After summer vacation or a long holiday at home, a child who used to go to daycare or preschool happily may start crying in the morning or saying “my tummy hurts” and “I don’t want to go.” This is often less a sign that adjustment has failed than a sign that time at home made separation feel harder again. The guidance below adapts material on school refusal to younger children.

When It Starts and What Signals to Look For

According to AACAP, school refusal often begins after a stretch at home, such as summer break, a holiday, or a brief illness. In younger children, separation anxiety is the condition most often behind it: being more fearful of separating from a parent or caregiver than would be expected for the child’s age, lasting weeks rather than a day or two. It can show up as crying, clinging, or repeated morning complaints of stomachaches, headaches, or tiredness. A helpful clue is whether these complaints fade on weekends and vacation days and appear mainly before departure time. AACAP estimates that 1-5% of school-age children struggle with this at some point, most commonly around ages 5-7.

A Step-by-Step Approach

First, starting about a week before the break ends, shift wake-up, meal, and bedtime closer to the usual daycare schedule in small steps. Second, pack the bag and lay out clothes together the evening before, and chat briefly about a teacher or friend. Third, fix the morning routine in order and make goodbye a ritual that takes about a minute: a hug, one short sentence, and a wave. As CDC suggests for setting rules, a short, clear sentence helps a child know what to expect. Fourth, if the first days are hard, consider shortening the day or working with the teacher to adjust the schedule so your child returns in small steps.

Common Parent Mistakes

Letting a distressed child stay home a few times can make avoidance harden quickly. On the other hand, rushing away or slipping out unannounced can shake trust and raise anxiety. Questioning your child at length each morning or asking “why are you doing this again?” tends to make children defensive. A short, warm, identical goodbye usually works better.

What Can Differ from Child to Child

Sensitive children, slow-to-warm temperaments, and those who went through a new sibling or a move during the break may take longer. Many children gradually improve within 1-2 weeks, but the range is wide. A brief daily check-in with the teacher about the morning drop-off and the rest of the day can help you judge your own child’s pace.

When to Consider Talking with a Pediatrician

Consider a pediatric visit if refusal continues past 3-4 weeks, if physical symptoms such as stomachaches or vomiting are significant, if sleep or appetite change noticeably, or if peer conflict or bullying is a possibility. AACAP notes that when treatment is needed, the family, child, school, and therapist working together tends to help. This information isn’t a diagnostic tool and doesn’t replace advice from a medical professional.