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Positive parenting strategies handout (1)

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Bereavement and loss ELSA Resources - Elsa Support

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Bereavement and loss resources are focused on death, dying or emotions around loss. This may be due to separation or divorce. Animals are covered in some resources because this may be a pupil's first experience of loss.

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British Heart Foundation - The Small Creature, an animated story to help bereaved children

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We help children, young people, parents, and families to rebuild their lives when a child grieves or when a child dies.

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Did you know these 9 famous people are dyslexic?

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Dyslexia is a learning difference which primarily affects reading and writing skills.

However it does not only affect these skills. Dyslexia is all about how you process information.

Dyslexic people may have difficulty processing and remembering information they see and hear, which can affect learning.

And when we're almost all stuck at home studying, that can cause huge challenges if not managed in the right way.

"It must be quite overwhelming"

Mollie King is an ambassador for the British Dyslexia Association. She was diagnosed with dyslexia when she was in primary school.

"I was about 9 years old when I got the diagnosis," she says. "Suddenly everything made sense... I now understood why I found my reading so hard compared to my classmates.

"I found homework so hard because I learned through having a conversation and having a teacher talk to me about something."

When you're working at home on your own and not having conversations with friends and teachers that can make learning really tough. And if you have dyslexia, with virtual deadlines, it can be even tougher.

"It must be so overwhelming at points... If someone said to me you've got to read this quicker now all that's going to do is make me read more words in the wrong order... I'm best when I'm most relaxed and have time to process things."

And that's the key to getting a grasp of your dyslexia. Time to process.

Top tips for managing your dyslexia:

Setting the scene - make sure you're in a quiet place and minimise your distractions.

Take a brain break - take time out to help process information into bite size chunks... BUT don't watch TV!

Keep a learning journal - like a scrapbook it will help you keep track of what you've learnt.

Mollie and Donna from the British Dyslexia Association have shared their insights into how best you can handle your dyslexia in lockdown and help you form strategies that will have a positive effect on your learning, whether you are remote-learning or in the classroom.

Dyslexia can be your superpower

Mollie, who's a member of the girl group 'The Saturdays', and now a Radio 1 presenter, says her dyslexia has never held her back - and she's not met anyone who's dyslexic that hasn't had the "fire in their belly" to work hard.

Dyslexia is definitely not something to hold you back, and in some ways can actually be a superpower

She says being dyslexic has only meant she, like many others, have just had to work that bit harder.

Whilst recognising that learning in lockdown must be incredibly challenging if you have a learning difference like dyslexia, identifying and understanding how to manage it can actually make you better equipped to deal with difficult circumstances, like home learning.

And with that determination to succeed it can be your superpower.
How have you been handling your dyslexia in lockdown? Do you have any tips for what's worked for you? Let us know.

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Mollie King on dyslexia: In some ways it's your superpower - CBBC Newsround

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Dyslexia is a learning difference which primarily affects reading and writing skills. However it does not only affect these skills. Dyslexia is all about how you process information. Dyslexic people may have difficulty processing and remembering information they see and hear, which can affect learning.

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0:00 / 1:21•Watch full video

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ADHD and What I Would Tell #MyYoungerSelf | Michael Phelps

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Fight Flight Freeze – A Guide to Anxiety for Kids

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Fine Motor Skills Activities for Older Kids

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These fine motor skills activities could work with older kids who find other tasks too childish.

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A story which helps to explain the needs of children with dyslexia.

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Understanding Memory Difficulties

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CAMHS stands for Child and Adolescent Mental Health Services.

CAMHS is the name for the NHS services that assess and treat young people with emotional, behavioural or mental health difficulties.

CAMHS support covers depression, problems with food and eating, self-harm, abuse, violence or anger, bipolar disorder, schizophrenia and anxiety, among other difficulties.

There are local NHS CAMHS services around the UK, with teams made up of nurses, therapists, psychologists, child and adolescent psychiatrists (medical doctors specialising in mental health), support workers and social workers, as well as other professionals.

The first step to getting help from CAMHS is usually that you will be referred for a CAMHS assessment. This referral can come from your parents/carers, a teacher, GP, or yourself if you are old enough (depending on where you live).

If you're being supported by social care, a youth offending team, or a service at your school, they might also be able to refer you.

It's important to tell the person referring you as much as you can so you can get the help you need.

Most local CAMHS teams have a website where you can look up how to get access to their service.

After you have been referred, you will be put on a waiting list for an initial appointment (often known as an 'assessment'). This may sound scary, but it's normally just a chat so the CAMHS team can get to know you a bit and see how they can help.

At this appointment, you will normally meet one or two members of the CAMHS team. If you're under 16 years old, your parent(s) or carer(s) will usually be invited to join for part of this meeting.

This appointment will generally take place at a CAMHS clinic. But, in some circumstances, they may meet with you at your school or home. They will discuss with you the best place to meet before your appointment.

When you meet, the team will ask you questions to understand what you are struggling with and to get a better idea of what support you need.

Here are some common questions the CAMHS team may ask in an assessment:

What has brought you to CAMHS?

How long have you experienced the problem that has brought you to CAMHS?

What would you like to change in your life?

What might help tackle the problems you are experiencing?

How have you been feeling recently?

Try to be as open and honest as possible at your first appointment. These people are not mind readers and if you lie, you will not receive the best treatment plan for you to get better.

Hannah

At the end of the session, the team will talk to you about what happens next and what support they think you might need. You can also ask any questions you may have.

They may talk about your 'treatment' - this just means what you'll do together to help you get better.

If you would feel more comfortable having a parent or carer in the room with you during your assessment, that's fine. You can also see the team by yourself if you would prefer, though staff may expect a parent to be present for part of the meeting.

Also, if you or your parent/carer is not confident speaking English, CAMHS can provide an interpreter to help. Just let them know if this is the case.

It's important at your CAMHS assessment to try and be as honest as possible, as this will help the team assessing you understand how to support you.

Here are some things that are helpful for you to tell them:

when your problems started

what you'd like to change

if there's a pattern in the problems (keeping a diary or log book before your assessment can be really helpful to show this)

any difficulties in school or with friends

any general health problems, either now or in the past

any big family events or issues like divorce or bereavement

any recent or past trauma, e.g. emotional, sexual or physical abuse

other services you've had help from, like social care, hospital or private treatments

Going to CAMHS is a massive step and you should be so proud of yourself in acknowledging you need support.

