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Information sheetChildren and teens · No. 15

School Refusal

When your child cries, feels sick or flatly refuses to go to school it is worrying and draining, and school refusal is usually about fear rather than naughtiness.

4 min read · Awareness resource · Reviewed 2026-09-26

Every school morning has become a battle. Your child has a sore tummy, cries, begs to stay home, or will not get out of bed. You might worry that you are being too soft, or too harsh, and you may be missing work to deal with it. This is more common than many parents think, and there is a way through.

What is happening

School refusal is different from bunking. A child who bunks usually hides it and goes somewhere else. A child with school refusal is often very distressed and wants to stay home where they feel safe. Headaches, tummy aches and nausea are real, even when a doctor finds nothing wrong, because anxiety shows up in the body.

Common causes include anxiety about separating from a parent, bullying, trouble with a teacher, learning difficulties that have not been picked up, a change like a new school or a move, grief, problems at home, or low mood. Sometimes it is a mix. In South Africa, safety on the way to school, long taxi or bus trips, and crowded classrooms can add to the fear.

The longer a child stays out of school, the harder it becomes to return. Schooling is also compulsory for most children of primary and early high school age, so it helps to work with the school early rather than wait.

Signs to notice

  • Physical complaints on school mornings that disappear on weekends.
  • Crying, clinging or panic at the gate or in the car.
  • Asking to phone home or be fetched early.
  • Worry that grows on Sunday evenings or after holidays.
  • Missed days building up, or late-coming.
  • Your child avoids talking about school or a particular class.

30-second self-check

Answer yes or no. Go with your first honest answer.

  • Has my child missed several days in the last month because they did not want to go?
  • Do they complain of feeling sick mostly on school days?
  • Are they very anxious or upset in the mornings?
  • Has something changed recently (a move, a loss, new school, trouble with friends)?
  • Are they struggling with schoolwork more than before?
  • Do I suspect bullying or a problem at school that I do not know about?

0-1 yes: This may be a passing worry. Keep a gentle eye on it and keep routines steady.
2-3 yes: There are signs of real distress. Talk to your child and the school soon.
4 or more yes: Your child may be experiencing school refusal. Get the school and a health professional involved now; early help makes return much easier.

What you can do next

  • Today: Ask your child calmly, at a relaxed moment, what feels hardest about school. Listen without arguing or promising they can stay home.
  • This week: Take your child to a clinic or doctor to check physical symptoms. Ask for a meeting with the class teacher or grade head and share what you have noticed.
  • This month: Agree a return plan with the school: who will meet your child at the gate, a safe person or place to go if they panic, and small steps back to a full day. Keep home days boring, with no screens during school hours.

Your tool

Conversation Planner - helps you plan the talk with your child and the meeting with the school, so you cover the right questions and agree clear next steps.

When to get professional help

Get help if your child has missed more than a few days, if they seem very anxious or low, if bullying or abuse is possible, or if they talk about hurting themselves. A child psychologist, counsellor or occupational therapist can help, and the school's support team can adjust the plan.
Who can help: Psychologist, registered counsellor, social worker, doctor, occupational therapist

Getting help in South Africa

Your child's school can refer to its school-based support team and, through the district office, to psychologists, therapists or social workers linked to the Department of Basic Education. The Cleared Mind 24-hour Careline on 0800 212 146 can arrange counselling for you and your child where your benefits allow. Childline on 116 is free for children to call. The SADAG Mental Health Line on 011 234 4837 (08:00-20:00) can guide parents on child anxiety.