School refusal is a complex issue that affects a significant number of students and their families. It can be challenging for everyone involved, from students and parents to teachers, principals, and psychologists. Understanding underlying causes of school refusal and various strategies that can be employed to address it are crucial for effectively supporting students. For chronic school refusers, it is not that they won't attend school, they simply can't. Their level of anxiety and psycho-social distress means they are just unable to go to school.