At present, according to our clinical observation, the problem of children and adolescents who do not like to go to school (aversion to school) is gradually increasing. Children and adolescents do not like to go to school generally have two kinds of situations, one is conscious truancy, this kind of children usually cheat their parents and pretend to go to school every day, they may really do not love to go to school internally, usually their academic performance is not good, in addition, usually these children have something that attracts him/her outside of school, such as going to Internet cafes, game halls, etc. Another situation is that the child is inwardly eager to go to school, but they have a fear of going to school, and the fear is various (sometimes the child himself/herself cannot describe it clearly). Most of these children have triggers that cause them not to go to school, such as being reprimanded by the teacher, having conflicts with classmates, or failing exams. These children are eager to go to school, but the moment they are about to go to school (usually early in the morning when they are ready to go to school), they will have an inexplicable fear and may have physical symptoms such as nausea, dizziness, abdominal pain, or even fever, which will disappear soon after their parents allow them to not go to school. In this article, we will only talk about the latter case and call it “school refusal”. According to our research, refusal to go to school is only an outward manifestation of behavior, but it can be divided into several psychological problems. The most common problem is attention deficit disorder (which is itself a psychological disorder called ADHD), because of which they have difficulty concentrating on their studies, gradually their grades drop, they do not like to study, and finally they develop refusal to go to school. Another common condition is depression and anxiety. Children with depression and anxiety (which can develop into depression in severe cases) will feel upset, unmotivated and lack motivation to learn. Younger children may have separation anxiety, which means that they feel fearful when they are away from adults. There are other causes, such as family problems (parental divorce, death of a loved one), etc. Parents (including teachers) need to recognize the following points: 1, these children have a desire to go to school, they are just afraid of going to school; 2, they have fear in many cases adults are unable to understand, but this fear does exist; 3, not the child’s willpower and character problems, but a psychological disorder. 4. Forcing children to go to school may have a temporary effect, but the underlying problem has not been solved. So, how can we treat it? 1. It is necessary to seek the help of a doctor. 2. Parents should learn to change their attitudes and communicate with their children with the help of a doctor. 3, let the child communicate with the doctor (usually the child is not willing to accept counseling and treatment, in this case, the parents can first do several counseling) 4, to obtain the understanding of the school teachers, the doctor can help parents communicate with teachers. 5. The use of a small amount of medication cannot be ruled out, because if the child is not attending school because of one of the above mentioned psychological disorders, addressing the “primary” disorder is the first prerequisite for treatment. In conclusion, there is no simple cure for school refusal, it takes time and requires close cooperation between parents, teachers and doctors.