unease, which can make it challenging for them to express their feelings.


And it’s not just the kids feeling it. 


Parents and caregivers carry a lot during this time, too. You might worry about how your child will adjust, stress over juggling work and family schedules, or feel a mix of hope and anxiety as you send them back into the world after a long summer together. It’s a lot to hold and if you’re feeling overwhelmed, you’re not alone.


At the North Carolina Institute of Advanced NeuroHealth, we want you to know that if your family is struggling with back-to-school anxiety or stress, you are far from alone. This isn’t just a case of “first-day jitters.” It’s a transitional time of year that affects many families every year, in different ways and at different levels.


When one family member feels stressed, overwhelmed, or anxious, it can create a ripple effect that changes the mood and energy in the house. You might notice tension building, patience wearing thin, or even a sense of unease that everyone feels but can’t quite explain. 


All of this can make daily routines harder and leave everyone feeling less connected and more exhausted. That’s why it’s so important to recognise how deeply back-to-school stress impacts not just your child but everyone around them and to find ways to support each other through this challenging time.


The good news is that there are ways to support your family through this time. You don’t have to face these feelings in isolation or try to “push through” alone. Understanding the challenges and knowing when to ask for help can make all the difference.


It’s Not Just “First-Day Jitters”


A little bit of back-to-school worry is completely normal. But for some kids (and parents), that worry starts to take over.


You might notice your child:


  • Complaining about stomachaches or headaches
  • Having trouble sleeping or eating
  • Becoming more emotional, snappy, or withdrawn
  • Avoiding conversations about school
  • Asking “what if” questions over and over
  • Clinging more than usual


You might also notice it in yourself:


  • Feeling constantly on edge
  • Worrying about how your child will cope
  • Snapping more often at home
  • Struggling to sleep, focus, or find a rhythm
  • Feeling guilty, exhausted, or just overwhelmed


These signs are your nervous system saying, “Hey, this is hard.” And that’s okay. Anxiety is something many families experience. But when it goes unchecked, it can start affecting everything: school, friendships, work, home life, and your overall well-being.


Anxiety Is Treatable, But Only If It’s Recognised


Sometimes, parents chalk anxiety up to “a phase” or think their child will “grow out of it.” Other times, people turn to social media or online checklists to try to figure out what’s going on.


We get it. It’s tempting to self-diagnose. But while it’s helpful to be curious, self-diagnosis can miss the full picture, and sometimes make things more confusing or even scarier than they really are.


That’s why a full, professional evaluation can be such a gift. At the North Carolina Institute of Advanced NeuroHealth, we take a compassionate, science-based approach to understanding what’s really going on in the brain—and how to help it heal, grow, and thrive.


Whether it’s anxiety, attention issues, mood changes, or something else entirely, we take the time to look at the full story. Not just symptoms. Not just labels. You.


Why Early Support Matters


When anxiety lingers without support, it can quietly start to take up more space. Kids might begin avoiding school. Parents might feel like they’re walking on eggshells. Relationships can get tense. Sleep and appetite get thrown off.  Every day life starts to feel… harder than it should.


But it doesn’t have to stay that way.


When caught early, anxiety is very treatable. There are tools, therapies, and strategies that really work. And often, just getting a clearer understanding of what’s happening brings a huge sense of relief.


Anxiety Can Impact The Whole Family


One of the biggest myths about anxiety is that it only affects the person who has it. In reality, it impacts the whole family.


At our clinic, we take a family-centred approach. That means we’re not just here for your child—we’re here for you, too. Whether you’re feeling stuck, scared, confused, or just exhausted, we offer support that makes sense for the real-life ups and downs families go through.


Here’s What Support Can Look Like


When you reach out to us, you’re not signing up for something overwhelming. You’re taking a first step toward clarity and peace of mind.


We offer:

  • Thoughtful evaluations for children, teens, and adults
  • Personalised plans that actually fit your family
  • Support for parents and caregivers
  • Therapy and medication management, when needed
  • A judgement-free space to figure things out, together


We know life is busy. We also know how stressful it can be to find the “right” help. That’s why we keep our process straightforward, clear, and focused on what actually works for your family.


Let’s Talk About What’s Next


There’s no perfect timeline for reaching out. You don’t need to wait until things get “bad enough.”


If something feels off, trust your gut. If your child seems different, more anxious, more distant, or more overwhelmed than usual, let’s take a look together.


