One of the main common manifestations of children encountered in child counseling clinics is a fear of going to school. Some of them may give many reasons for their fear of school, while others have no clear reasons, but all of them show an inappropriate fear of school. In addition to reluctance to go to school, some children may have physical symptoms, such as headache, abdominal pain, nausea, panic attacks, or uncontrollable crying. These symptoms often do not occur at home during breaks or holidays. Many parents report that their children do not really want to study, and they do not want to miss school. For example, some children say before going to bed at night that they want to go to school tomorrow morning and take the initiative to organize their school bags, but then they do not want to go to school the next morning, and some even wake up in the morning with somatic symptoms such as headache and abdominal pain. The above manifestations are medically known as school phobia, which is a special type of childhood phobia. It is different from the character disorder of truancy, where the child has no disciplinary behavior other than the fear of going to school. The cause of school phobia is genetically related. Studies have reported a higher incidence of anxiety and depression in both parents of these children, while environmental factors such as academic tension, intense competition, lack of empathy from teachers, excessive demands, or strained relationships with classmates are all contributing factors to the disease. School phobia was first reported in Japan because of the heavy academic load of Japanese students. The incidence in China has also been on the rise in recent years. School phobia causes severe social dysfunction in children, affects their schooling, and causes difficult problems for families. Active measures must be taken to prevent and treat it. Early prevention is especially important for children who are paranoid and unwilling to go to kindergarten since childhood. Most children with mild symptoms can often recover on their own with appropriate guidance. The usual interventions for treatment are the following four points. First, the child’s physical illness should be ruled out, and then the child’s specific concerns should be understood and the reasons should be analyzed from the child’s perspective. Second, effective measures should be taken to help the child with learning difficulties. For example, parents should increase contact with teachers or help the child find study partners, etc., and give more encouragement when progress is found so that the child can experience the joy of learning. Third, systematic desensitization therapy is used, usually under the guidance of a doctor. By talking to the child about interesting things about school, when the child’s fear is not serious, you can start by accompanying him to school and gradually move on to going to school on his own. This process must be gradual, and observe the efficacy and progress, and if there is recurrence start from the beginning. The fourth is medication. Mainly symptomatic, such as excessive anxiety can be given appropriate mood-adjusting drugs. Medication should be accompanied by behavioral therapy. Generally after comprehensive treatment to achieve better results. As this disorder is prone to relapse, treatment also requires a certain degree of patience, and consolidation of the effect is very important.