School Refusal

School refusal is a complex and concerning issue that affects children and adolescents worldwide, including in Australia. It refers to a child’s persistent reluctance or refusal to attend school, which can lead to significant academic, social, and emotional challenges.

School refusal differs from truancy or “wagging school,” as it involves a shared choice made by the child and their parents or caregivers, rather than students secretly skipping school without parental consent. It can impact children of various age groups, but it is more frequently observed among primary and secondary school students.

Signs and Symptoms of School Refusal

School refusal can take many forms, and there are two primary presentations to watch for: internalizing symptoms and externalizing symptoms. Internalizing and externalizing symptoms can occur together or separately.

Internalizing symptoms often manifest in somatic complaints, such as stomach-ache, diarrhoea, shortness of breath, shakiness, racing heart or headache.

Externalizing symptoms are behavioural reactions in response to fears. This can include tantrums, disruption in the classroom, aggression toward others and threats of harm.


Image of Teenage boy in psychotherapy session

There are several factors, that can contribute to school refusal, including:

Anxiety Disorders: One of the most common causes of school refusal is anxiety disorders, such as social anxiety, separation anxiety, or generalized anxiety disorder. These conditions can make children feel overwhelmed by the prospect of attending school and interacting with peers or staying away from parents or caregivers.

Bullying: Instances of bullying, both in-person and online, can create apprehension to attending school. Children may fear encountering bullies at school and develop a strong aversion to attending.

Academic Pressure: High academic expectations, excessive homework, and a fear of failure can make students dread going to school. This is particularly relevant in the context of schools where there is a significant emphasis on standardized testing.

Family Issues: Family problems, such as conflict at home, a recent divorce or separation, or even the loss of a loved one, can lead to avoiding school as children may struggle to cope with these emotional stressors.

Health Concerns: Physical health problems, chronic illnesses, or psychiatric disorders can also be underlying causes of school refusal, as children may not feel well enough to attend.

Consequences of School Refusal

The consequences of school refusal can be far-reaching and affect various aspects of a child’s life, including:

Academic Struggles: Children who refuse to attend school may fall behind in their studies, leading to lower grades and limited educational opportunities.

Social Isolation: School refusal can lead to social isolation, as children miss out on interactions with peers and the development of essential social skills.

Mental Health Issues: The stress and anxiety associated with school refusal can exacerbate existing mental health conditions or lead to the development of new ones.

Family Stress: Even the parents and caregivers of children who refuse to attend school may experience significant stress and frustration, as they struggle to address the issue.

Legal Complications: In Australia, parents are legally responsible for ensuring their child’s regular school attendance.


Addressing school refusal requires a collaborative effort involving schools, parents, and mental health professionals.

Here are some strategies to help tackle this issue:

Timely Intervention: Identify signs of school refusal early and seek help from a mental health professional. Timely intervention can prevent the problem from escalating. Counselling and therapy can help overcome the issue.

Supportive School Environment: Schools should create a welcoming and supportive atmosphere, free from bullying and academic pressure.

Flexible Learning Options: In some cases, flexible learning options, such as online schooling or part-time attendance, can help students ease back into a regular school routine.

Parental Involvement: Parents should communicate openly with their children, validate their feelings, and work together with schools to find solutions.

School refusal is a significant concern in Australia, with various underlying causes and potentially severe consequences for children and their families. By addressing the issue early and implementing a holistic approach involving schools, parents, and mental health professionals, we can help children overcome their reluctance to attend school and ensure they receive the education and support they need to thrive.

Contact One Central Health today to book a psychology session or for other allied health services.

Share this article

We’re here to support you. Always.

Want to book an appointment or find out more?
Contact us online or give us a call today!