This chapter delves into the root causes and symptoms of school avoidance and refusal in children with ADHD, discussing underlying struggles such as anxiety, academic stress, and social conflicts. It explains the differentiating factors between acute and chronic cases of school refusal, and delves into the functional conditions that drive avoidance behaviors, such as seeking parental attention or gaining access to rewards. Strategies for supporting children with school refusal behaviors and the importance of early identification and intervention are highlighted throughout the discussion.

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