Explain school refusal and bullying plan to an adolescent and parent — OSCE

Candidate instructions

Explain that school refusal is a treatable behaviour linked to anxiety and bullying (not laziness or bad parenting), outline exposure-based CBT and a graded return-to-school, describe how the school will respond to the bullying and rebuild belonging, discuss reducing family accommodation without blame, cover when an SSRI such as sertraline might be added and how you monitor safety, and respond to the request for indefinite home schooling. The examiner plays the parent; a co-actor plays the young person. ^{[1] [2] [5]}