$Unique_ID{BRK02358} $Pretitle{} $Title{What Can Be Done About School Phobia?} $Subject{school phobia child children refusers separation anxiety learning disability mental emotional psychological condition conditions care behavior behaviors scholastic phobias refuse refusing young} $Volume{E-23,S-23} $Log{} Copyright (c) 1992,1993 Tribune Media Services, Inc. What Can Be Done About School Phobia? ------------------------------------------------------------------------------ QUESTION: My neighbor's boy is already making noises like he won't go back to school without a fight. Could this be something like a school phobia, if there is such a thing? How should the child be treated? ------------------------------------------------------------------------------ ANSWER: If this child is one of thousands of children refusing--for any reason--to go to school, he could be classified as having school phobia (better called "School Refusers"). Depending on the severity of each case, the family, school officials, physicians, including psychiatrists, may have to become involved. Some school refusers simply suffer from separation anxiety, usually from the mothers. Other causes involve threats to the child, bomb scares at their schools, peer group pressures, as well as recent losses and/or changes in their families. Children experiencing physical complaints must be examined by a physician. When no physical problem is uncovered, evaluation by teachers and other school officials is required. Evaluators work to understand what is happening to the child and his/her familial and peer relationships. They also determine if there is an undetected learning disability as well as any hobbies and interests the child enjoys. School refusers' abilities to play are carefully examined to determine if normal childhood activities are being experienced. School refusers frequently complain of vague physical symptoms like stomach or head aches, dizziness, sleep problems and even vomiting. Histories of past illnesses always are studied to see if hospital stays created separation anxieties and if other family members have experienced such problems. Effective treatment depends on many test and evaluation results, severity and how long the child has had the problem. At times, treatment may be only discussing separation difficulties with the child, parents and other family members. In other cases, individual and family psychotherapy might be needed. Home tutoring may be suggested until the child is capable of agreeably returning to school. Fortunately, with a little concern, care and treatment, between 66 and 99 percent of school refusers willingly return to their classes. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.