ACCESS-ABILITY ACCESS-ABILITY_Vol1_Issue4 - Page 86

" Th e goal of treatment i s to return to sch ool as q ui ck l y as possi bl e." m u st be com m it m en t an d con sist en cy at h om e an d at sch ool. Keep discu ssion abou t ph ysical sym pt om s or em ot ion al an xiet ies t o a m in im u m . Don?t ask h ow you r ch ild is f eelin g, ju st f ollow t h e m or n in g r ou t in e. Tr eat m en t f or ch r on ic sch ool r ef u sal m ay in clu de beh avior al t h er apy, w h ich is pr im ar ily exposu r e-based an d cou ld in volve syst em at ic desen sit izat ion . For exam ple, t h e f ir st day, you r ch ild m ay f ollow t h e m or n in g h om e r ou t in e an d eit h er r ide by t h e sch ool in a car or be pick ed u p u pon get t in g of f t h e bu s an d t h en r et u r n h om e. Th e n ext day, you r ch ild m ay go t o sch ool f or a h alf day or f or on e or t w o f avor it e classes. On t h e t h ir d day, you r ch ild sh ou ld go t o sch ool all day. If h e or sh e ask s t o go h om e, t h e sch ool-based plan is im plem en t ed. Wh en you r ch ild st ays h om e, it sh ou ld n ot be a f u n exper ien ce. Th e ch ild sh ou ld n ot go ou t side t o play or h ave f r ien ds visit , an d t h e u se of t oys, t elevision an d elect r on ic devices sh ou ld be lim it ed. Bein g a par en t is a h ar d job, m ade m or e dif f icu lt w h en you r ch ild is an xiou s an d clear ly u n h appy. A par en t n at u r ally w an t s t o r elieve a ch ild?s discom f or t . How ever , allow in g a ch ild t o st ay h om e r ein f or ces t h e an xiet y, m ak es it h ar der t o r et u r n , an d r ein f or ces m aladapt ive copin g sk ills. By set t in g f ir m expect at ion s f or sch ool at t en dan ce w h ile celebr at in g lit t le su ccesses an d t each in g h im / h er sim ple copin g st r at egies an d r elian ce on self , you w ill be h elpin g you r ch ild bu ild t h e sk ills t o becom e a h ealt h y, pr odu ct ive an d h appy adu lt .