Because the truth is: untreated anxiety doesn’t just “go away.” But with the right help, it does get better. And you don’t have to figure it out on your own.


What Makes Our Approach Different


At the North Carolina Institute of Advanced NeuroHealth, we combine the latest neuroscience with real-world care that meets families where they are. We don’t rush. We don’t assume. We don’t hand you a folder and send you on your way.


We walk with you. Step by step.


Because parenting is hard enough already, and getting help should make life easier, not more complicated.


You’re Doing Better Than You Think


Let’s end with this: If you’re reading this, it means you care deeply about your child and your family. That already makes you a good parent.


There is no shame in asking for help. In fact, doing so is one of the bravest and most loving things you can do for yourself and for the people you love.

What’s The Difference Between TMS and Medication for Depression?

By Vinay Saranga • June 27, 2025
The truth is, depression can be complicated, and medication doesn’t always fix everything on its own. Lots of people don’t get the results they hope for just by taking antidepressants.

Compassionate Mental Health Care in Fuquay-Varina: Here When You Need Us Most

By Vinay Saranga • May 28, 2025
In Fuquay-Varina and the surrounding areas, The North Carolina Institute of Advanced NeuroHealth offers care that’s rooted in compassion and respect.

Spravato vs. Traditional Antidepressants: What You Need to Know

By Vinay Saranga • April 24, 2025
Traditional antidepressants are often the first option people try, but for some, they simply don’t do enough to bring real change. It can be discouraging when medications that worked for others don’t seem to help you, and it might make you feel like you’re running out of options.

Expanding Mental Health Care in Our Community: North Carolina Institute of Advanced NeuroHealth Opens in Fuquay-Varina

By Vinay Saranga • March 14, 2025
We’re excited to announce the expansion of our services with a brand-new office in Fuquay-Varina, NC! This new location allows us to bring expert medication management and innovative treatments like Spravato to even more people in our community. If you’ve been looking for compassionate, high-quality mental health care, we’re here for you.

Finding Hope Beyond Medication: How Spravato and Ketamine Therapy Can Help When Nothing Else Works

By Vinay Saranga • February 18, 2025
Innovative treatments like Spravato (esketamine) and ketamine therapy are changing the way we treat depression and anxiety—giving hope to those who need it most.

Spravato: A New Stand-Alone Treatment for Treatment-Resistant Depression

By Vinay Saranga • January 28, 2025
For people in Apex, NC, and beyond who have struggled with depression that seems unyielding, there’s exciting news: the FDA has approved Spravato (esketamine) as the first-ever stand-alone therapy for treatment-resistant depression. This groundbreaking treatment offers new hope to those who haven’t found relief through traditional medications.

The Sneaky Signs of Depression: It’s Not Just About Feeling Sad

By Vinay Saranga • January 2, 2025
The thing about depression is that it often doesn’t look the way we think it should. It doesn’t always look like someone crying or feeling hopeless. For many, it can show up as:

