School Refusal

Psynapse Clinic

School refusal is a condition where a child or adolescent experiences severe difficulty in attending school, often due to emotional distress such as anxiety, depression, or fear. Unlike truancy, school refusal is not associated with defiance or other conduct issues, and children usually stay home with the knowledge of their parents. Common signs include frequent complaints of physical illness (like headaches or stomachaches) before school, reluctance to leave home, or excessive crying and tantrums related to school attendance.

The reasons for school refusal may include separation anxiety, social fears, bullying, academic pressure, or recent stressful events like moving or family conflict. It often results in poor academic performance, social isolation, and family stress.

  • Early identification and intervention are crucial. A collaborative approach involving parents, teachers, school counselors, and mental health professionals can help address the underlying issues. Interventions may include cognitive-behavioral therapy (CBT), gradual exposure to school, family counseling, and support within the school environment.
  • Supportive parenting, consistent routines, and reassurance can also aid the child in returning to regular school attendance. With proper support, most children can overcome school refusal and regain confidence in attending school regularly.