‘I Hate School’ Extreme Edition What ‘School Refusal’ Means and How to Fix It

Andrea Petersen:

What child hasn’t dreaded September, the end of summer and the return to school. But for some kids, the prospect of school produces a level of fear so intense that it is immobilizing, resulting in what’s known as school-refusal behavior.
These are the kids who may be absent for weeks or months. Some may cry or scream for hours every morning in an effort to resist leaving home. Others may hide out in the nurse’s office. Some kids who miss school are simply truant–they’d just rather be doing something else. But in about two-thirds of cases, a psychiatric problem, most commonly an anxiety disorder, is the cause, according to research led by Christopher A. Kearney, professor and director of clinical training at the University of Nevada, Las Vegas.
Anywhere from 5% to 28% of children will exhibit some degree of school-refusal behavior at some point, including truancy, according to Dr. Kearney, a leading authority on the behavior, and other experts. For kids with anxiety-fueled school refusal, the fear is real and can take time to overcome. Families may struggle for months to help a child get back into the classroom. Ignoring the problem, or failing to deal with it completely, can lead to more-serious problems later on.