I'll explain how the situation is here, autistic, PDA, very intelligent 15 yr old, had a lovely upbringing, both happily married parents, both working full time. Yr 7 was ok, started slightly refusing yr 8, gone down hill after hitting burn out in yr 10. My daughter genuinely wants to go to school, she is desperate to get good grades, but she physically shakes some mornings, freezes unable to speak, we have countless meetings with school, they understand she can't go in sometimes, she's told them she wants to go. We have gone through depression, self harm, no friends, violence against me as she lashes out at me, not leaving the house for weeks on end. Cahms are unable to help as they think the anxiety is linked to autism so can't help, gp sees regularly to check mental health and track weight as she was barely eating last year. School can help if she goes in .School have put as much in place as possible after they realised pressure just makes her crumble, some days she goes for a few hours other days they phone me to collect. Believe me we do everything we can to support, it's ruined my marriage, I can barely function at work, I had to change jobs so I could pick up/drop off at any time of the day, I'm physically drained, had counselling tried everything.You ask her what it is she can't explain, but she can explain it's the bright lights, the tight tie around the neck, tight school shoes, stiffness of shirts, walking into a crowded dining noisy hall which is overwhelming and over stimulating, the constant pressure on grades/attendance,the pressure of exams, you'll be a failure if you don't pass, you can't go to prom unless you attend, do all your homework, the list goes on. Never in a million years did I think we would be in this situation my extremely bright, funny daughter who was predicted 7-9 in everything but we are where we are and we will keep fighting and supporting her as her mental health is more important than anything at the moment. I could go on but I need to check on my daughter as she's "refused" to go in today, thankfully she's happy drawing in her art book.