Children not going to school may be caused by separation anxiety, academic stress, social barriers, family environmental factors, or psychological disorders. Parents need to pay attention to their children's emotional changes, communicate with school teachers in a timely manner, and seek help from psychologists if necessary.

1. Separation anxiety
Young children often experience anxiety due to separation from their parents, manifested as refusing to go to school, crying, or feeling physically uncomfortable. Parents need to gradually cultivate their children's independence, such as through short-term separation training and cooperating with teachers to provide a sense of security in school. If it lasts for more than 4 weeks, psychological counseling intervention may be necessary.
2. Learning pressure
When the difficulty of academic work exceeds their ability to bear, children may avoid feeling frustrated by refusing to learn. Manifested as physical reactions such as resistance to homework and pre exam abdominal pain. Parents should check whether the amount of homework is reasonable, avoid excessive criticism, contact teachers to adjust learning tasks, and conduct learning ability assessments if necessary. Children who experience campus bullying or interpersonal conflicts often suddenly refuse to go to school, which may be accompanied by decreased appetite and nightmares. Parents need to understand the campus situation through role-playing and other means, and work together with the school to develop protection plans. Children with social anxiety disorder need cognitive-behavioral therapy, and medication such as sertraline tablets can be used according to medical advice.
4. Family Environment
Unstable factors such as parental divorce and domestic violence can easily lead children to seek attention through refusal to attend school. Manifested as emotional outbursts or excessive clinginess. Need to improve family communication patterns and conduct family therapy if necessary. A stable daily routine and shared activities can help rebuild a sense of security.

5. Psychological disorders [SEP]: Children with depression often experience persistent low mood accompanied by refusal to attend school, while children with attention deficit hyperactivity disorder (ADHD) avoid attending school due to classroom discipline issues. After evaluation by a pediatrician, fluoxetine capsules may be used for depression, and methylphenidate sustained-release tablets can be used for attention disorders. Early intervention can prevent the worsening of symptoms. Parents should set aside daily parent-child communication time to understand their children's psychological state through non-verbal means such as painting and games. Maintain regular communication with the school, record the frequency of refusal and triggering events. If accompanied by self injury, aggressive behavior, or significant weight changes, immediate medical attention should be sought at a pediatric psychology department. Daily mindfulness exercises and outdoor activities can help children relieve stress and avoid transmitting anxiety to them.

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