Have a look at our medication pages for more information.

I was convinced that moving to adult services was the end of the world. BUT here I am, two years down the line, and I can tell you that I survived and that it was okay.

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CAMHS stands for Child and Adolescent Mental Health Services. CAMHS is the name for the NHS services that assess and treat young people with emotional, behavioural or mental health difficulties. CAMHS support covers depression, problems with food and eating, self-harm, abuse, violence or anger, bipolar disorder, schizophrenia and anxiety, among other difficulties.

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Local Offer - Special Educational Needs and Disabilities

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The Local Offer provides clear and accessible information about the provision Sefton Council expects to be available locally for our children and young people from 0 to 25 who have special educational needs and/or disability (SEND). For more details click 'What is the Local Offer?'

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NW SEND Regional Network Newsletter

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All Together Now Session 1

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Remote Learning Environment Checklist

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New Graduated Response Booklet

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Sefton Parent Partnership

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Advice and support

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The information, advice and support service can provide support for parents and young people in arranging and attending meetings as well as offering advocacy support. The service is confidential and free for young people aged 0-25 and their parents. It is impartial and provided at arm's length from the local authority and Cheshire and Merseyside Integrated Care Board (ICB).

You can contact Sefton's Information, Advice and Support Service by telephone 0151 934 3334, by completing this online form SENDIASS

We are an all year round service that works flexibly to suit the families that we support, we have flexible working patterns and work between the hours of 8.30am and 6pm.
Link to Sefton and NHS - Compliments, Complaints, Disputes and Disagreements

What information and advice can the service give me?

It can provide information and advice on all matters relating to SEN including:

Local policy and practice.

The local offer.

Personalisation and personal budgets.

Education law on SEN and related law on disability, health and social care, through suitably independently trained staff.

What kind of advice should we expect?

The advice and support offered to children, young people and parents should include:

Individual casework and informal advocacy.

Support in attending meetings, contributing to assessments and reviews.

Participating in decisions about outcomes for the child or young person.

Help when things go wrong, including resolving disagreements and providing support to manage mediation, appeals, exclusions, and complaints on matters related to SEN.

Directing parents, young people and those who support and work with them to additional support services where needed, including services provided by the voluntary sector. These services should include housing support, careers advice and employment support and may include volunteer supporters trained by the information and advice service.

Working separately and impartially with young people and their parents if they disagree about any support or about the contents of an EHC plan.

Working closely with their local Parent Carer Forum and other representive groups. This ensures that the views and experiences of children, young people and parents inform policy and practice.

Contributing to strategic development of services by the Local Authority / ICB.

Please give us Feedback

Young People/Parent/Carer's, Please click here to provide us with feedback: https://forms.office.com/e/jY4FiEhpEh

Professionals. Please click here to provide us with feedback: https://forms.office.com/e/ppYS0DrbxA

Select image to enlarge

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SENDIASS - Information, Advice and Support Service

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Web page Under Construction The information, advice and support service can provide support for parents and young people in arranging and attending meetings as well as offering advocacy support. The service is confidential and free for young people aged 0-25 and their parents. It is...

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CAMHS

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Sensory Play

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Transition to Secondary School

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CAMHS

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Child and Adolescent Mental Health Services (CAMHS) | The Sefton Directory

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CRISIS CARE TEAM, ALDER HEY If you, or someone you care for, in Liverpool or Sefton, is under 18 and having mental health crisis, please call our CAMHS Crisis Care line: 08081 963 550 – this service is available 24 hours a day. If you are under CAMHS at Alder Hey, or on our waiting list, please ha…

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Fine Motor Challenges

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Visual Support for Problem Solving

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Anxiety

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Spellings

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Cooling Down

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Fine Motor Challenges

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Listening and Attention

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Games

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Sleep Apps

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Daily Routine

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Support during Lockdown

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Anger Meter

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Positivity Journal

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Sensory Pack

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Inference Cards

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Emotions Wheel

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Emotions wheel art therapy - Elsa Support for emotional literacy

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Emotions wheel art therapy. Children can explore what each emotion means to them and also be creative as they do it. Great for discussion.

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ELSA

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Coronavirus Support Archives - Elsa Support for emotional literacy

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Coronavirus support provides free resources for teaching staff and parents to help children cope with the current viral outbreak.

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Colour Monsters- Help your child to identify their feelings.

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Mindfulness Activities

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Fine Motor

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Dough Disco for parents

Looking for ways to combat boredom with your children at home? Dough Disco is a great activity for children and parents. It combines learning and playful fun with loads of YouTube follow along videos to get you going from scratch up to some of our more advanced moves.

Encourage creativity, develop the muscles needed for early mark making and writing and make some wonderful memories for the whole family - Dough Disco will help you with all these things!

Here are some of our "at home" Dough Disco videos that use our basic moves to get you started with your Dough Disco journey:

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Dough Disco is a popular fine motor skill exercise created by Shonette. Can be used to improve brain and muscle development.

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150 Sensory Ideas

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Special Education and Inclusive Learning

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150 Sensory LEarning Ideas for home-schooling or remote learning EYFS or SEND pupils

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Gross Motor Activities

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8 At-Home Gross Motor Activities Using Towels and Sheets

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Downloads

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New guide for parents who are coping with their child's self-harm: 'You are not alone'

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Young people's self-harm can leave families confused, anxious and feeling like there's nowhere to turn. Now, based on in-depth research with parents, a team from Oxford University's Centre for Suicide Research are launching a guide to help parents and carers who are trying to cope with this difficult situation.

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Winston's Wish is the UK's childhood bereavement charity. We support children and their families after the death of someone important.

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panic attacks

Panic attacks, Panic Disorder and Agoraphobia are common problems and respond well to psychological treatment.

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One of the main treatments is graded exposure. This is a behavioural intervention that can be illustrated in an easy to understand way. Elements of this booklet may also be useful in the treatment of other anxiety disorders.

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This booklet covers the main principles of graded exposure. It is designed to be used with a therapist explaining how to carry out the intervention, and the booklet illustrates the main concepts. Outside of sessions the illustrations will have enough information to act as a reminder to the client.

