Reluctance or refusal to attend school.

School phobia is an imprecise, general term used to describe a situation in which a child is reluctant to go to school. According to the American Academy of Child and Adolescent Psychiatry, refusal to go to school is most common in the period from preschool through second grade. In most cases, school phobia is a symptom of an educational, social, or emotional problem the child is experiencing.

The child with school phobia develops a pattern of predictable behavior. At first, the child may begin the day complaining that he is too sick to go to school, with a headache, sore throat, stomachache, or other symptom. After the parent agrees that the child may stay home from school, he begins to feel better, although his symptoms often do not completely disappear. By the next morning, the symptoms...