How do you treat school avoidance?

Treatment / Management A range of empirically supported exposure-based treatment options is available in the management of school refusal. Treatments include cognitive behavior therapy, educational-support therapy, pharmacotherapy, and sometimes parent-teacher interventions.

How do you handle school avoidance?

Talk with your child about the reasons why he or she does not want to go to school. Consider all the possibilities and state them. Be sympathetic, supportive, and understanding of why he or she is upset. Try to resolve any stressful situations the two of you identify as causing his worries or symptoms.

What is the best intervention for school refusal?

Is school refusal a mental illness?

School refusal, also known as school avoidance and school phobia, is not classified as a mental illness by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).

What are the three types of school refusal?

The terms fear‐based school phobia, anxiety‐based school refusal, and delinquent‐based truancy were commonly described as school refusal behavior.

How Can Therapists Help Children with School Refusal? Mona Delahooke, PhD

Is school avoidance a diagnosis?

School Avoidance is Not a Diagnosis

Therefore, there is no diagnostic code for school avoidance in the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5, which is the definitive authority that defines and classifies mental health disorders.

What causes school avoidance?

Some children have severe separation anxiety and can't tolerate being apart from their parents. Other anxiety-related problems that motivate children and teens to avoid going to school include social anxiety, phobias (such as of illness or germs) and obsessive-compulsive disorder, along with depression.

What is the most common age for school refusal?

School refusal can be an issue for children in both primary and secondary school, but it's more common in children aged 5-6 years and 10-11 years.

How bad can school refusal get?

During adolescence, school refusal can present as shutting down, panic symptoms, and even thoughts of self-harm. In both cases, it can interfere with family communication, trigger heated emotions between parents and children, and make it difficult for both children and parents to engage in their normal daily routines.

Can anxiety cause school refusal?

When children aren't able to attend school, it's often due to extreme anxiety or phobia. This is sometimes known as 'school refusal'. The term 'school refusal' makes it seem like the child has a choice, however the anxiety is usually so severe it's impossible for them to face it.

What medication is used for school avoidance?

Separation Anxiety and School Refusal Medication: Tricyclic Antidepressants, Selective Serotonin Reuptake Inhibitors, Anxiolytic Agents, Antihistamines, Beta-Adrenergic Blocking Agents, Anticonvulsants, Alpha-Adrenergic Agents.

How do you break a school refusal?

Use clear, calm statements to let your child know that you expect them to go to school. Say 'when' rather than 'if'. For example, you can say, 'When you're at school tomorrow ...' instead of 'If you make it to school tomorrow ...'.

Which disorder is school reluctance and refusal common with?

School refusal often is associated with comorbid psychiatric disorders such as anxiety and depression. It is important to identify problems early and provide appropriate interventions to prevent further difficulties.

What is the difference between school refusal and school avoidance?

School refusal is a term used to describe the signs of anxiety a school-aged child has and his or her refusal to go to school. It is also called school avoidance or school phobia. It can be seen in different types of situations, including: Young children going to school for the first time.

What is emotionally based school avoidance?

Emotional Based School Avoidance (EBSA) is a broad umbrella term used to describe a group of children and young people who have severe difficulty in attending school due to emotional factors, often resulting in prolonged absences from school. The impact of EBSA on young people and schools is far reaching.

Can ADHD cause school refusal?

Their study showed that children with ADHD, who also had anxiety, depression, or phobias, were more prone to skip school for over 14 days compared to the children with ADHD only (Classi et al., 2012). This means that having ADHD and internalized problems can increase the risk of being absent from school.

What are the symptoms of school refusal?

It can include behaviors like frequently struggling to arrive at school on time, leaving before the school day ends, or not attending school at all. Headaches, fatigue, stomachaches, and other physical symptoms of anxiety may make it hard to get off to school in the morning or make it feel necessary to leave early.

What do you say to a child who doesn't want to go to school?

Observe: “I have noticed that you appear upset and worried in the morning and you often ask to stay home.” Validate: “We all feel upset and worried sometimes and it can feel uncomfortable.” Redirect: “Going to school is very important. What are some things that we can do to help you to get there?”

How do you get a child to read when they refuse?

Try to make it relaxing and low-key for a short part of the day. Share something of your own. Read aloud some funny or interesting parts of a book that you're reading. Draw your child in with a riddle book for kids, a passage from Sports Illustrated, or a newspaper story.

Should I force my anxious child to attend school?

Avoid forcing your child to go to school.

Try not to shout, tell them off or force them into school. Making them go in without changing anything is likely to make their anxiety worse in the long-term. Even though they might physically get to school, they probably won't be in a position to learn either.

What happens when a 13 year old refuses to go to school?

If your teenager is repeatedly refusing to go to school, communicate with teachers or school counselors so they know why your child is struggling to get to class and can provide extra support. For example, school staff may wish to discuss setting up a 504 plan.

What is exposure therapy for school phobia?

Treatment for School Anxiety

Additionally, exposure therapy involves gradually exposing the child to school-related situations that cause anxiety. The goal is to help the child build confidence and resilience by facing their fears and seeing that for the most part, nothing bad happens.

What are avoidance behaviors?

Avoidance behaviors are any actions people use to escape or distract themselves from difficult thoughts, feelings, and situations. These can look like avoiding new job opportunities, career advancements, relationships, social situations, recreational activities, and family get-togethers.

What causes avoidance behavior?

Avoidance is typically considered a maladaptive behavioral response to excessive fear and anxiety, leading to the maintenance of anxiety disorders. Exposure is a core element of cognitive-behavioral therapy for anxiety disorders.

What is the term for avoiding school?

Truancy is any intentional, unjustified, unauthorized, or illegal absence from compulsory education. It is a deliberate absence by a student's own free will (though sometimes adults or parents will allow or ignore it) and usually does not refer to legitimate excused absences, such as ones related to medical conditions.