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School Refusal (cont.)

Are There Medications for Students Who Exhibit School Refusal?

Psychopharmacologic interventions (medicines that affect the mind and behavior) may be required for underlying depression, anxiety, or social phobias.

  • Serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac), may be useful for underlying depression. Caution should be used when using such agents because in children and adolescents SSRIs may increase the risk of worsening depression, induce manic episodes with bipolar disorder (manic depression), and have been implicated with an association with new-onset suicidal ideation or behavior. Sudden discontinuation of Prozac can cause withdrawal-like symptoms that include agitation, anxiety, confusion, dizziness, headache, and insomnia.
  • Drugs that mask anxiety symptoms (racing heart, sweaty palms), such as propranolol, can significantly reduce anxiety. Propranolol may also induce depression in vulnerable individuals, and it should not be used in the presence of asthma. Propranolol should also not be suddenly stopped because hypertensive crisis (a severe, sudden increase in blood pressure that could lead to stroke) could ensue.
Medically Reviewed by a Doctor on 1/11/2016

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School Refusal - Treatment

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Read What Your Physician is Reading on Medscape

Anxiety Disorder: Separation Anxiety and School Refusal »

According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), separation anxiety is a fairly common anxiety disorder that consists of excessive anxiety beyond that expected for the child's developmental level related to separation or impending separation from the attachment figure (eg, primary caretaker, close family member) occurring in children younger than 18 years and lasting for at least 4 weeks.

Read More on Medscape Reference »


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