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Help, What do I do? My Child Refuses to Go to School!

Christina Faddoul-Lucero, LMFT

Child nervously prepares to walk into school, illustrating the importance of La Jolla Therapy Center in helping parents manage school refusal
Child nervously prepares to walk into school

I hear parents say over and over again just how hard it is to get their child ready for school in the morning. The constant reminders to get your child out of bed, uncertainty of when your kiddo is going to be ready to get out the door, and the overwhelming guilt and self-blame when they show up late to school, yet again. Then factor in the stress of how your child missing school impacts your own schedule and priorities for the day and it is stress on top of stress on top of stress.


School refusal is a distressing and challenging experience for any parent to manage. Watching your child struggle to attend school can leave you feeling frustrated, confused, and powerless. However, understanding the root causes and implementing thoughtful and helpful strategies can make a significant difference. In this blog, we’ll review practical tips for parents navigating school refusal due to anxiety while supporting your child’s mental health.


Understanding School Refusal and Anxiety


School refusal is very different from truancy as it is not about defiance or a desire to skip school for fun, but rather a deep-seated fear that causes distress and prevents the child from attending. The underlying anxiety may stem from various sources. Below are some common sources of anxiety that may result in school refusal: 


  • Social Anxiety: Many kids often experience social anxiety, which includes fear of judgment, rejection, embarrassment, and what others think of them around both peers or teachers.

  • Separation Anxiety: Parents are often a source of safety and comfort for children. Difficulty being apart from parents or caregivers, often manifests in younger children.

  • Academic Pressure: Fear of failure or perfectionism related to grades, worry about homework, or tests.

  • Bullying or Peer Conflict: Difficulty navigating conflict with peers and negative social experiences can make school feel unsafe for children and teens.

  • Other Factors: Changes like moving, transitioning schools, being in a new environment, or family stress can exacerbate anxiety.


Recognizing these triggers is the first step toward addressing the problem effectively. Here are some things that you can do as a parent to support your child struggling with anxiety about school:


1. Listen Without Judgment


When your child expresses reluctance to go to school, resist the urge to dismiss their fears as silly, trivial, or irrational. Instead, create a safe space for open communication and ask gentle questions like:


• “Can you tell me what makes school hard for you?”

• “What do you feel when you think about going to school?”


Do your best to avoid statements like “You’ll be fine” or “Everyone has to go to school,” as these can invalidate their feelings and experience. Demonstrating empathy toward your child shows them that their feelings matter and that you’re on their team.


2. Seek Professional Support Early


If your child’s school refusal persists or intensifies and is becoming a frequent issue, seek help from a mental health professional. When seeking professional support, it is important to look for a therapist that has experience working with children and adolescents, treating anxiety, and is trained in Cognitive Behavioral Therapy (CBT) as it is highly effective for treating anxiety. Therapists can teach your child coping strategies to manage their fears, reframe negative thoughts, and gradually face school-related challenges. Therapists can also provide parenting support to help you manage your child’s anxiety more effectively. Additionally, it is important to involve your child’s school counselor in creating a collaborative plan to ease their return to the classroom.


3. Create a Morning Routine That Reduces Stress


Mornings are often the most difficult time for children struggling with school refusal. Preparing things ahead of time can make the morning less stressful and less difficult to get to school. Simplifying the process by establishing a consistent, low-pressure routine can be very helpful. For example:


  • Prepare backpacks, clothes, and lunches the night before

  • Establish a good night/sleep routine as difficulty with sleep can make mornings more difficult

  • Wake up earlier to allow extra time for breakfast and calming activities, such as deep breathing, progressive muscle relaxation or listening to soothing music

  • Avoid rushing or engaging in power struggles as they can escalate anxiety


Consistency and predictability can make mornings feel less overwhelming for both you and your child!


4. Gradual Exposure Is Key


For children with anxiety, tackling school attendance head-on can feel like climbing a mountain. Instead, using gradual exposure can be more helpful and effective. Gradual Exposure is a technique where they slowly face their fears in manageable steps. For example:


  • Start with small steps, like driving to the school parking lot or walking into the building together.

  • Gradually increase time spent at school, such as starting with a favorite class or activity.

  • Celebrate each success, no matter how small!


