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The problem with this pattern is that if we avoid what scares us, it becomes harder and harder to approach the feared situation or experience over time.",{"type":65,"attrs":2410,"content":2411},{"textAlign":67},[2412],{"text":2413,"type":71},"This is a real dilemma for parents and caregivers. While they want their child to attend and thrive in school, they also don’t want to watch them go through the emotional turmoil each morning when it’s clear that they are struggling. So, in order to approach the situation effectively, it is important to have a plan in place to help guide the process.",{"type":2247,"attrs":2415,"content":2416},{"level":2249,"textAlign":67},[2417],{"text":2418,"type":71},"Tips for parents to address school refusal",{"type":2234,"content":2420},[2421],{"type":65,"attrs":2422,"content":2423},{"textAlign":67},[2424],{"text":2425,"type":71},"“With compassionate, patient and curious caregivers, in conjunction with skilled mental health professionals, kids can get back to academic functioning and learn to manage their stress differently,” explains Dr. Easton.",{"type":65,"attrs":2427,"content":2428},{"textAlign":67},[2429],{"text":2430,"type":71},"If you and your child are struggling with school refusal, here are some guideposts to consider when creating a plan.",{"type":65,"attrs":2432,"content":2433},{"textAlign":67},[2434,2438,2439],{"text":2435,"type":71,"marks":2436},"1. Be curious.",[2437],{"type":2337},{"type":77},{"text":2440,"type":71},"Try to understand the function of your child’s behavior by understanding the purpose it serves. ",{"type":2259,"content":2442},[2443,2450,2457],{"type":2262,"content":2444},[2445],{"type":65,"attrs":2446,"content":2447},{"textAlign":67},[2448],{"text":2449,"type":71},"Does missing school prevent your child from facing classes or academic pressures that are too challenging, causing them to have less confidence in their abilities?",{"type":2262,"content":2451},[2452],{"type":65,"attrs":2453,"content":2454},{"textAlign":67},[2455],{"text":2456,"type":71},"Does it keep them protected from bullying or from a feared social situation?",{"type":2262,"content":2458},[2459],{"type":65,"attrs":2460,"content":2461},{"textAlign":67},[2462],{"text":2463,"type":71},"Does it mean that they have the comfort of being home and spending more time with a parent?",{"type":65,"attrs":2465,"content":2466},{"textAlign":67},[2467],{"text":2468,"type":71},"By understanding the challenges that underlie school refusal, it is possible to feel more empathy for how much your child is struggling and determine what they need in order to feel better.",{"type":65,"attrs":2470,"content":2471},{"textAlign":67},[2472,2476,2477],{"text":2473,"type":71,"marks":2474},"2. Rule out any possible medical or psychological condition that may be contributing to the school refusal. ",[2475],{"type":2337},{"type":77},{"text":2478,"type":71},"For instance, consider a physical exam to address your child’s complaints of stomach pain. Have a therapist or psychiatrist screen for depression, anxiety, trauma or substance use to determine whether there are issues that could be impacting the school refusal that require additional treatment considerations.",{"type":65,"attrs":2480,"content":2481},{"textAlign":67},[2482,2486,2487],{"text":2483,"type":71,"marks":2484},"3. Be a model. ",[2485],{"type":2337},{"type":77},{"text":2488,"type":71},"Model for your child that when things get difficult, it is important to find ways to build resiliency and regain a sense of safety (either by using internal skills or interacting differently with the environment). For example, let’s say you are stuck in morning traffic and your child sees that you are upset because you will miss a meeting at work. Use some deep breathing to calm yourself physically. Your child also sees that you name your feelings and then brainstorm solutions such as calling in to the meeting, following up with your boss later or asking for the meeting notes. By seeing you effectively name and work through your emotions, your child will be better equipped to do the same when faced with triggers at school.",{"type":65,"attrs":2490,"content":2491},{"textAlign":67},[2492,2496,2497],{"text":2493,"type":71,"marks":2494},"4. Empathize with expectations.",[2495],{"type":2337},{"type":77},{"text":2498,"type":71},"Children need to attend school regularly. Be creative and flexible in thinking about how they can utilize school resources to improve their experience. Problem-solve together.",{"type":2259,"content":2500},[2501,2508,2515,2522],{"type":2262,"content":2502},[2503],{"type":65,"attrs":2504,"content":2505},{"textAlign":67},[2506],{"text":2507,"type":71},"Should their classes be changed so there is less emphasis on highly challenging coursework?",{"type":2262,"content":2509},[2510],{"type":65,"attrs":2511,"content":2512},{"textAlign":67},[2513],{"text":2514,"type":71},"Should there be a mediation with a classmate?",{"type":2262,"content":2516},[2517],{"type":65,"attrs":2518,"content":2519},{"textAlign":67},[2520],{"text":2521,"type":71},"Should there be check-ins with the school counselor throughout the day?",{"type":2262,"content":2523},[2524],{"type":65,"attrs":2525,"content":2526},{"textAlign":67},[2527],{"text":2528,"type":71},"Can a buddy system be put in place?",{"type":65,"attrs":2530,"content":2531},{"textAlign":67},[2532,2536,2537],{"text":2533,"type":71,"marks":2534},"5. Reinforce and shape positive behavior.",[2535],{"type":2337},{"type":77},{"text":2538,"type":71},"Rewards for school attendance may include access to a special activity or earning the chance to try out for the basketball team if the child has attended school a certain number of days.    ",{"type":2234,"content":2540},[2541],{"type":65,"attrs":2542,"content":2543},{"textAlign":67},[2544],{"text":2545,"type":71},"“As long as you are working with providers who know how to work directly with avoidance, ultimately helping the child 'avoid avoidance' as a strategy to manage distress, progress can be made and functioning restored,” shares Dr. Easton. “Give it time, and don't give up.”",{"type":2247,"attrs":2547,"content":2548},{"level":2249,"textAlign":67},[2549],{"text":2550,"type":71},"School refusal interventions: Our treatment approach",{"type":65,"attrs":2552,"content":2553},{"textAlign":67},[2554],{"text":2555,"type":71},"At ERC Pathlight, we target school refusal through a collaborative, evidence-based approach. A team of mental health and education experts works closely with patients, parents and school personnel to address underlying anxiety and oppositional behaviors associated with school refusal.",{"type":65,"attrs":2557,"content":2558},{"textAlign":67},[2559],{"text":2560,"type":71},"Some of the interventions that we utilize within the program include:",{"type":2259,"content":2562},[2563,2586,2607,2624],{"type":2262,"content":2564},[2565],{"type":65,"attrs":2566,"content":2567},{"textAlign":67},[2568,2572,2574,2575,2581,2583,2584],{"text":2569,"type":71,"marks":2570},"Exposure and response prevention  (ERP).",[2571],{"type":2337},{"text":2573,"type":71}," This exposes kids and teens to thoughts, images and situations that elicit an anxious response. Guided exposures provide opportunities to create a hierarchy of fears, methodically work through each experience to build mastery and decrease anxiety over time. (For example, the first step could be to have the child sit with the parent in the parking lot of the school and do some deep breathing. The next challenge might be to go inside the school and walk the halls while practicing mindfulness skills. The next might be to attend school for a half day, and so on.)",{"type":77},{"text":2576,"type":71,"marks":2577},"Learn more about ERP",[2578],{"type":104,"attrs":2579},{"href":2580,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5681",{"text":2582,"type":71},".",{"type":77},{"text":2585,"type":71}," ",{"type":2262,"content":2587},[2588],{"type":65,"attrs":2589,"content":2590},{"textAlign":67},[2591,2595,2597,2598,2604,2605,2606],{"text":2592,"type":71,"marks":2593},"Dialectical behavior therapy (DBT). ",[2594],{"type":2337},{"text":2596,"type":71},"This addresses the oppositional and\u002For behavioral symptoms that have prevented the adolescent from effectively engaging in school. Core skills such as mindfulness, emotion regulation, interpersonal effectiveness and distress tolerance help the child to manage defiant behaviors, improve academic achievement and develop healthy relationships.",{"type":77},{"text":2599,"type":71,"marks":2600},"Learn more about DBT",[2601],{"type":104,"attrs":2602},{"href":2603,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5671",{"text":2582,"type":71},{"type":77},{"text":2585,"type":71},{"type":2262,"content":2608},[2609],{"type":65,"attrs":2610,"content":2611},{"textAlign":67},[2612,2614,2615,2621,2622,2623],{"text":2613,"type":71},"Daily educational support emphasizes completion of classroom assignments and executive functioning skills training. When appropriate, daily treatment can be customized to allow for partial school attendance.",{"type":77},{"text":2616,"type":71,"marks":2617},"Learn about ERC Pathlight’s educational specialists",[2618],{"type":104,"attrs":2619},{"href":2620,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F5466",{"text":2582,"type":71},{"type":77},{"text":2585,"type":71},{"type":2262,"content":2625},[2626],{"type":65,"attrs":2627,"content":2628},{"textAlign":67},[2629,2631,2632,2638,2640,2646],{"text":2630,"type":71},"Family involvement and education helps caregivers learn how to effectively support their adolescents and overcome barriers to school reintegration.",{"type":77},{"text":2633,"type":71,"marks":2634},"Join one of our free online support groups for caregivers",[2635],{"type":104,"attrs":2636},{"href":2637,"uuid":67,"anchor":67,"target":27,"linktype":17},"https:\u002F\u002Fwww.pathlightbh.com\u002Fsupport-group",{"text":2639,"type":71}," and check out ",{"text":2641,"type":71,"marks":2642},"our list of must-read books on mental health",[2643],{"type":104,"attrs":2644},{"href":2645,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19678",{"text":2582,"type":71},{"type":65,"attrs":2648,"content":2649},{"textAlign":67},[2650,2652,2656],{"text":2651,"type":71},"The objective of treatment is to help the child take manageable steps toward full school attendance and engagement. If your child is struggling and your family would benefit from additional support, call ERC Pathlight for a free, confidential assessment today at ",{"text":2653,"type":71,"marks":2654},"877-825-8584",[2655],{"type":2337},{"text":2657,"type":71}," or fill out this form:",{"type":65,"attrs":2659,"content":2660},{"textAlign":67},[2661],{"text":2662,"type":71,"marks":2663},"Contact