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The school year starts, and suddenly, your child doesn’t want to go. For many families, it seems to come out of nowhere. From Kindergartener’s crying at drop-off to teenagers having stomachaches, school attendance can be an unexpected struggle. In just a few short weeks, parents and kids can start to dread Sunday night and wonder about how they will get through the weekday mornings. Sometimes this may be just a normal part of adjusting to school. Many young children have a hard time separating at first, and kids of all ages have days when they would rather stay home. Young children are still learning how to separate from a parent, spend the day somewhere else, and be okay. Some struggle more than others. It’s not uncommon to see children having a hard time at drop off, and although some will continue to struggle throughout the day, it is also not uncommon for them to feel much better once they are in the building and have completed the separation from their parents. As kids get older, school gets more complicated. The work is harder. Friendships and social status feel more important. By middle and high school, there may be anxiety, depression, bullying, academic problems, social anxiety, or some combination of them. For teenagers, the problem doesn't disappear once they enter the building, and it's not uncommon for parents to receive a call halfway through the day with a request to come home. If your child settles in after a few weeks, that's reassuring. If mornings are getting harder, physical complaints are becoming more frequent, or the family is starting to plan its life around whether the child can make it through the school day, it's worth paying attention. Why does it happen?There are many reasons a child can get to this point. Anxiety is an obvious one, but sometimes school itself has become genuinely difficult. A child may be struggling academically, feeling intimidated by new school demands, dealing with bullying or friendship problems, feeling overwhelmed by noise and activity, or dreading one particular class. Kids with ADHD or learning differences can spend an enormous amount of energy keeping up with their peers, and many kids find school challenging, boring, or simply exhausting. As parents, we feel worried about our children and naturally may want to protect them from the stressors that they are experiencing. The difficulty is that each time the child stays home from school, the pattern becomes reinforced. Staying home keeps the child back somewhere safe and familiar. The hard class is gone. So is the cafeteria, the social pressure, the work they're behind on, or whatever else has been bothering them. Instead, they may spend the day doing something enjoyable, like interacting with parents, playing video games, or scrolling social media. They stay home, and they feel better. It’s an important pattern, because the relief a child feels when they avoid school can make it harder to go the next time. Although it can be frustrating, they aren't manipulating anyone. Their brain is doing exactly what brains do: remembering what made a bad feeling go away and seeking to repeat this pattern. Why does this seem so much more common now?There has actually been an increase in school avoidance since the COVID pandemic. Before 2020, about 15% of U.S. students were chronically absent, meaning they missed at least 10% of the school year. By 2022, that number was 28–29%. As of last year, the national rate was around 23%, which is still 53% above pre-pandemic levels. It appears that COVID changed children's relationship with school in ways that we are still figuring out. For a period of time during the pandemic, it was not mandatory to go to school. For adults, that was an interruption in the usual routine. For a child who was five or six at the time, it was part of learning about what school was, and what we learn at an early age sticks with us. The pandemic, however, doesn't explain everything we're seeing now. Childhood anxiety was already rising before COVID, and anxiety is closely connected with school avoidance. In addition, social norms have changed, and children growing up now have fewer opportunities for independent play and time away from adults than previous generations. Although the closer connection with parents is shown to have many positive impacts, it also may mean fewer everyday chances to practice being away from parents when not at school. For teens, academic pressures have grown exponentially. Getting into college is high pressure, and brings increasingly growing demands for teenage success. In addition, growing up with phones and social media have changed their world in ways that it is difficult for those who have grown up in earlier generations to imagine or understand. For today’s teens, social pressures never really go away, they are pretty much always multi-tasking and “on call” for their peers, FOMO is a living, breathing entity, and nighttime phone use is linked with later bedtimes, poorer sleep and daytime tiredness. Researchers call this family accommodation; when families change routines or expectations to reduce a child's anxiety.Another generational difference is that parents today know far more about children's mental health than previous generations did, and that's a good thing. Taking your child’s feelings seriously and trying to protect and help them is parenting at its best. The strange contradiction here is that this very understandable instinct to understand and protect our children can sometimes unintentionally make avoidance easier. Researchers call this family accommodation; when families change routines or expectations to reduce a child's anxiety. Doing this