When a Child Refuses School: Causes and Supportive Responses

Overview

School refusal is not always a discipline problem. Separation anxiety, bullying, learning difficulties, social stress or physical illness may contribute to a child's distress.

How is it assessed?

Morning stomach aches, crying, intense worry on school days and repeated absences are useful clues. Blaming or shaming a child may make it harder to understand the underlying concern.

Practical next steps

Listen calmly, contact teachers and school support staff, and consider a child mental health professional. A gradual return plan may be appropriate for some children.

When is urgent help needed?

Any risk of self-harm, violence, serious bullying or immediate danger calls for prompt in-person help.

Frequently asked questions

Is this information enough for a diagnosis?

No. Symptoms, examination, personal history and additional tests when needed must be considered together.

This article provides general health information and is not a substitute for individual assessment, diagnosis or treatment by a qualified professional.

Source: https://www.nhs.uk/mental-health/children-and-young-adults/