School refusal can feel like a power struggle—but most of the time it’s fear.
When a child or teen refuses school, it often means their nervous system is overwhelmed. Therapy helps identify what’s driving the refusal and builds a realistic plan to return.
Common Causes of School Refusal
- Social anxiety or fear of judgment
- Bullying
- Depression and lack of motivation
- Panic attacks
- Learning challenges and feeling “behind”
- Perfectionism and pressure
- Family stress or separation anxiety
What NOT to Do
Threats and punishment often make school refusal worse because it increases fear and shame.
How Therapy Helps
Therapy can support:
- Emotional regulation and coping skills
- Gradual exposure planning (step-by-step return)
- Parent coaching for consistent support
- Coordination with school staff
- Anxiety reduction and confidence building