School Refusal
Barton D. Schmitt MD1
1 Department of Pediatrics, University of Colorado School of Medicine, Denver
School refusal is one of the major school problems with which health professionals need to become involved. In general, parents will only accept this diagnosis from a physician they consider an expert in physical disease. Often this disorder is not included among the differential diagnoses of physical symptoms. We should ask about school attendance whenever we evaluate a child for a vague chief complaint. Once considered, this diagnosis is easy to confirm. Intervention is also straight forward. The physician should be decisive about physical health, insist on an immediate return to school, and monitor the patient's progress.