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Kids and School Phobias

Posted Sep 06 2010 9:04am

Now that summer is almost over,  kids will be starting or returning to school. For some parents this is a difficult time because the changes in the family's schedule can be hard to manage and many kids simply don't want to go back to school, to start a new school, or a new grade. Shy children and children with learning or emotional difficulties have a particularly hard time in facing a new classroom or a new school.

School phobia is a real entity and it is important for parents and doctors to search for the cause. Why is a child resisting going back to school? If pediatricians and family doctors really know their patients they should be able to offer some insight into the problem. I remember one boy who developed bad tics on starting school. His parents thought that the recent loss of a beloved grandfather was the cause but on doing a physical examination I picked up what are called "neurological soft signs" which  often are seen in children with learning disabilities. The excellent child psychologist that I referred children to for either testing or counseling found that the boy had quite a significant learning disability. By getting him some special help, the tics gradually cleared and the school phobia was no longer a problem.

Any physical problem can become intensified at the start of school. Headaches can be  a particularly problem and it is important to discover the cause of these. Headaches can be caused by visual problems. sinus infections, migraines, allergy, or just stress and tension. A good physical examination, a family history of allergy or migraines, and perhaps some allergy testing can be helpful.

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