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Instead of having a traditional "Exposure Diary", there is a graph where individuals can track their experience of exposure exercises. They can log their level of anxiety before, at the start, and at the end of each exposure exercise, and this will let them see the process of habituation.

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It's recommended that one graph sheet is used per step on their graded exposure hierarchy.

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therapy resources | thrapycomics | panic

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A workbook to treat panic attacks and panic disorder using graded exposure. Uses comics instead of text.

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A folder of resources to help children discuss and process their worries

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A folder with lots of activities to learn how to spell common exception words

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Letter Reversals...they are a major cause for handwriting concern by most parent's standards. Here we are covering information about writing letters backwards and what is normal for letter reversals in development. We also have some great tips for addressing common letter reversal struggles and even reversal activities that can help with visual perception handwriting struggles. Read on!

Letter b and d reversals: These specific strategies cover letter b and d reversals.

Letter p and q reversals: You'll find more specific letter reversal information in this post on reversing letter p and q.

Also check out these activities to work on backwards letters.

Writing Letters in Reverse

Do letter reversals mean dyslexia? Not exactly! Dyslexia means problems learning to read, spell, and write. However, there is much more to reversals than what meets the eye, and should be assessed before jumping straight to the conclusion of dyslexia. Be sure to read our resource on Dyslexia and occupational therapy for more information.

One creative tool to support the skills needed for this area of development is our new color by letter worksheet. Just print and go and work on letter identification and matching skills.

Check out all of our letter formation worksheets for more free printables to target letter forming.

Letter Reversals Normal Development

Reversals are age appropriate up until 7-8 years of age!

That's right! Letter reversals are normal up to a certain age range. And when kids write letters backwards it is actually typical development in handwriting skills. Working on letter reversals in occupational therapy (and other visual perceptual areas) can be a common occurrence for school-based OTs...but just because kids are writing letters backwards, it doesn't mean there is a true problem indicating a need for intervention.

It takes our brains that long to integrate all the skills needed to form a letter correctly and automatically during written expression. Skills needed range from phonetic awareness, ability to imitate pre-writing strokes, automation of letter formation, and higher level cognitive skills for multi-tasking.

Some kiddo's develop these skills faster than others. Some kiddo's struggle with these skills and may receive support services such as occupational therapy or pull out services with their school's reading specialist before age 7.

Services provided before age 7 are typically preventative and because the child has shown struggles in the foundation skills needed for reading and writing, such as phonemic awareness, challenges with pre-writing strokes and shape formation (visual motor integration), poor fine motor skills, dominance concerns or underlying vision concerns.

What is a letter reversal

The term Letter reversals refers to several things related to reversing letters in reading or writing:

Writing a specific letter backwards, when they replace a letter with another such as forming a letter b as a d or a letter p as a letter q

Writing a letter upside down or flipped, such as forming a u as an n

Reading a letter backwards, as when kids replace a d with a b

Writing letters backwards as when kids write letters h, n, s, z, etc. in a mirror image

Transposing letters or switching the order of letters when writing

Reversing or writing numbers backwards

Common Letter and Number Reversals

So, knowing that it is quite common developmentally, to reverse letters and numbers up until age 7 or 8, it can also help to know which letters are commonly reversed in writing.

Letter Reversals List

These letters and numbers are often times transposed for one another:

It's easy to see why the letters and numbers listed above are often reversed. They all contain similar pencil strokes. For children that are just learning to write, spatial integration can be still developing. Kids are getting the muscle memory in place can replace one letter or number for another.

These letters are often written backwards:

Each of these letters has a starting point at the top and pencil strokes that then go into a different direction. Children that are still developing handwriting skills are establishing the motor plan for direction changes with the pencil. The can sometimes "guess" the correct direction which results in letters being written backwards.

Numbers that are commonly written backwards include:

Each of these numbers also have a direction change which could easily be confused.

In many cases, working on letter and number formation so the muscle memory is established with fix reversal issues. Using multisensory formation activities helps to establish that motor plan.

Phonetic Awareness and Letter Reversals

The current theory among the educational community is that reversals start with phonemic awareness. If a child is lacking phonemic awareness, they may struggle with letter identification and spelling needed for fluent written expression. Similar struggles may also be seen with numbers, resulting in a negative impact on math skills.

In my clinical experience, I have found that children with high rates of ear infections and PE tubes (ear tubes) struggle with sound awareness. If the kiddo is unable to hear the sound of the letter clearly and consistently, it leads to poor sound awareness.

I have also found that children with difficulties with attention and auditory filtering often pair the wrong letter sound with wrong letter. This is important to note in sessions as it may require remediation by a speech therapist or reading specialist if available. Here is more information and activities for auditory processing.

While phonetics play a large role in reversals, many other foundational skills may influence whether a child will struggle with reversals or not.

Hand Dominance and Letter Reversals

Hand dominance is typically fully developed by five years of age. Right at the same time most children are learning and mastering the formation of letters and numbers. It also coincides with the start of kindergarten, or formal education where children who are struggling may be noticed for the first time. Writing with both hands can be a common struggle and an indicator of hand dominance challenges.

Children with handedness issues, whether it's mixed dominance or delayed development of dominance, are more likely to struggle with left versus right tasks.

This plays into reversal concerns as many of these children cannot consistently discriminate left from right, leading to b's and d's, p's and q's being flipped. Often times, they are unable to recognize that they have made the mistake as their brain is registering the letter as they meant it to be.

Letter Reversals and Visual Processing

Vision is can be one of the biggest challenges facing children who struggle with reversals. Chances are, they have had an underlying vision concern that goes unaddressed or unrecognized during the critical learning period of letters and their sounds.

You will find much more information on visual perception in our free visual perception lab series.

(Children in the U.S. typically begin to learn letters and sounds between 3 and 4 years of age when they enter preschool programs. Curriculums now expect children to know their letters, sounds and how to write them upon entering kindergarten.)

Due to their vision deficit, the child may not consistently see the same image of the letter each time, or may not see the letter that is being taught due to "wandering" eyes or poor abilities to focus on the letter. The kiddo now has a poor foundation from which to build on, due to difficulties with recalling from their visual memory what the letter looks like, and pairing it with the correct sound.

