{"id":695,"date":"2024-12-19T14:10:09","date_gmt":"2024-12-19T05:10:09","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=695"},"modified":"2024-12-19T14:10:09","modified_gmt":"2024-12-19T05:10:09","slug":"%e4%b8%8d%e7%99%bb%e6%a0%a1%e3%80%81%e7%8a%b6%e6%85%8b%e5%83%8f%e3%81%a7%e3%81%82%e3%81%a3%e3%81%a6%e8%a8%ba%e6%96%ad%e5%90%8d%e3%81%a7%e3%81%af%e3%81%aa%e3%81%84","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/695.html","title":{"rendered":"\u4e0d\u767b\u6821\u3001\u72b6\u614b\u50cf\u3067\u3042\u3063\u3066\u8a3a\u65ad\u540d\u3067\u306f\u306a\u3044"},"content":{"rendered":"\n
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School Refusal Is Not a Disease
At our child psychiatry clinic, many children visit with school refusal as their main complaint. However, it\u2019s important to note that not attending school does not necessarily mean the child has a medical or psychiatric disorder.

(1) When School Refusal Is Linked to a Disorder
Conditions such as ASD (Autism Spectrum Disorder) or ADHD (Attention-Deficit\/Hyperactivity Disorder).
Other mental health conditions like depression, anxiety disorders, or adjustment disorders.
Physical illnesses or sleep disorders.
If such conditions are present, appropriate treatment or support may enable the child to return to school.

(2) When School Refusal Is Not Due to a Disorder
In many cases, children without any identifiable medical condition may still struggle to attend school.
Simply stating, \u201cThere\u2019s no disease, so you don\u2019t need to come to the clinic,\u201d is not a sufficient response.
Diverse Causes and Responses to School Refusal
(1) Why Children May Avoid School
Difficulty adapting to school rules or environment.
Stress from peer relationships or group activities.
Specific issues like bullying or conflicts with teachers.
The reasons vary widely, and a one-size-fits-all solution does not exist.

(2) Importance of Social Connection
Establishing opportunities for interaction with others is crucial, even outside the school environment.
Activities such as counseling, play therapy, home visits, or occupational therapy can provide valuable social engagement.
The Role and Challenges of School in Japan
(1) The Uniqueness of Japan\u2019s Education System
Japan\u2019s compulsory education system is unique in that children from diverse backgrounds gather in one place and are expected to perform the same activities simultaneously. This setup can create significant stress.
(2) Learning Outside of School
While there may be things that can only be learned in school, education is not limited to the classroom.
Children can gain valuable knowledge and skills through alternative means.
How to Support Children Who Refuse School
(1) Exploring Practical Steps
Instead of lamenting what cannot be changed, focus on what can be done with the resources at hand.
Each child\u2019s situation is unique, and through discussion and exploration, solutions often emerge.
(2) The Role of Clinics
While clinics are not the only place for support, they can serve as valuable spaces to provide suggestions and interventions.
Utilizing serendipitous encounters and resources at clinics can lead to meaningful outcomes.
The Expanded Role of Child Psychiatry
Child psychiatry is not limited to diagnosis and treatment. It plays a broader role in providing personalized suggestions and supporting families and children through their challenges.

If your child is struggling with school refusal or related issues, feel free to consult with us. Together, we can explore practical solutions tailored to their unique circumstances.
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