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School Refusal

Supporting Children Who Avoid School Due to psychological issues

School refusal, also called school avoidance, occurs when a child experiences intense fear or dread of attending school, often resulting in prolonged absences. It may involve physical symptoms like headaches, stomachaches, or fatigue, usually driven by underlying anxiety, depression, trauma, or learning challenges. While staying home may temporarily relieve stress, it can cause long-term academic, social, and emotional difficulties.

How School Refusal Works

  • Trigger: School-related situations (bullying, test anxiety, social pressures, separation) provoke intense fear or anxiety.

  • Avoidance: The child resists attending, often showing tantrums, sadness, or physical complaints.

  • Temporary Relief: Avoiding school reduces immediate anxiety (negative reinforcement).

  • Escalation: Over time, fear intensifies, making school return more difficult and establishing a recurring pattern.

Image by Zahra Amiri
Asian girl going back to school

Why Intervention Matters

  • Short-Term Relief vs. Long-Term Consequences: Avoidance provides temporary comfort but can lead to academic struggles, social isolation, depression, and worsening anxiety if unaddressed.

  • Root Cause Resolution: Identifying and addressing the underlying anxiety, trauma, or learning challenges is essential for lasting improvement.

Who Can Benefit

Children & Teens with:

  • Separation anxiety, social anxiety or shyness

  • Depression

  • Specific Phobias (e.g., tests, peers, school staff)

  • Learning Disabilities or Autism Spectrum Disorder

  • Trauma or significant life transitions

Parents seeking support for children stuck in avoidance patterns and power struggles

Smiling School Students
Therapy Session Discussion

Intervention Strategies

  • Empathy & Validation: Listen and acknowledge feelings (“I see you’re scared or upset”) rather than only addressing symptoms.

  • Address Root Causes: Identify triggers and stressors at school or home.

  • School Collaboration: Work with teachers and counselors for gradual reintegration (shortened days, safe spaces, accommodations).

  • Professional Therapy: Cognitive Behavioral Therapy (CBT) is highly effective for anxiety-related school refusal.

  • Symptom Management: Treat physical complaints and provide coping tools to reduce daily struggles.

Key Takeaway

School refusal is a cry for help, not laziness. With compassionate, structured support and professional guidance, children can overcome anxiety, reintegrate into school, and regain confidence in learning and social settings.

Book An Appointment

Call us today to book your appointment for a consultation or therapy session. Our team will assist you in arranging a suitable time with the right professional. 

© 2020 by MPS Psychological Services. No. 11-1, Jalan Radin Bagus 3, Bandar Baru Sri Petaling, 57000 Kuala Lumpur, Malaysia.

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