11-02-2026

School Refusal in Children and Teens: When Anxiety Makes School Feel Impossible

When a child refuses school, it’s rarely about defiance. More often, it’s a sign of overwhelming anxiety, emotional distress, or fear that feels impossible to articulate.

What Is School Refusal?

School refusal is a pattern of difficulty attending or staying at school due to emotional distress – not misbehavior.

It may look like:

  • Morning meltdowns
  • Physical complaints before school
  • Panic symptoms
  • Emotional shutdown
  • Frequent visits to the nurse

Why School Refusal Happens

Common underlying causes include:

  • Anxiety or panic disorders
  • Bullying or peer conflict
  • Academic pressure
  • Social stress
  • Depression

For teens, fear of judgment or failure can be especially intense.

How Parents Can Respond Supportively

  • Stay calm and curious, not punitive
  • Avoid reinforcing avoidance when possible
  • Collaborate with school staff
  • Focus on gradual reintegration
  • Seek professional guidance early

A child psychiatrist can help identify root causes and guide a plan that supports both emotional health and school engagement.

School refusal is a signal, not a setback. With compassion and the right support, children and teens can regain confidence and stability.

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