If getting your child to school has become the most difficult part of your day, the tears, the physical complaints, the arguments, the heartbreak of watching them struggle you'll know how isolating that experience can be.
School refusal is rarely about not wanting to learn. In most cases it's driven by anxiety, emotional overwhelm, social difficulties or something difficult happening either at school or at home.
Play therapy helps children get to the root of what's really going on, and gives them the tools to face it.
Understanding school refusal in children
School refusal sometimes called emotion-based school avoidance is different from truancy.
Children who refuse school are not making a lifestyle choice. They are experiencing genuine distress that makes attending feel impossible.
It can look different in every child. Some refuse outright and become distressed at the mention of school. Others attend but are miserable, complaining of illness every morning or sitting in the school office rather than the classroom.
Some manage primary school but fall apart at the transition to secondary. Common underlying causes include:
Separation anxiety, fear of leaving a parent or safe person
Social anxiety, fear of judgment, embarrassment or peer relationships
Bullying or difficult peer dynamics
Difficulties with a teacher or classroom environment
Neurodivergence, sensory overload, demand avoidance, masking exhaustion
Family stress or change, bereavement, separation, a new sibling
Academic pressure and fear of failure
How play therapy supports children with school refusal
The most important thing with school refusal is not to focus on getting the child back to school as quickly as possible — it's to understand why they can't go. Rushing a child back before the underlying issue is addressed almost always makes things worse.
In play therapy, I work with your child to:
- Explore and express what school feels like for them in a safe, non-pressured way
- Identify the specific fears or triggers that make attendance feel impossible
- Build emotional regulation skills to manage anxiety and overwhelm
- Develop confidence and a sense of their own resilience
- Gradually rebuild a more positive relationship with school and learning
I also work closely with parents and, where appropriate and with consent, with school staff — to make sure the support your child receives is consistent across home and school.
What this means for you as a parent
School refusal puts enormous pressure on families. The guilt, the judgment from others, the stress of managing work around a child who won't attend, it can feel completely overwhelming.
Throughout the therapy process I work alongside you, not just your child.
Every 4 to 6 weeks we meet to discuss progress, talk through what you're seeing at home and at school, and agree on strategies that help.
You're not navigating this alone.
About Elaine
I'm Elaine Breen, a PTIrl registered accredited play therapist based in Blarney, Cork. With over 20 years of experience supporting children and families, school refusal and emotion-based school avoidance is an area I work with regularly.
I collaborate with teachers, SENCOs, GPs and school counsellors to make sure children get consistent support across every environment.
20+ years experience
No HSE waiting list
PTIrl accredited
Based in Blarney, Cork
Let's talk about what's happening
If your child is struggling to attend school and you're not sure where to turn, start with a free confidential consultation.
We'll talk through the situation, what might be driving it, and whether play therapy can help. No referral needed.

