In my opinion, EBSA (Emotionally Based School Avoidance) is very real. As a parent who has lived through it, I can honestly say it is both horrendous and heartbreaking. What makes it even harder is when people dismiss it or misunderstand what it really looks like in practice.
One of my four children, who showed absolutely no signs of difficulty before Covid, really struggled when schools returned to normal afterwards. Initially he went back without issue, but he began vomiting on Monday mornings. Over time, this escalated until he was vomiting every single morning before school. The most distressing part was that he wanted to go to school and couldn’t understand why his body was reacting this way.
At first, we assumed it was a medical problem. He saw numerous professionals and underwent extensive tests, but everything pointed to severe anxiety and low mood. He began to struggle with eating, lost a significant amount of weight, and became suicidal because he couldn’t even leave the house to do things he actually wanted to do. We invested heavily in different types of therapy, hoping to address the issue early, but nothing made a real difference at that stage.
Throughout this time, we worked closely with the school, who were incredibly supportive and did everything they could to help him attend. Some days he could manage an hour, some days an afternoon, and some days he simply couldn’t get through the door. On his first day of secondary school, he vomited three times outside the gates trying to go in.
It took three years of advocating for him before he was able to access appropriate medication for his anxiety and depression and engage properly with therapy.
Medication was the turning point and allowed him to regain some sense of normality. He was later diagnosed with ASD (two of his siblings are already diagnosed), and it’s believed that the time away from school reduced the pressure of constant masking. Returning to the full demands of school life was simply overwhelming for him.
My other three children have attended school full time without issue, which I think clearly demonstrates that this is not about parenting, permissiveness, or children 'getting away with it.' EBSA is not a choice, and it is not a lack of boundaries. It is a genuine mental health difficulty that requires understanding, patience, and appropriate support.