To add to vision deficits, vision is not just what we see, or how the eye's work together. It is also a motor task of taking information in with the eyes and reproducing an image, or in this case, letters on paper. This skill is known as visual motor integration and also plays a role in reversals.

Here are free visual perception worksheets that can address a variety of visual skills.

Visual Motor Integration and Letter Reversals

Visual motor integration allows us to write, draw and paint freely. To do all of these things, we go through a set development of producing pre-writing strokes and basic shapes in imitation to freely producing them from our memories and eventually becoming automatic. Here is more information and activities related to visual motor skills.

Most children learn to imitate these strokes and shapes at a young age from top to bottom and left to right. However, some children do not learn it this way or their brains are not "wired" to follow this pattern of development.

Children who deviate from this pattern may have difficulties with reversals as they struggle to learn and integrate letter stroke combinations in the correct order. When this happens, they struggle to write fluently and reversals may begin to appear.

Signs of poor visual motor integration skills that could lead to reversals include:

Segmental Drawing-drawing a shape one stroke at a time instead of integrated

Bottom to top orientation when drawing

Right to left orientation when drawing

Difficulties crossing the midline during drawing tasks

Rotation of the paper to adjust for angle execution

Failed attempts to imitate basic shapes after the child has stated what the shape is

Executive Functioning and Letter Reversals

Executive functioning skills refer to our higher level thinking that includes attention, multi-tasking and memory, among many other skills. Writing requires all of these skills to be working at their best. If a child is struggling with any of these skills, they may demonstrate reversals and poor overall handwriting.

Reversals and poor handwriting may be the result of the child being unable to recall the strokes of the letter, the sequence of the strokes, what the letter looks like, where to start the letter, how big to make the letter, what each letter sound is, how to spell a word and complete their thought.

Oh, and lets add in that they have to remember how to hold their pencil correctly. For a kiddo who is struggling, this is a CHALLENGE.

There are so many more things that go into writing that may lead to reversals then what I have listed, but are too many to list out.

The main concept of executive functioning is that if the child cannot make it all work together, from fine motor to phonemic awareness to visual motor, they are more likely to struggle with reversals in their work.

Letter Reversal INterventions

It is important to recognize that reversals may be the sign of underlying deficits with foundational skills and should be addressed when they are noticed. The sooner that these underlying deficits are addressed the better off the kiddo will be. Once a child has had a long enough time period to practice incorrectly, it will be that much harder to break the "bad habits" and correct the reversals.

You will find many letter reversal interventions in this blog post.

This resource on letter b and d reversals is a helpful read on how specifically to work on these commonly reversed letters. You'll find multi-sensory writing strategies to address b-d letter reversals.

2. Try "building" letters to establish the motor plan needed to create muscle memory. Use different colors to help children see the ways that the pencil moves when writing letters and numbers. This letter construction activity explains more about this process. This letter building strategy, paired with other forms of multi-sensory handwriting and teaching letters in groups based on the ways the pencil moves can make a big impact.

Addressing some of the other co-existing issues discussed in this article can be a start.

3. Address the motor planning in handwriting necessary for letter and number formation. Strategies that develop motor planning skills utilizing multi-sensory approaches can help with letter reversal.

With handwriting practice of letters with visual, auditory, and kinesthetic sensory channels at the same time, the weaker channel may be reinforced (Berninger, 2000).

Multi-sensory letter reversal strategies include:

4. Work on visual perception with toys and games, and activities to address specific visual perceptual skills or visual motor skills.

5. Use cursive writing in some cases. Here are creative ways to teach cursive and our entire cursive writing series.

6. Gain a better understanding of visual processing and all of the "pieces" of the vision puzzle that play into letter reversal and other concerns by joining thousands of other therapists, teachers, and professionals in the Visual Processing Lab.

7. Use this Vision Screening Tool to identify and address specific vision concerns such as letter reversals.

8. Try some of these activities to address visual motor integration and eye-hand coordination.

9. Try rainbow writing.

Have concerns? Talk to your child's teacher or occupational therapist to address your concerns.

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Letter Reversals and How to Fix Them - The OT Toolbox

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Try these letter reversal strategies to help kids who write letters backwards. Understand what's really going on behind letter reversals in writing.

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Folder of resources to support Zones of Regulation

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Help

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Hear posts, chat messages, and assignments read aloud using Immersive Reader in Microsoft Teams for Education. Immersive Reader also includes grammar tools such as Parts of Speech and Picture Dictionary.

Launch Immersive Reader from a message

1. Hover over a message with your cursor or tap with your finger on a touch screen device.

2. Select More options , and then Immersive Reader .

Immersive Reader will launch as a full-screen experience.

Launch Immersive Reader from an assignment

If you're a student, open an assignment and select Immersive Reader .

If you're an educator, open an assignment and select Student view, then Immersive Reader .

Immersive Reader will launch as a full-screen experience.

Immersive Reader features

You can do one or more of the following in Immersive Reader, depending on how you'd like to focus on the message or assignment text.

Select Play to hear your document read aloud and to see the text highlighted simultaneously. The narrator starts reading from the top of your page by default, unless you have selected a word, in which case it will start reading from the selected word. Select Pause to stop narration.

Select Voice Options on the top right of the document to change the speed of narration.

Text Options

You can change the appearance of your document by using Text Options. Text options can help you focus on your content and remove visual distraction.

Set Text Size, Spacing, Font, and Themes that suit your learning needs. You can increase or decrease text size and the amount of spacing between letters and words. The Theme color you select becomes the background color of the document.

Switch on Show Source Formatting to retain formatting from the original text, such as bolding or underlining.

Parts of Speech in Grammar Options

Select one or more of the following options:

Syllables to break words into syllables.

Nouns to highlight nouns in your document in purple.

Verbs to highlight verbs in your document in red.

Adjectives to highlight adjectives in your document in green.

Adverbs to highlight adverbs in your document in yellow.

Switch on Show labels to see the label underneath the highlighted parts of speech.

Reading Preferences

Line Focus enables readers to narrow the focus of their reading experience by highlighting sets of one, three, or five lines within their chosen material in Immersive Reader. Use the toggle to turn it on or off.

Picture Dictionary gives you the ability to click on any single word to hear it read aloud and see a picture that helps define the word.

