When treating a child with a specific school phobia, what intervention is typically recommended first?

The typical first intervention when treating a child with a specific school phobia is to focus on getting the child back to school. This approach is grounded in the understanding that avoidance behavior is often reinforced by the continuing absence from the feared situation—in this case, school. Returning to school allows the child to face their fears in a supportive and structured environment, which is considered essential for overcoming the phobia.

The process usually includes gradual exposure to school-related activities, often facilitated by school personnel and parents to ensure a smooth re-entry. The goal is to reduce anxiety through direct experience while ensuring that the child feels safe and supported. Engaging in this intervention early can help to break the cycle of fear and avoidance.

Other interventions, such as cognitive therapy or family therapy, may certainly be beneficial, but they are typically incorporated after an initial plan for returning to school is in place. Medication can also be an option but is generally not the first approach for specific phobias in children due to potential side effects and the importance of addressing the behavioral aspects of the phobia.