a member of our team now.",[2664,2667],{"type":104,"attrs":2665},{"href":2666,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fform\u002Fself-assessment-form",{"type":2337},{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2669},{},"Blog","Recovery",[],{"type":62,"content":2674},[2675],{"type":65},"While it is common for students to want to skip class on occasion, if your child regularly refuses to go, you might be experiencing school refusal. Get tips from our experts.",[],[],[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2681},{},{"id":2683,"filename":2684,"fieldtype":175,"is_private":1974},"141823148441151","https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F8491x5771\u002F343dc842f6\u002Fteenager-school-eating-disorder.jpg",[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2687},{},[],"school-refusal-interventions","resources\u002Fschool-refusal-interventions",-5040,[],109705324666269,"72e0a8d1-d593-4212-8b0f-b96d3fc3730b","2023-08-14T23:07:02.000Z",[],[],[],{"age":2700,"cache-control":2701,"connection":2702,"content-encoding":2703,"content-type":2704,"date":2705,"etag":2706,"referrer-policy":2707,"sb-be-version":2708,"server":2709,"strict-transport-security":2710,"transfer-encoding":2711,"vary":2712,"via":2713,"x-amz-cf-id":2714,"x-amz-cf-pop":2715,"x-cache":2716,"x-content-type-options":2717,"x-frame-options":2718,"x-permitted-cross-domain-policies":2719,"x-request-id":2720,"x-runtime":2721,"x-xss-protection":1974},"46358","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Sun, 25 Oct 2026 15:08:44 GMT","W\u002F\"247f6f4e16b17e6689098bb809909421\"","strict-origin-when-cross-origin","5.993.0","nginx\u002F1.31.3","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 c7484e6276fff55040d279c262fe5f5a.cloudfront.net (CloudFront)","AfyEobSlDNFtsh_4uRiRw6QTkIM9GJ7Yb9DLuhfGgU6QS-G-Kcuhjw==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","8806fd78-a578-4624-8753-e7c07c45ee88","0.023532",{"data":2723,"headers":2938,"perPage":2948,"total":2949},{"stories":2724,"cv":203,"rels":2936,"links":2937},[2725,2771,2829,2876],{"name":2726,"created_at":2727,"published_at":2728,"updated_at":2729,"id":2730,"uuid":2731,"content":2732,"slug":2765,"full_slug":2766,"sort_by_date":67,"position":2767,"tag_list":2768,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2769,"first_published_at":2728,"release_id":67,"lang":201,"path":67,"alternates":2770,"default_full_slug":67,"translated_slugs":67},"Her 12-year-old had an eating disorder. Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2733,"body":2734,"authors":2752,"excerpt":14,"summary":2754,"component":1878,"categories":2755,"article_type":1880,"external_link":2756,"featured_image":2757,"external_link_text":2762,"listing_thumbnail_image":2763},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2735,"content":2736},{"backgroundColor":67},[2737,2742,2747],{"type":65,"attrs":2738,"content":2739},{"textAlign":67},[2740],{"text":2741,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2743,"content":2744},{"textAlign":67},[2745],{"text":2746,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2748,"content":2749},{"textAlign":67},[2750],{"text":2751,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2753],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":2758,"alt":2759,"name":14,"focus":14,"title":14,"source":14,"filename":2760,"copyright":14,"fieldtype":175,"meta_data":2761,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":2759,"title":14,"source":14,"copyright":14},"Read more",{"id":2758,"alt":2759,"name":14,"focus":14,"title":14,"source":14,"filename":2760,"copyright":14,"fieldtype":175,"meta_data":2764,"is_external_url":177},{"alt":2759,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":2772,"created_at":2773,"published_at":2774,"updated_at":2775,"id":2776,"uuid":2777,"content":2778,"slug":2823,"full_slug":2824,"sort_by_date":67,"position":2825,"tag_list":2826,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2827,"first_published_at":2774,"release_id":67,"lang":201,"path":67,"alternates":2828,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":2779,"body":2780,"authors":2808,"excerpt":14,"summary":2810,"component":1878,"categories":2811,"article_type":1914,"external_link":2812,"featured_image":2813,"external_link_text":2762,"listing_thumbnail_image":2820},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":2781,"content":2782},{"backgroundColor":67},[2783,2788,2793,2798,2803],{"type":65,"attrs":2784,"content":2785},{"textAlign":67},[2786],{"text":2787,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":2789,"content":2790},{"textAlign":67},[2791],{"text":2792,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":2794,"content":2795},{"textAlign":67},[2796],{"text":2797,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":2799,"content":2800},{"textAlign":67},[2801],{"text":2802,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2804,"content":2805},{"textAlign":67},[2806],{"text":2807,"type":71},"Slaven advises parents to pay attention to clues.",[2809],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2846,"content":2847},{"textAlign":67},[2848],{"text":2849,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2851,"content":2852},{"textAlign":67},[2853],{"text":2854,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. 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