initially when a child is having a hard time can be a supportive and positive response. When it becomes a pattern, however, it can unintentionally lead a child to feel less confident in their ability to cope. This isn't to suggest that we should start to feel less empathy, or that children should simply be told to “deal with it.” Watching your child panic is horrible, and anxiety is a real thing that can cause very real physical symptoms, including a racing heart, stomachaches, nausea, headaches, dizziness, sweating, muscle tension, shakiness, and shortness of breath. Instead, it’s about finding the difficult middle ground between taking a child's distress seriously and still helping them discover that they can do hard things. There can be a fine line between taking a child's distress seriously and feeling that the distress has to be removed. Children benefit from chances to find out that they can feel anxious and still get through something. Why staying home can make going back harderAttendance often needs to lead, not follow, anxiety reduction. A recurring pattern across outcome studies is that treatment focused on rebuilding attendance succeeds even when anxiety symptoms take longer to resolve. What this means is that resolving anxiety in the short term by allowing a child to stay home from school may actually make the anxiety worse in the long run, whereas increasing anxiety by helping a child go to school will actually make things better. If this seems backwards to you, think about it this way: Imagine that a child is extremely anxious about school, so it seems reasonable to give them some time at home until they're feeling better. The child stays home and feels better, mostly because they have found a way to avoid everything that is making them feel stressed. The next morning, school feels frightening again, and now the child knows that staying home is the fastest and easiest way to make those feelings stop. Each time the child stays home, the problems continue to grow. After a few absences, they’ve missed schoolwork. They're worried about walking back into class. They don't know what their friends will say. A child who originally stayed home because of one problem may now have developed several reasons to be afraid of going back. This is why returning to school is often part of treating the anxiety rather than something that happens after the anxiety is gone.The return back to school doesn't have to look the same for every child. Some can go back for a full day. Others may start with a class or two, meet someone at the door, or have temporary support during the parts of the day that are hardest. The important part is that the child begins to experience going to school while anxious and finding out that they can do it. Although they may feel very anxious initially, each day that they successfully go to school reduces anxiety and builds self-confidence. The exception to this is if a child is truly in an unsafe environment in the school, such as a situation centered around bullying. Understanding the triggers to the anxiety is as important as understanding the patterns reinforcing it. This will allow for an appropriate plan for resolution. This is hard on parents too.None of this is easy to do at 7:15 in the morning when a child is crying, saying they're going to throw up, siblings are stressed because they need to get to school, and a parent needs to get to work. Families make decisions in those moments because they have to. That's why school avoidance usually can't be addressed in the moment it is happening. Families need to develop a plan. Parents may need help figuring out what to do at home, and the school needs to be involved. It helps enormously when everyone is communicating and knows the plan before the morning falls apart. Don't let it quietly become the new normal.School avoidance tends to become harder to undo the longer it goes on. Of course getting a child back into school matters. But there's something larger at stake here. Children need to learn that anxiety can be uncomfortable without being in charge. They can be scared and still accomplish the task, gaining confidence in themselves along the way. We sometimes wait for children to become confident enough to do something difficult. In reality, confidence often comes from doing the difficult thing and discovering that they could.Therapy for school avoidance can have a significant impact on reducing anxiety and helping children return to school. At Wavelengths, we combine individual CBT and family counseling with school-based coordination and structured psychoeducation. Your therapist partners with you to explore the reasons for school avoidance, addresses triggers for anxiety, helps your child build resilience and coping skills, and works with you and the school to develop a plan. If you are noticing a pattern of reluctance, physical complaints without a medical cause, or distress around school that's intensifying rather than easing, our therapists can help you understand what's driving it and help you build a coordinated plan. Call us today at 1-800-871-5491 or email us at [email protected] to get started. ReferencesTreatment for School Refusal Among Children and Adolescents: A Systematic Review and Meta-Analysis
https://www.researchgate.net/publication/280927921_Treatment_for_School_Refusal_Among_Children_and_Adolescents_A_Systematic_Review_and_Meta-Analysis Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal https://journals.sagepub.com/doi/full/10.1177/2333794X211002952 Outcome of a Multi-modal CBT-based Treatment Program for Chronic School Refusal (PMC full text) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8013532/
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