Translate lets you translate your text into other languages by word or document.

Select Close to exit Immersive Reader.

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Hear posts, chat messages, and assignments read aloud using Immersive Reader in Microsoft Teams for Education. Immersive Reader also includes grammar tools such as Parts of Speech and Picture Dictionary. Hover over a message with your cursor or tap with your finger on a touch screen device.

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Parenting and Family Support - Family Lives (Parentline Plus) | Family Lives

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Parenting and family support from Family Lives (formerly Parentline Plus) through our website, helpline 0808 800 2222, email service at askus@familylives.org.uk, live chat and local services.

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Easy classroom tips for Literacy strugglers

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Easy classroom tips for Literacy strugglers

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Website

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Free Text to Speech Online with Realistic AI Voices

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Convert text into ultra-realistic audio. Have any text read aloud with AI Voices. AI text reader for pdfs, books, documents, and webpages.

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It's normal for children and young people to feel worried about something that's happening at school - for example, when starting a new school or during exams. Sometimes, however, school can become challenging, stressful or distressing over a much longer period of time.

If your child is feeling anxious about school, or not able to go, it can be exhausting for both of you. Mornings in particular can become really stressful for the whole family, as you try to juggle your child's feelings alongside the need to get them to school and get on with your other responsibilities such as work. Even if you manage to get your child to the school gate, you might know how difficult they're going to find the day - or know that you'll be facing the same problem tomorrow morning.

If you're in this situation, we've got advice to help you explore what's going on with your child, make changes at school that can help, and find the support you need if your child can't go to school.

About the term 'school refusal'

When anxiety builds up to the point that a young person cannot go to school, this is often called 'school refusal' - and you might hear the school or other professionals using this term. However, many young people and parents do not like this term because it implies that 'refusing' school is a choice, and you may prefer to use terms such as emotionally-based school avoidance (ESBA) or anxiety-related absence.

What makes young people feel anxious about school?

Young people can feel anxious about school for lots of different reasons. They might be worried about making friends or fitting in, find schoolwork or lessons confusing, feel pressured to learn in a certain way or find their relationships with teachers difficult.

Sometimes, going through difficult experiences outside of school - such as bereavement, an illness in the family or being a young carer - can also make it harder for a child to feel settled at school.

For some young people, the school environment isn't right for them, and trying to fit into it can create a huge amount of stress. This might be the case if they are struggling with their mental health, or have a neurodiverse condition or Special Educational Need (SEN) such as autism, ADHD, dyslexia or dyspraxia. This can make the school environment anxiety-provoking and exhausting, especially if their condition or need is undiagnosed or not being well supported.

Young people might show they're feeling anxious about school by:

not wanting to get up and get ready

saying they can't go

worrying a lot about small issues, such as having the right equipment for a lesson

feeling sick, or having stomach aches or headaches

not sleeping well

not doing schoolwork, or their grades dropping

being angry or upset, or acting out - at school or at home

withdrawing - seeming low, quiet or depressed

Finding out what's going on for your child

Sometimes it can be difficult to work out what's making your child feel anxious, and the first step is often helping them to identify exactly what's worrying them. Once you understand the problem, you'll be in a much better position to make changes that can help.

Young people can find it hard to explain what's causing their feelings, and might not be able to answer direct questions like 'what's going on?' Using an anxiety iceberg can help to open up the conversation - giving you a more relaxed way of exploring together what's causing their anxiety.

Watch our video to find out how to make an anxiety iceberg with your child.

If you're making an anxiety iceberg with younger children, you might want to draw images on the iceberg, or encourage them to write simple words. With older children and teenagers, you can ask them to write key words and phrases on the iceberg, or do this as a mind map, with 'school' in the middle and all the things they're finding difficult around the outside.

Through this exercise, you might identify worries such as arriving at school, finding the environment noisy or overwhelming, finding lessons confusing, feeling lonely through the day, or feeling uncomfortable during specific subjects.

Making changes at school

Once you understand what's going on for your child, you can use their anxiety iceberg or mind map to communicate with the school and ask for specific changes.

Follow these steps to start a conversation with the school:

Here are some examples of things you can ask the school for:

Remember that even though this situation can be really tough for you and your child, it's a good idea to maintain a positive relationship with the school. Recognise the support they're offering and any changes they're making. This will help you work together to make things better for your child.

Building a relationship with the attendance team at my son's school was hugely helpful, we were talking with them each day.

Strategies you can try at home

For more information and advice on managing anxiety, have a look at our guide for parents.

If your child isn't able to go to school at the moment

If your child isn't going to school at the moment, this can be incredibly stressful and exhausting for you - and really tough for your child. You might be worried about whether they will be able to get back to school or the impact on their education. Or, you might feel overwhelmed because you're juggling this alongside work and other family commitments.

If your child's anxiety about school has built up to the point where they can't go, it's a good idea to get them some professional mental health or SEN support - see our advice on this below.

Alongside requesting professional help, try to:

The school's SEN and attendance policies should be on their website. Knowing what these are can support you during meetings with the school.

This can help if your child is unable to go to school for a longer period of time and you need to ask for more support, including provision of alternative full-time education.

Encourage your child to get up, do some studying and stop for lunch at the same times they would if they were in school. This will make adapting back to school easier. Explain to your child that if they cannot go to school, they will need to study at home - at least until alternative arrangements are put in place. Ask the school to help you facilitate tasks and activities your child can do and use online resources such as BBC Bitesize.

Not going to school could leave your child feeling really isolated. Make sure they stay connected to the outside world by seeing friends and family, doing activities they enjoy and getting outside for walks and exercise.

Speaking to friends online can be really important if your child is feeling isolated at home. Sometimes, however, you might notice that your child is spending lots of time gaming or on their phone, and that this is getting in the way of important daily activities like spending quality time with family, learning, or sleeping and eating well. If this is becoming a problem, have a look at our guide to gaming or guide to social media for more information and advice.

Local authorities must provide alternative education if a child of compulsory school age is unable to attend school over a longer period of time. If your child cannot attend school because of a mental or physical health issue, the local authority should provide an alternative as soon as it is clear that they will be away from school for more than 15 days (either consecutively or over time). Find out how to request alternative education.

What will happen if my child doesn't go to school?