Paris Hilton Takes the Stage: Breaking Mental Health Stigmas at BHT2024

By Vinay Saranga • November 25, 2024
At the 2024 Behavioral Health Tech (BHT) Conference in Phoenix, Arizona, the atmosphere was filled with anticipation as the spotlight turned to one of the most powerful advocates for mental health: Paris Hilton. Dr. Vinay Saranga had the opportunity to attend the conference, where he met with other passionate professionals working to revolutionize mental health care. But it was Hilton’s keynote address that truly made an impact. Known for her glamorous public persona, Hilton stepped onto the stage not as a celebrity, but as a survivor—a voice for those who, like her, have experienced trauma and struggled with mental health in silence. The Power of a Celebrity Voice in Mental Health When a public figure like Paris Hilton shares their mental health journey, it creates ripples far beyond the room. For years, Hilton has been known for her glamour and entrepreneurial success, but her recent advocacy work has revealed a deeply vulnerable side that resonates with millions. During her keynote, Hilton spoke candidly about her experiences as a survivor of institutional child abuse and the lasting impact it had on her mental health. She spoke not just of survival, but of hope—hope that sharing her story would help others break the chains of shame and seek the help they deserve. Her platform allows her to bring these issues to the spotlight, encouraging others to seek help and shattering the stigmas that often prevent people from reaching out. It’s a reminder that mental health struggles don’t discriminate—they touch every community, every age group, and every socioeconomic background. Hearing Paris Hilton’s words was a reminder of the deep need for empathy in mental health care. It highlighted how trauma from childhood can last throughout a lifetime, affecting relationships, self-worth, and overall well-being. After hearing her speech, it was clear that everyone in the room was connected in this fight for a world where healing is possible, no matter the past. How Childhood Trauma Affects Adults Hilton’s story shines a light on an important truth: the trauma we experience as children doesn’t just stay in the past. For many survivors, the emotional pain from those early years can stick with us, affecting both our mental and physical health as we grow older. It’s like carrying a heavy backpack that never goes away. Even if you try to move forward, those old wounds can still weigh you down, making life harder than it needs to be. This is why it’s so important to recognize the long-lasting effects of trauma and to find the right help to heal. Healing isn’t easy, but with the right support, it is possible to lighten that load and begin to truly move forward. Emotional Impact: Survivors often experience chronic anxiety, depression, or PTSD. Feelings of worthlessness or guilt can stem from unresolved childhood experiences. Relationship Challenges: Trust issues, fear of vulnerability, and difficulty forming healthy connections are common struggles for those who’ve endured trauma. Physical Health: Research shows that early trauma can lead to long-term health issues, including heart disease, chronic pain, and autoimmune disorders. Understanding the connection between early experiences and adult mental health is essential. It’s why compassionate, specialized care—like the kind Dr. Saranga and his team provide—is so important. Breaking Through Trauma with Innovative Treatments For individuals living with the weight of unresolved trauma or treatment-resistant depression, traditional therapies alone may not be enough. Advances in mental health care, however, are providing new hope for those seeking a breakthrough. Transcranial Magnetic Stimulation (TMS) TMS is a non-invasive treatment that uses magnetic fields to stimulate specific areas of the brain associated with mood regulation. It’s FDA-approved and particularly effective for those who haven’t found relief through medication or talk therapy. Many patients describe it as life-changing, helping them regain clarity, energy, and a sense of control over their emotions. Ketamine Therapy Once primarily known as an anesthetic, ketamine is now being used in controlled, therapeutic settings to treat severe depression and PTSD. By helping to “rewire” neural pathways, it can offer rapid relief from depressive symptoms, allowing individuals to engage more fully in other forms of therapy and healing. A Customized Approach Dr. Saranga and our team at The North Carolina Institute of Advanced NeuroHealth understand that mental health is not one-size-fits-all. Our approach focuses on getting to the root of each patient’s struggles, creating individualized treatment plans that may include therapy, medication, innovative treatments like TMS or ketamine, and lifestyle support. Moving Forward Together Dr. Saranga’s experience at BHT2024 reinforced the importance of community and innovation in mental health care. Events like this bring together thought leaders, advocates, and providers, all working toward a shared goal: helping people find their light in the darkest moments. If you or someone you love is struggling with unresolved trauma or treatment-resistant depression , know that you’re not alone. Help is available, and breakthroughs are possible. Contact our compassionate team today to learn more about innovative treatments and personalized care. Together, we can help you move forward toward healing and hope.

Balancing AI and Human Connection in Behavioral Health: Insights from BHT2024

By Vinay Saranga • November 14, 2024
At the North Carolina Institute of Advanced NeuroHealth, we are excited about the possibilities AI brings to behavioral health. We are also mindful of the balance needed to ensure AI works alongside our human-centered approach, rather than replacing the interactions that build trust and foster healing.

When Therapy and Medications Aren't Enough New Options for Lasting Relief from Depression

