School Refusal
About the disease & condition
Known Symptoms
- Frequent complaints of physical symptoms like stomachaches or headaches before school.
- Reluctance or refusal to go to school.
- Mood changes, tearfulness, or irritability around school times.
Known Causes
- Separation anxiety, social anxiety, bullying, or academic pressure.
- Family stress or parental mental health issues.
- Previous negative experiences at school.
Diagnosis & Tests
- Clinical evaluation by a child psychiatrist or psychologist.
- Interviews with parents, teachers, and children to understand triggers.
- Rule out learning difficulties, medical conditions, or psychiatric disorders.
Complications (If untreated)
- Falling behind academically and social isolation.
- Increased anxiety, depression, or behavioral problems.
- Strained family relationships and decreased school engagement.
Prevention & Management Tips
- Early identification and counseling for children and family.
- Behavioral strategies to gradually reintegrate the child into school.
- Collaboration between parents, teachers, and mental health professionals.
Relevant Specialities

Psychiatry
Our Psychiatry & Behavioural Medicine team offers personalised, confidential care for mental health and addiction across all ages, delivered by psychiatrists, psychologists, social workers and specialist practitioners. Our treatment plans combine therapy, medication and practical support tailored to each individual’s needs. Our service includes 24/7 emergency psychiatry, with other specialties (including perinatal, geriatric and liaison psychiatry), and caregiver support programmes for dementia. Additionally, we provide evidence-based interventions and diagnostics, including ECT and biofeedback, as well as comprehensive psychometric testing, all underpinned by a commitment to compassionate, inclusive care.
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