Parents often tell us they are worried about fines and prosecution, but schools generally consider this only if they feel there is no valid reason for the absence, or that parents aren't engaging with the problem.

If the absence is prolonged, the case may be referred to a local council Education Welfare Officer (EWO). They will arrange a home visit to find out more and discuss strategies. The school may also refer to other support, including from CAMHS.

Helping your child return to school after an absence

Getting back to school after weeks or months may feel extremely difficult for your child, but you and the school can help make it more manageable. Here are some things you can do to help:

Set small, achievable targets, such as visiting the building outside school hours or attending one lesson.

Request a home visit from a school staff member so your child can check in while feeling safe, see that the school cares and discuss any strategies that might help them.

Ask for a reduced timetable, with regular reviews to discuss building back up at a manageable rate.

Discuss changing classes or sets if your child thinks this would help.

Focus on qualifications needed for what your child wants to do next, perhaps dropping a less relevant GCSE to reduce stress.

My son wasn't questioned about his absence when he did feel able to pop in for favourite lessons, helping to ease him back into full days of education.

Getting mental health and SEN support

If your child is struggling with anxiety and it's affecting their day-to-day life, learning or relationships, it's a good idea to find some professional support. Speaking to the GP and finding them a counsellor or therapist are two good places to start. You can find more information about GPs, counsellors and other mental health services in our guide to getting help for your child.

If there is no other obvious reason for your child's inability to attend school, they may have an undiagnosed Special Educational Need (SEN) such as dyslexia, autism or ADHD.

If you think this is the case:

Speak to the school's SENCO or your GP to ask for a referral for an assessment.

While you are waiting for an assessment, you can also ask the SENCO to refer your child for support from other professionals, such as an Educational Psychologist or Speech and Language Therapist. These professionals can identify specific needs and make recommendations for additional support the school can put in place - even if your child hasn't had a formal diagnosis yet.

SEN support at school
If your child is diagnosed with SEN, extra support and adjustments should be put in place at school to help them attend and learn. This is called SEN support, and should be available within the school's existing resources. Speak to the school's SENCO in the first instance about how the school will support your child.
Education, Health and Care (EHC) plans
If you do not think your child's needs can be met by the school's existing resources, you can ask the local authority to carry out an Education, Health and Care needs assessment (EHC needs assessment). If the local authority decides your child needs additional support, they will then make an Education, Health and Care plan (EHC plan). This outlines how the extra support they need will be provided. Find out more about EHC plans.
Your Local Offer
Your Local Offer is the information, support and services available for young people with SEN, and for their parents and families. You can find out what support is available in your area by going to your local authority's website and searching for their Local Offer.

If you need more information and advice about getting the right education for your child when they have been diagnosed with a Special Educational Need (SEN), IPSEA can help.

If you need to talk through a problem, their Advice Line can provide support with any educational issue resulting from your child's SEN. You can also find lots of information, including information on assessments and diagnosis, as well as getting support from the school and local authority, on their website.

Finding more information and advice

Useful helplines and websites

While we take care to ensure that the organisations we signpost to provide high quality information and advice, we cannot take responsibility for any specific pieces of advice they may offer. We encourage parents and carers to always explore the website of a linked service or organisation to understand who they are and what support they offer before engaging with them.

You might also find this helpful

We have more tips and advice on supporting your child with school, and information about how you can get in touch with our Parents Helpline.

This page was reviewed in December 2022. It was created with parents and carers with lived experience of supporting their child or young person with school anxiety. We will next review the page in 2025. YoungMinds is a proud member of PIF TICK - the UK's quality mark for trusted health information.
Whether you love the page or think something is missing, we appreciate your feedback. It all helps us to support more young people with their mental health.

Please be aware that this form isn't a mental health support service. If your child is in crisis right now and you want to talk to someone urgently, find out who to contact on our urgent help page.

At YoungMinds we take your privacy seriously. If you'd like to read more about how we keep the information we collect safe, take a look at our privacy policy.

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School Anxiety and Refusal | Parent Guide to Support

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If your child is anxious about school, or refusing to go to school at all, read our tips and advice on how you can support their mental health.

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Resources to support young people with ADHD

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Resources to support young people with ADHD

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The ADHD Foundation Neurodiversity Charity - an integrated health and education service.

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How to not need a holiday after the holidays

The holidays can be a stressful time for single parents, Natalie is a volunteer in our Wellbeing Digital Group and recently held an online workshop where she shared her 'go to' tools for managing the...

Read more

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We are Gingerbread, the charity for single parent families. We provide expert advice and practical support for single mums and dads in England and Wales.

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ColorVeil: Reduce eye strain, help with Dyslexia and Visual Stress

A screen color filter over any application you are using

Helps users with Dyslexia and Scotopic Sensitivity Syndrome

Reduce eye strain along with screen brightness

Easily customize the color and opacity of the filter

Match the prescription from the optometrist

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Dim screen brightness, reduce eye strain, and save energy. It helps with eye strain, Dyslexia, Scotopic Sensitivity Syndrome, or Visual Stress.

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Once Upon a Picture - Images to Inspire - Teaching Resources

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All of our children are expected to make predictions while reading. Here's a look at the curriculum objectives:

KS1: Predict what might happen on the basis of what has happened so far
KS2: Predict what might happen from details stated and implied

So, this can be as simple as asking the question, 'What do you think is going to happen next?', quickly followed with, 'Why?'.

However, we need to make explicit the additional skills needed to be able to do this. To be able to predict, you need to be able to read and understand what has happened, and is currently happening. You need to be able to retrieve and infer ('details stated and implied'), combine this with your knowledge of the world, weigh up probability, and make a sensible prediction of the next outcome. It might come naturally to many, but it's worth breaking it down to look at what's involved.

I've selected these images because they are 'in the heart of the action'. They allow for discussion around what has just happened, to use inference to work out additional information, and then a discussion of what might happen next. Here's a useful resource (aimed at Upper Key Stage 2, but could be used with children of all ages to introduce the language) for thinking about possibilities: Making predictions - modal verbs and adverbs. After teaching children how to predict, and how to answer questions, move them on to doing this with text.

