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Understanding School Refusal in Teens

As a therapist working with teens, I often see cases of school refusal in teens. Some may attend school occasionally, but for parents it can feel like a constant uphill battle to get them there. While school refusal can come from different causes—like drug use, defiance, or anxiety—the most common factor I see is anxiety.

Why Anxiety Fuels School Refusal in Teens

Anxiety is an overwhelming fear of something that might happen in the future. Some teens worry about being judged by peers, while others fear failing tests or facing certain classes. For some, the dread of school feels unbearable. I worked with one teen who was bullied every day on the way to class. When he sought help from teachers, peers mocked him for being a “tattle tale.” His anxiety grew so intense that school itself became unmanageable, leading to school refusal.

What Parents Can Do About School Refusal in Teens

If your teen is refusing school, the first step is to uncover the root cause. School refusal isn’t just “I don’t feel like it”—there’s usually something deeper going on. Once you identify the trigger, sit down together and make a plan. If it’s anxiety-driven, helping your teen regain a sense of control over the situation can make a big difference.

If talking it through isn’t enough, connect with the school counselor or seek outside professional support. Teens usually can’t overcome school refusal on their own. Avoidance makes fears grow larger, but most young people don’t yet have the tools to push through what feels terrifying. Therapy helps teens face their fears and eventually get over them.

Walking the Line Between Comfort and Structure

Helping your teen through school refusal requires both compassion and firmness. You’ll need to be a source of comfort while also holding firm boundaries about attendance. It can be heartbreaking to send them when you know how awful it feels, but consistently allowing them to stay home only reinforces the cycle of fear.

Supporting Teens Through the Struggle

Sometimes loving your teen well means walking with them through emotional pain, not shielding them from it. With your support and consistency, they can learn to face their fears and slowly rebuild confidence.

Helping teens grow and families improve connection,

Lauren Goodman, MS, MFT