Though many children will refuse to go to school at some stage in their lives, school refusal is very different to truancy. It is a more serious condition than separation anxiety and often stems from a child’s anxiety about school. They may be worried about their school work, interacting with other kids, dealing with teachers, playing sports or being away from family. School refusal is a behaviour that can also be accompanied by sadness or depression, physical symptoms and social isolation. This condition is equally common amongst boys and girls, from all socioeconomic groups and across both primary and secondary levels.