Most people get caught up in the excitement of the back-to-school rituals and environment every Fall. Whether it is preschool, grade school, middle school, high school or college, school has always marked a milestone in one’s life. However for parents who have experienced the loss of a child, a miscarriage or other child related tragedy this time can be very painful. Feelings of agitation, resentment or anger may arise as they realize the hopes and dreams that they had for their child will never come to fruition. Back-to-school may be a reminder to them that their child is not hustling around with the same excitement as their would be peers causing restlessness, sadness or a feeling of isolation for the surviving parents. If you are a surviving parent please be patient with yourself during this time of year and if you know someone who has lost a child please be sensitive to their loss and support needs.