Gradual exposure helps desensitize the child to the anxiety-provoking situation while also building confidence.


5. Work with the School


Communicating, collaborating, and engaging with your child’s school is important and necessary. Set up a meeting with teachers, administrators, or counselors to share your concerns, discuss your child’s situation, and develop a tailored plan. Some accommodations to consider include:


  • Flexible start times or half-day attendance.

  • Breaks during the day for anxiety relief.

  • Access to a “safe space” within the school, such as the counselor’s office.

  • Modified assignments or reduced workload during high-stress periods.


A supportive school environment can make a significant difference in your child’s comfort level and effectiveness in managing anxiety and school refusal.


6. Teach and Practice Coping Strategies


Equipping your child with tools to cope empowers them to manage anxiety both inside and outside of the classroom. Some effective strategies include:


  • Breathing Exercises: Slow, deep breaths can help calm the nervous system.

  • Positive Self-Talk: Encourage your child to use affirmations like, “I can handle this,” or “It’s okay to feel nervous. I’ll get through it.”

  • Visualization: Guide them to imagine a calm, happy place when anxiety comes up.

  • Problem-Solving: Help them brainstorm solutions to specific worries, such as preparing for a presentation or dealing with peer conflicts.


Modeling these techniques yourself can reinforce their effectiveness. There are plenty of free guided breathing and visualization options on YouTube and Spotify!


7. Be Patient and Consistent


Progress with anxiety and school refusal is rarely linear. There will be setbacks. That is okay and expected. Avoid punitive punishment like taking away privileges if possible, as this can often exacerbate anxiety. Instead, maintain a calm, consistent approach. Praise effort over outcomes, and remind your child that overcoming anxiety is a process.


For example, if your child attends school for an hour after weeks of refusal, celebrate the small success and acknowledge their effort and courage. For example, “I’m so proud of you for trying today. That was a big step.”


8. Address Underlying Factors


Sometimes, anxiety stems from external issues, such as bullying or academic challenges. Investigate and explore these possibilities by communicating with your child and their teachers. If bullying is a factor, advocate for immediate intervention from the school.

If academic challenges are contributing, explore options like tutoring, requesting a 504 accommodation plan or Individualized Education Plans (IEPs) to support your child’s learning needs.


9. Prioritize Self-Care for Parents


Parenting a child with school refusal can be emotionally draining. It’s crucial to care for yourself to remain patient and supportive. Lean on your support network—friends, family, or parent groups. If possible, seek therapy for yourself to process your own stress and gain insights into managing your child’s anxiety.


Remember, you can’t pour from an empty cup! You are modeling this for your child. Taking care of yourself benefits both you and your child.


10. Celebrate Successes


As mentioned earlier, every victory, no matter how small, deserves recognition! Whether your child made it through a full day of school, tried a new coping skill, or shared their feelings with you, celebrate their progress. Providing positive reinforcement encourages them to keep pushing forward.


When to Seek Additional Help


If school refusal continues to persist despite your best efforts, don’t hesitate to reach out for support. A comprehensive evaluation by a mental health professional may uncover underlying conditions, such as generalized anxiety disorder, depression, or learning disabilities. Early intervention is key to addressing these challenges effectively.


Final Thoughts


Coping with school refusal due to anxiety is undoubtedly challenging, but it’s also an opportunity to foster resilience, understanding, and growth. By approaching the issue with empathy, patience, and a proactive mindset, you can help your child navigate their fears and build the confidence to succeed. Remember, you are not alone—many families face this challenge, and support is available. With time, consistency, and the right strategies, progress is possible.


Our San Diego, California based counseling practice specializes in helping teens and adults who struggle with anxiety. Through counseling, we help kids and young adults overcome the negative thought cycles, the constant comparison game, and worst-case scenarios that accompany the anxious brain. Additionally, we offer other mental health services, primarily for perfectionists, overachievers or others who don’t feel like they 100% fit in. More specifically we offer treatment for anxiety/OCD, and depression at La Jolla Therapy Center. If you don’t live around San Diego or the commute makes in-person therapy impossible, all of our services are available via online therapy to anyone physically located in California. Therefore, we work with clients from Sacramento to Palo Alto or even Mountain View. You and your family deserve to finally feel less overwhelmed, so let’s get started!



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