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Emotionally Based School Avoidance (EBSA)

Support for children struggling to attend school

When anxiety or emotional distress makes school feel impossible, we offer specialist EBSA support for children, young people, and their families.

What is EBSA?

EBSA describes difficulties attending school that are driven by emotional distress, rather than behaviour or defiance.

EBSA can affect children and young people of all ages and abilities, and often develops gradually over time.

Understanding EBSA

Signs of EBSA

EBSA can look different for every child, but common signs include:

  • Strong anxiety around school or mornings

  • Physical complaints such as stomach aches or headaches

  • Emotional distress when separating from home

  • Withdrawal, shutdown, or heightened emotional reactions

  • Sleep difficulties linked to school

  • Reduced confidence or increased self-criticism

  • A sudden change in attendance following stress or transition

EBSA is not defiance or poor behaviour. It's a sign that school feels emotionally unsafe or overwhelming.

Why EBSA Happens

There is rarely one single cause. EBSA often develops through a combination of factors, such as:

  • Anxiety or panic

  • Social pressures or bullying

  • Sensory overwhelm

  • Academic pressure or fear of failure

  • Neurodiversity

  • Attachment or relational stress

  • Trauma or loss

  • Changes at home or school

We understand EBSA as a stress response, not a behaviour problem.

How Our Support Helps

Our work focuses on emotional safety first, not forcing attendance before a child is ready.

We support children and young people to:

  • Understand and make sense of their anxiety

  • Feel safer in their bodies and emotions

  • Develop coping strategies at their own pace

  • Rebuild confidence and self-trust

  • Reduce shame and self-blame

Support may include talking therapy, creative approaches, relational work, and gentle nervous-system regulation, tailored to the child’s age and needs.

EBSA affects the whole family. Alongside work with your child, we offer space for parents to:

  • Understand what is driving their child’s distress

  • Reduce feelings of guilt, confusion, or helplessness

  • Learn how to respond in ways that support regulation and safety

  • Feel steadied rather than judged

You do not need to have the answers, we work alongside you.

Supporting parents and carers

Working with schools and professionals

Where helpful and appropriate, we can:

  • Liaise with schools or professionals

  • Support emotionally informed reintegration plans

  • Advocate for relational and realistic approaches

  • Help ensure the child’s emotional needs are understood

Our approach prioritises collaboration, not pressure.

Our Approach

Our EBSA work is:

  • Trauma-informed and child-centred

  • Relational rather than behaviour-led

  • Grounded in emotional safety and attachment

  • Flexible and responsive to each child’s experience

We recognise that progress may be slow, and that slow can still be meaningful.

Next Steps

If you are worried about your child’s school attendance, you are not alone, and you don't have to navigate this on your own.

We offer a free initial conversation to help you talk things through and consider whether our EBSA support feels like the right next step for your family.

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