When teaching prediction, it really does come back to the simple question:
What do you think is going to happen next, and why?
Just remember what else is needed to answer that question.
Note: In SATs papers, this question will come in several forms, such as, 'Will Taylor change his behaviour on future visits to the field?' or, 'Based on what you have read, what does the last paragraph suggest might happen to the explorers next? Use evidence from this paragraph to support your prediction.'

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The Prediction Collection - Once Upon a Picture

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All of our children are expected to make predictions while reading. Here's a look at the curriculum objectives: KS1: Predict what might happen on the basis of what has happened so far KS2: Predict what might happen from details stated and implied So, this can be as simple as asking the question, 'What do you think is going to happen next?', quickly followed with, 'Why?'.

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Young minds advice for supporting a child with ADHD

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Young minds advice for supporting a child with ADHD

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What is ADHD?

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects behaviour and concentration.

Children and young people with ADHD often seem unusually restless, impulsive or distracted. They may speak or act without thinking, struggle with organisation, find it hard to focus or appear to be always on the go. Some people with ADHD do not experience hyperactivity though, and this is sometimes called attention deficit disorder (ADD).

ADHD is not a mental illness or a learning disability, though children and young people with ADHD may also have other conditions or experience mental health problems.

Living with ADHD can be very challenging, for children and young people as well as for their parents and carers. But the right diagnosis, treatment and support can make a big difference to a child's learning, life skills and relationships, as well as making family life easier. There is also lots you can do as a parent/carer to help your child manage the things they find difficult.

What are the most common symptoms of ADHD?

A child with ADHD may be:

easily distracted, finding it difficult to start or finish tasks

often unable to concentrate

often restless or fidgety

very talkative, often interrupting or blurting things out

impulsive, acting before considering consequences, prone to taking risks

easily angry or frustrated, struggling to deal with emotions

finding making or maintaining friendships difficult

disorganised, for instance often losing things or being late

lacking awareness of time

Every child or young person with ADHD is individual and they may not display all of these behaviours. And many of these traits and behaviours are typical in younger children, or can follow a traumatic experience - they don't necessarily mean your child has ADHD.

Age and gender can also affect how someone with ADHD behaves. This can make it harder to spot signs of ADHD, particularly in girls, who are more likely to be undiagnosed or wrongly diagnosed with other conditions(i).

Typically the symptoms of ADHD develop in early childhood and they may become particularly noticeable at times of significant change, such as starting or changing school.

What to do if you think your child might have ADHD

If your child frequently experiences some of these symptoms; this is affecting their day- to- day life; and it's happening in more than one setting (for instance at home and school), discuss your concerns with your child's GP. Before doing this, talk to your child's teacher and the school special educational needs co-ordinator (SENCO) about what they have noticed.

The GP may want to refer your child for assessment, as ADHD can only be diagnosed by a specialist such as a child and adolescent psychiatrist or paediatrician.

Sometimes parents are reluctant to pursue assessment. They may be worried about 'labelling' their child or about stigma, or they may prefer to watch and wait. These feelings are normal. But parents and young people who do seek diagnosis can find it helps them access the right support; understand and manage challenges; and identify individual strengths.

We have more information about getting support from the GP, CAMHS or school in our guide.

ADHD diagnosis, support and treatment

ADHD assessment is usually done through the specialist Children and Young People's Mental Health Services, commonly referred to as CAMHS.

Diagnosis is most commonly made in childhood, and in the majority of cases, symptoms affecting daily life continue into adulthood(ii).

There is no single, definitive test for ADHD. Specialists will base clinical diagnosis on a combination of observations of your child; discussions and questionnaires (with you and your child); and information from your child's school.

They will consider how long the symptoms have been present; their impact on your child's daily life; and whether they might be due to another condition. Approximately 60-80% of children with ADHD have at least one other condition,(iii) (such as autistic spectrum disorder, dyslexia, dyspraxia, anxiety or behaviour problems) and your child may be given more than one diagnosis.

Support and treatment options

You and your child should be offered support and advice to help manage ADHD in their day-to-day life.

ADHD can also be treated with medication and/or therapies. These should be discussed with you when your child is diagnosed, and are set out in the National Institute for Health and Care Excellence (NICE) guidelines on ADHD.

ADHD can be treated with therapies such as cognitive behavioural therapy (CBT). For more information about therapy, see our parent guide to counselling and therapy.

There are a number of types of medication. These are not a cure for ADHD, and many children do not take them, but they can help manage some of the symptoms. Medication must be prescribed and overseen by a specialist.

You may also be offered ADHD -focussed parent training. This does not mean your parenting is somehow wrong. It is designed to provide support and specific strategies and skills to help you and your child thrive.

Jack is still perennially late, disorganised and impulsive; but he's also energetic, original and creative. The medication is helping him make the most of all of that.

How can I help my child with ADHD?

Be explicit and consistent about unacceptable behaviour, such as violence. Set appropriate consequences and follow them through, but try to stay calm in the moment to avoid escalation. Dealing with challenging behaviour can be very hard, and our parent guide has helpful advice.

Plan the day so your child knows what to expect. Maintaining regular sleep patterns, physical activity and mealtimes can help your child. Some people find dietary change and/or certain supplements helpful, but there is no clinical evidence for this and medical advice should be sought first(iv). Our young person's guide has helpful advice on sleep problems.

ADHD and your child's mental health

Any child or young person can struggle with their mental health and wellbeing, whether or not they have ADHD. This might be caused by things like family change, bullying, exam stress or a traumatic event.

But having ADHD may also mean your child has extra challenges - such as social difficulties, struggling to manage their emotions or getting into trouble at school - that leave them more vulnerable to low self-esteem, anxiety or depression.

Children and young people with ADHD frequently have other developmental or mental health conditions and it is important to ensure they have the appropriate support for these.

As a parent there is a lot you can do to support your child with their wellbeing and mental health:

encourage your child to talk about how they are feeling with you. Our starting a conversation guide has ideas for keeping communication open

if you feel your child may have a mental health problem or another condition alongside ADHD, discuss your concerns with their GP or ADHD specialist.

Working with school if your child has ADHD

ADHD is a special education need (SEN), and it may be referred to as a specific learning difference (SpLD). Your child is entitled to appropriate support to help them thrive socially and educationally. This could include potential adjustments in certain situations, such as extra time or rest breaks for exams, movement breaks in lessons, written instructions for tasks and a seating plan that minimises distractions.

