Treatment of School Refusal

INTERVENTION: 1) Individual Cognitive Behavioural Therapy, 15 sessions over 22 weeks for young person and parent(s) 2) Individual Cognitive Behavioural Therapy, 15 sessions over 22 weeks for young person and parent(s) plus Fluoxetine 10‐20mg (pre‐pubescent Tanner stage 1) or 10‐60mg (pubescent Tanner stage 2+) over 22 weeks for the young person. Fluoxetine/placebo is in capsule form. CONDITION: remove 'and/or unipolar depressive' School refusal with an anxiety disorder PRIMARY OUTCOME: School attendance. SECONDARY OUTCOME: Child Report ; Revised Children’s Manifest Anxiety Scale ; Children’s Depression Inventory ; Self‐Efficacy Questionnaire for School Situations ; Wide Range Achievement Test 3 (Baseline & 10 weeks only) ; Emotion Regulation Questionnaire – Youth ; Bully/Victim Questionnaire ; Fear Thermometers Clinician Administered DSM‐IV anxiety diagnosis as assessed by the Anxiety Disorder Interview Schedule for DSM‐IV Child Version (Child & Parent Interview Schedule). Clinician Rating ; Pediatric Anxiety Rating Scale ; Global Assessment of Functioning ; Global Assessment of Relational Functioning ; Clinical Global Impressions Other Report ; Child Behavior Checklist (Parent) ; Family Assessment Device ‐ General Functioning (Parent) ; Teacher Report Form (Child's School Teacher) INCLUSION CRITERIA: Less than 50% school attendance for the past four school weeks, with the young person being at home with parental knowledge and DSM‐IV anxiety disorder.