Emotionally Based School Avoidance (EBSA)

Local Providers for Emotionally Based School Avoidance

What EBSA is

Emotionally Based School Avoidance (EBSA) is when a child or young person finds it extremely difficult to attend school because of emotional distress.
It is not the same as truancy or refusal; it is usually linked to anxiety, stress, or unmet needs in the school environment.

EBSA can affect attendance, learning, friendships and wellbeing. Early identification and support are key to helping children return to education safely.

Related guidance

  • Anxiety Disorders
  • Autism Spectrum Disorder (ASD)
  • Pathological Demand Avoidance (PDA)
  • Education
  • EOTAS

    Common signs and behaviours

    Children with EBSA may:

    • show distress on school mornings or Sunday evenings

    • complain of physical symptoms such as stomach aches or headaches before school

    • struggle to separate from parents or carers

    • feel anxious about schoolwork, peers, or teachers

    • have frequent absences or lateness

    • appear withdrawn or overly tired

    EBSA may develop gradually and can worsen if misunderstood or punished.

    Check if school anxiety could be EBSA
    Learn how to tell if a child’s distress is emotional rather than behavioural.

    Causes and contributing factors

    EBSA often arises from a mix of personal, family, and school-related issues, such as:

    • anxiety or other mental health difficulties

    • bullying or peer conflict

    • academic pressure or learning difficulties

    • sensory sensitivities

    • changes in routine, staff, or environment

    • family stress, illness or separation

    Every child’s situation is different — understanding the root causes helps guide the right support.

    Explore common causes of school avoidance
    Understand why children struggle to attend and how schools can adapt.

    Getting assessed and supported

    Assessment can be carried out by:

    • the school’s SENCo or pastoral team

    • an Educational Psychologist

    • CAMHS or other mental health professionals

    Assessment looks at:

    • the child’s emotional wellbeing

    • school environment and relationships

    • academic demands and support in place

    A plan can then be created to reduce anxiety and rebuild attendance gradually.

    Support in education

    Schools can support pupils with EBSA by:

    • agreeing a phased return plan

    • providing safe spaces and trusted adults

    • using flexible timetables or home tuition

    • involving the child in planning

    • linking with parents and external professionals

    If school attendance remains too difficult, EOTAS (Education Other Than At School) packages may be considered.

    Help for parents and carers

    Parents can help by:

    • staying calm and reassuring without forcing attendance

    • communicating regularly with the school

    • keeping routines consistent

    • seeking advice from GPs, educational psychologists or parent support groups

    Get support for EBSA

    Find local tutors, therapists and educational specialists experienced in helping children with EBSA.