Children Who Won't Go To School - AACAP Facts For Families # 7

CHILDREN WHO WON'T GO TO SCHOOL (Separation Anxiety)
No. 7	(Updated July 2004)

Going to school usually is an exciting, enjoyable event for young children. For some it brings intense fear or panic. Parents should be concerned if their child regularly complains about feeling sick or asks to stay home from school with minor physical complaints. Not wanting to go to school may occur at anytime, but is most common in children 5-7 and 11-14, times when children are dealing with the new challenges of elementary and middle school. These children may suffer from a paralyzing fear of leaving the safety of their parents and home. The child's panic and refusal to go to school is very difficult for parents to cope with, but these fears and behavior can be treated successfully, with professional help.

Refusal to go to school often begins following a period at home in which the child has become closer to the parent, such as a summer vacation, a holiday break, or a brief illness. It also may follow a stressful occurrence, such as the death of a pet or relative, a change in schools, or a move to a new neighborhood.

The child may complain of a headache, sore throat, or stomachache shortly before it is time to leave for school. The illness subsides after the child is allowed to stay home, only to reappear the next morning before school. In some cases the child may simply refuse to leave the house. Since the panic comes from leaving home rather than being in school, frequently the child is calm once in school.

Children with an unreasonable fear of school may:

feel unsafe staying in a room by themselves
display clinging behavior
display excessive worry and fear about parents or about harm to themselves
shadow the mother or father around the house
have difficulty going to sleep
have nightmares
have exaggerated, unrealistic fears of animals, monster, burglars
fear being alone in the dark, or
have severe tantrums when forced to go to school

Such symptoms and behaviors are common among children with separation anxiety disorder. The potential long-term effects (anxiety and panic disorder as an adult) are serious for a child who has persistent separation anxiety and does not receive professional assistance. The child may also develop serious educational or social problems if their fears and anxiety keep them away from school and friends for an extended period of time.

When fears persist the parents and child should consult with a qualified mental health professional, who will work with them to develop a plan to immediately return the child to school and other activities. Refusal to go to school in the older child or adolescent is generally a more serious illness, and often requires more intensive treatment.

Excessive fears and panic about leaving home/parents and going to school can be successfully treated.

For additional information see Facts for Families:
#4 The Depressed Child
#8 Children and Grief
#47 The Anxious Child, and
#50 Panic Disorder in Children and Adolescents.
See Also:
Your Child (1998 Harper Collins)/Your Adolescent (1999 Harper Collins).

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