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Feelings & behaviour

“I don’t want to go to school”: refusal, stomach aches and what helps

Morning battles, tears at the gate and real physical symptoms. How to tell anxiety from avoidance, and why staying home makes it worse.

2 min readUpdated 14 September 2026

School refusal rarely starts as a refusal. It usually starts as a stomach ache on Sunday morning, a headache before the bus, or a child who is fine all weekend and unwell by Monday. The pain is real — anxiety produces genuine physical symptoms — but the pattern gives it away.

Find out what is actually being avoided

Ask specific questions rather than “why don’t you want to go?”. Which lesson is worst? Who do you sit with? What happens at break? Where do you eat? Common causes: a frightening or shaming teacher, bullying, being behind in one subject, not managing the toilet, having no one to sit with, or fear of leaving a parent. Each of these needs a different solution.

Why staying home backfires

A day at home brings instant relief, and relief is a powerful teacher: the next morning is harder, not easier. Days off pile up until returning feels impossible. The aim is not to ignore the distress but to keep attendance going while fixing the cause underneath.

What usually helps

  • Talk to the school early and in person. Most workable solutions come from a teacher, not from home.
  • Keep mornings short, warm and predictable; decide everything the night before.
  • A quick, confident goodbye. Long drawn-out farewells increase distress.
  • Agree a safe adult and a safe place at school your child can go to.
  • Plan a return in steps if absence has already gone on: part days, then full days.
  • Treat the physical symptoms seriously and matter-of-factly, without making them the centre of the day.

Get help when

Refusal lasts more than about two weeks, the child is losing friendships or falling behind, sleep and appetite change, they talk about themselves in a very negative way, or you suspect bullying or something happening at school that they will not describe. Speak with the school and a qualified professional together — this rarely resolves from one side alone.

Sources and further reading

  • NHS — Anxiety in children
  • Anna Freud Centre — School attendance difficulties
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