Discuss the diagnosis and needs with the school's SENCO, taking a list of your concerns and background information to the meeting.

Your child may be entitled to an education, health and care plan (EHC plan) which details the support they need and how it will be provided. (The National Autistic Society has helpful information about EHC plans.)

Good communication between you and school can be really helpful in ensuring your child thrives in education and meets their potential. Our parent guide to support has more advice on talking to school or college.

ADHD in teenagers and beyond

If your child is a teenager or young person, their needs and the support you give may well be different from when they were younger. They may like to read our young person's guide to ADHD and mental health. But there are still many ways you can help.

Looking after your own wellbeing

Parenting a child with ADHD can sometimes be isolating, upsetting or exhausting. Sometimes parents feel judged or blamed by others (unjustifiably as parenting does not cause ADHD). It is entirely understandable if you are finding things difficult.

It's important to recognise the impact the situation is having on you, and think about ways you can take care of yourself - including getting support from other people so that you can take some time off. It's okay to ask for help when you need it, and to share your worries with someone you trust. We have advice on looking after yourself as well as your child.

Our son's challenging behaviour with ADHD had an enormous impact on the whole family, as we and his brothers bore the brunt of his anger.

Where to get further support

If you would to speak to a professional adviser or find out more about how you can support your child, these organisations can help.

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Help Your Child With ADHD | Parents Guide to Support

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What is ADHD? Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects behaviour and concentration. Children and young people with ADHD often seem unusually restless, impulsive or distracted. They may speak or act without thinking, struggle with organisation, find it hard to focus or appear to be always on the go.

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Anna Freud- Advice for Parents & Carers for Mental Health & Well being

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Parents and Carers | Advice and Guidance | Anna Freud Centre

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Advice and guidance for parents and carers to help them support a child or a young person experiencing poor mental health or wellbeing.

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Help yourself to help others

If a fear of maths has you hiding from homework, we can help!

With a little help from us you can build your number confidence and skills, and begin to feel more prepared for when children come to you for help, and help pass your confidence onto them.

The free National Numeracy Challenge is designed to help you! It's a free, quick and easy way to check your skills and confidence with numbers, where you can go at your own pace, with learning resources tailored to you and your level. It helps with the maths we come across at work and in daily life - not algebra, or trigonometry. You can get started in just 10 minutes, and join the 390,000 others that have already started their journey to number confidence. Give it a go!

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With a little help from us you can build your number confidence and skills, and begin to feel more prepared for when children come to you for help, and help pass your confidence onto them. The free National Numeracy Challenge is designed to help you!

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Parents and families | National Literacy Trust

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Our parent-facing site Words for Life provides milestones, tips, fun resources and advice to help parents support their children’s literacy development.

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A collection to encourage children to develop a positive mindset and to look for the positives in each day.

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Make sure your child is in the right space to start learning.

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Many children struggle with learning disabilities that can hinder their ability to process and understand information. Dyscalculia is a developmental disorder that involves difficulty conceptualizing and performing mathematics. The following are several practical ways that parents can help a child who struggles with dyscalculia.

Play With Dominoes
Playing games that use dominoes can help a child more easily understand simple math concepts. Specialist Ronit Bird states that a child should learn to recognize the number patterns on the dominoes and dice instead of counting the individual dots each time. Start by using dominoes and dice by themselves so your child feels comfortable with these objects. Next, find a game your child enjoys that uses these items.

Resist Using Worksheets
Whenever possible, parents should play games with their children to reinforce math facts instead of relying on worksheets. Games are almost always more interesting for kids. They present math as fun challenges to solve instead of boring concepts to memorize. If worksheets are used, it may be necessary to highlight important numbers in the instructions and throughout various problems. Allow your child to use a variety of colored pencils when completing worksheets, as it may help them more easily organize their work.

Use Manipulatives
Seeing and handling a tangible object will help a child better understand the abstract principles of mathematics. Legos and simple blocks can be used to teach addition and subtraction. TheSchoolRun.com suggests using a counter when working with children. Actually covering a certain number of counters with your hands will enable your child to more easily visualize different groups of numbers.

Learn the Language of Math
Parents should encourage their child to talk out loud as they work through a problem or new math concept. Children who struggle with math may have good language skills that could help make the mathematical process easier. It's a good idea for children to learn several synonyms for a variety of math terms. For example, when discussing addition problems they could use terms such as "plus," "increase" and "more than." Explain basic terms to your child and allow them to talk about each definition, describing what it means in their own words.

Create Visual Models
While this is similar to using manipulatives, creating visual models can expand beyond working with basic handheld objects. Understood.org advises moving around large objects in a room or drawing pictures to vividly explain aspects of math problems. Even simple household objects such as different colored socks or pairs of shoes can be used to teach addition and subtraction.

Use Accommodations
Accommodations can include everything from circling keywords in math sentences to giving your child extra paper to work out math problems. You should also discuss with your child's teacher accommodations that can be implemented at school. A few include extra time given for tests and access to a math resource room if one is available. The school may also allow a child with dyscalculia to use a calculator when working on daily math problems as well as tests.

Teach Toward Understanding
While learning math can be broken into sections, it's always a good idea to have the end goal in mind. Memorizing facts -- such as multiplication tables -- is a good idea, but simply memorizing facts won't always lead to real understanding of a math concept or process. Start by instructing your child to reason through a problem using logic instead of rote memorization. It's also a good idea to memorize a few basic strategies that have wide application.

While each one of these strategies may not work with every child, finding even a few that do will likely go a long way in helping a child build their math skills. It's important for parents to acknowledge the struggles and praise the progress that's achieved with each new skill that their child masters.

Contact us today to schedule an assessment. You can also view the research and results of the program on the website.

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7 Practical Ways Parents Can Help a Child with Dyscalculia

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Many children struggle to process and understand information. Dyscalculia is the difficulty of conceptualizing & performing math. Here are 7 ways to help!

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Find out more about dyslexia here, where you will find expert articles and videos.

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Parenting and mental health - Beyond Blue

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Find parenting information and resources to support mental health and wellbeing for children, young people and families.

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These can be useful to help your child understand the order of activities that they need to complete.