The return to school can bring excitement, but for some autistic students, it can also create significant stress. New teachers, unfamiliar classrooms, changing schedules, crowded hallways, and increased social expectations can make the transition especially demanding. Autism back-to-school anxiety may not always look like a child saying, “I’m worried about school,” particularly when communicating emotions is difficult. Instead, parents may notice changes in sleep, behavior, physical complaints, or a stronger need for familiar routines. Recognizing these changes early can help families respond with support rather than assuming a child is simply being difficult.