Help for Emotional Dysregulation in Kids | Dr. Roseann Capanna-Hodge

Find Your Solution

In 3 minutes, you’ll know where to start ➤

Join the Dysregulation Insider get free calm parenting tips straight to your inbox!

48: What is School Refusal and How to Deal With It?

What is school refusal and why is it becoming so common? In this episode, Dr. Roseann Capanna-Hodge breaks down the real reasons kids refuse school and how Regulation First Parenting™ helps calm the brain, reduce fear, and support emotionally dysregulated children.

If your child suddenly refuses school and your mornings feel like a battlefield, you’re not failing as a parent. School refusal is rising fast, and it’s a sign of a dysregulated nervous system, not defiance. In this episode, you’ll learn what school refusal really is, how it shows up, and what actually helps kids feel safe enough to return.

What is school refusal and why is it increasing?

School refusal happens when a child experiences intense emotional or physical distress about attending school. Research now shows 5% of children will experience school refusal, up from 1% two decades ago.

This increase matters because school refusal often overlaps with:

  • Anxiety, OCD, panic, or PANS/PANDAS
  • Bullying or social stress
  • Chronic nervous system overload

It’s not bad parenting—it’s a dysregulated brain.

Parent example: A child who loved school last year suddenly panics every Sunday night, complaining of stomach pain and begging to stay home.

What are the real signs of school refusal?

School refusal is often misunderstood as avoidance, but the body tells the real story.

Common signs include:

  • GI symptoms like vomiting, diarrhea, constipation
  • Headaches, chest pain, body aches
  • Sleep issues or high blood pressure before school
  • Escalating fear the night before school days

Behavior is communication. When fear hijacks the brain, kids shift into survival mode and can’t think or learn clearly.

Why does anxiety make kids refuse school?

When kids have intrusive or irrational fears, their brains become hijacked. This is the fight, flight, or freeze response in action.

Key drivers include:

  • Bullying or social rejection
  • Fear of failure or separation
  • Previous school trauma

Once the nervous system is overwhelmed, logic doesn’t work. Pushing harder often backfires.

Parent scenario: A child sobs at the school door despite reassurance because their body believes school equals danger.

How can parents calm the brain first?

Dr. Roseann emphasizes that calming the brain is the starting point, not forcing attendance.

Effective regulation strategies include:

  • Neurofeedback or biofeedback
  • Meditation and breathwork
  • Consistent calming routines

There’s no quick fix. Regulation takes time, but it builds lasting resilience.

Let’s calm the brain first.

When your child is dysregulated, it’s easy to feel helpless.
The Regulation Rescue Kit gives you the scripts and strategies you need to stay grounded and in control. Become a Dysregulation Insider VIP at www.drroseann.com/newsletter and get your free kit today.

What should parents focus on instead of attendance?

The goal isn’t perfect attendance—it’s mental health recovery.

Helpful steps:

  • Create structured, calm routines at home
  • Use audiobooks, educational podcasts, and creative play
  • Prioritize emotional safety over pressure

Main goal: get your child regulated so learning becomes possible again.

When should you involve the school or a professional?

Early support makes a difference.

Consider:

You don’t have to figure this out alone.

“When the brain is hijacked by fear, kids aren’t choosing refusal—they’re surviving.”
— Dr. Roseann

School refusal is scary, but it’s also treatable. With the right regulation tools, collaboration, and patience, kids can heal and return stronger. It’s gonna be OK—and help is available.

FAQ

Why does my child get sick before school?

Stress triggers physical symptoms like stomach pain or headaches when the nervous system is overwhelmed.

Is school refusal the same as truancy?

No. Truancy is willful skipping. School refusal is fear-based and involuntary.

Can school refusal happen in young kids?

Yes. It can appear as early as kindergarten when anxiety or separation fears rise.

Next Step:
Tired of not knowing what’s really going on with your child? The Solution Matcher gives you a personalized recommendation based on your child’s behavior, not just a label.It’s free, takes just a few minutes, and shows you the best next step.
Go to www.drroseann.com/help

 

If you found yourself nodding along while listening, take a moment to follow and leave a quick review on Apple Podcasts.
Your feedback helps more overwhelmed parents find calm, clarity, and the proven tools that make everyday life easier.

Dr. Roseann Capanna-Hodge: Helping Families of Dysregulated Kids Thrive Through Regulation First Parenting™

 
Dr. Roseann believes every family deserves to move from chaos to connection—and that transformation begins with addressing emotional dysregulation in children at its true source: the nervous system.

As the creator of Regulation First Parenting™, she’s helping families of dysregulated kids discover a compassionate, brain-based path forward. Through The Dysregulated Kids™ Podcast (top 2% globally), she offers practical strategies that help parents understand their child’s brain and support lasting change.

Through The Global Institute of Children’s Mental Health and Dr. Roseann, LLC, she’s created resources like the BrainBehaviorReset® program, Neurotastic™ Brain Formulas, and the Regulation First Parenting™ framework—meeting families where they are and supporting them through challenges like ADHD, anxiety, OCD, PANS/PANDAS, and behavioral struggles.

Recognized by Forbes as “a thought leader in children’s mental health,” Dr. Roseann is changing how we understand emotional dysregulation in children—one family at a time.

Dr Roseann with mic
Scroll to Top
Having Computer issues?
What’s the #1 burning question

about your child’s behavior that keeps you up at night?

By sending us your question, you give us permission to use
your audio clip anonymously in our podcast.

CHAT WITH US!