School avoidance refers to a pattern in which a child struggles to attend or remain in school due to emotional distress. Anxiety, depression, trauma, sensory sensitivities, bullying, learning challenges, or unmet needs often play a role. The child wants relief from distress, not escape from responsibility.
School refusal is a term often used clinically to describe school avoidance that is driven primarily by anxiety or emotional overwhelm. Children experiencing school refusal are not defiant; they are emotionally flooded. Many express guilt, shame, or fear about missing school.
Truancy, by contrast, typically involves intentional skipping of school without parental knowledge or permission and is not driven by emotional distress. Truancy responses are often punitive, while school avoidance and school refusal require supportive intervention.
When schools mislabel school avoidance or school refusal as truancy, well-intentioned systems can cause harm. School-based intervention teams exist, in part, to prevent this misalignment.