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(p. 139) Children Refusing School to Escape Aversive Social and/or Evaluative Situations 

(p. 139) Children Refusing School to Escape Aversive Social and/or Evaluative Situations
Chapter:
(p. 139) Children Refusing School to Escape Aversive Social and/or Evaluative Situations
Author(s):

Christopher A. Kearney

and Anne Marie Albano

DOI:
10.1093/med-psych/9780190604059.003.0005
Page of

date: 11 December 2018

Chapter 5 describes treatment procedures for children whose anxiety in social and evaluative situations is so distressing that they cannot tolerate these situations, and avoidance behavior takes over. Treatment for children who refuse school to escape aversive social and/or evaluative situations involves teaching them to identify what they tell themselves in anxiety-provoking situations and how to replace negative thoughts with coping, helpful statements. The child will experience graduated exposure to anxiety-provoking social or evaluative situations in session with the therapist and will gradually increasing school attendance. An important part of treatment for this population is practicing coping skills in real-life social and evaluative situations. Special topics covered in this chapter are panic attacks, extracurricular activities, teasing, gym class, and perfectionism.

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