By Vinay Saranga • October 30, 2024
You may know someone like Alex. Out of nowhere, it’s as if a dark cloud settles over his life, lingering for weeks or even months. In this darkness, he faces a battle each day—to get up, to respond to messages, to focus on work. Some days, just making it through feels nearly impossible. Alex has tried countless therapies and has been through more medications than he can count, yet nothing seems to fully lift the weight of his depression. And with every treatment that falls short, he feels hope slipping just a little further away. When Therapy and Medication Aren’t Enough Unfortunately, Alex’s story is very relatable. Even though therapy and medications are effective for many, up to one-third of people aren’t helped by depression medications and need something more. One of the biggest challenges is that depression is complex and there’s no one-size-fits-all treatment. For those experiencing treatment-resistant depression, the frustration and hopelessness of feeling “stuck” can be overwhelming. At The North Carolina Institute of Advanced NeuroHealth, we’re here for those who feel like they’ve tried it all, yet still can’t find the relief they need. We know how exhausting it can be to search for answers that feel just out of reach. That’s why we offer compassionate, personalized care focused on exploring new, innovative treatments designed to open doors where others have closed. If you’re ready for a fresh approach that truly considers what you need, we’re here to help you find the breakthrough you’ve been waiting for. Let’s explore a few of your options. Spravato®: A New Option for Treatment-Resistant Depression One promising advancement in depression treatment is Spravato ®, an FDA-approved nasal spray developed specifically for those with treatment-resistant depression. Unlike traditional antidepressants, which can take weeks or even months to have an effect, Spravato® can work within hours, offering relief from severe symptoms more quickly. How Does Spravato® Work? Spravato® is derived from esketamine, a form of ketamine that affects a different neurotransmitter system than standard antidepressants. This alternative pathway can help “wake up” parts of the brain that have become less active due to depression. The results are often transformative for individuals who have tried multiple treatments without success. Benefits of Spravato®: Fast-acting relief: Many patients report symptom improvement within hours or days, a dramatic difference from traditional medications. Effective for severe cases: Spravato® can be particularly effective for individuals with suicidal ideation, offering a sense of hope and relief when they need it most. FDA-approved for treatment-resistant depression: With careful administration and monitoring in a medical setting, it’s designed to be both safe and effective. What to Expect with Spravato® Treatment Spravato® treatment involves in-clinic sessions where our clinical team monitors your response, ensuring your safety and comfort. Most patients undergo twice-weekly treatments initially, which may decrease over time based on how well their symptoms are managed. We work closely with your insurance provider to determine coverage options, making Spravato® an accessible choice for those needing relief from treatment-resistant depression. Transcranial Magnetic Stimulation (TMS): A Non-Invasive, Effective Option Another powerful tool in our treatment toolkit is Transcranial Magnetic Stimulation (TMS) . This non-invasive procedure uses magnetic fields to stimulate nerve cells in regions of the brain associated with mood control and depression. Like Spravato®, TMS is an FDA-approved treatment specifically for those who haven’t responded to standard therapies. How Does TMS Work? TMS targets the prefrontal cortex, an area of the brain that tends to show reduced activity in people with depression. By stimulating this area with targeted magnetic pulses, TMS helps “reset” neural pathways, gradually improving mood and reducing depressive symptoms over time. Sessions are quick and don’t require any sedation, so you can resume normal activities immediately afterward. Benefits of TMS: Non-invasive: No surgery, no anesthesia—TMS is done in-office, and you’re able to continue your day without interruption. Minimal side effects: Unlike medications, TMS doesn’t cause fatigue, weight gain, or other common side effects. Sustained results: Many patients experience lasting symptom relief after a full course of treatment, which typically spans four to six weeks. What to Expect with TMS Treatment During each session, you’ll sit comfortably while a device gently delivers magnetic pulses to your brain. Sessions typically last 20 to 40 minutes, and for most patients, TMS is covered by insurance with a qualifying diagnosis of treatment-resistant depression. Our team is here to guide you through the process, answer questions, and coordinate with your insurance to make the treatment as accessible as possible. Why We Believe in a Holistic Approach At our center, we know that true healing involves addressing every aspect of a person’s life that contributes to their well-being. Our compassionate and personalized approach to mental health care focuses on both immediate relief from symptoms and long-term recovery. We’re here to support you as you explore these advanced treatment options and help you find the path that best fits your individual needs and life goals. A Few Reasons to Consider Our Team for Your Mental Health Needs: Comprehensive support: We work closely with you to understand the root of your symptoms and recommend a treatment plan designed just for you. Insurance guidance: Both TMS and Spravato® are often covered by insurance for qualifying individuals with treatment-resistant depression, and our team can help navigate the insurance process with you. Commitment to innovative care: We stay at the forefront of mental health advancements, offering access to the latest, most effective treatments available. Ready to Explore a New Way Forward? If you’ve been battling depression and traditional treatments just haven’t brought the relief you need, it might be time to explore something different. Spravato® and TMS offer new hope for those who’ve tried so much and still feel stuck. You deserve a life where each day isn’t weighed down by hopelessness or exhaustion, and these treatments might just be the change you’ve been looking for. Take the First Step—No Wait List, Just Support We know how hard it can be to reach out—especially when you’re hoping for a new answer—but we’re here to make the process simple and supportive. There’s no waiting list; we’re ready to help you take that first step as soon as you are. Together, we’ll explore options that could make a real difference and work toward a life that feels lighter and brighter. Reach out today , and let’s start this journey to renewed well-being, with compassionate care every step of the way.
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