Jabir is a 9-year-old boy who lives with his mother and attends the third grade, where he is an A* student. During the last 2 weeks, he has refused to go to school and has missed 6 schooldays. He is awake almost all night worrying about going to school.As the start of the school day approaches, he cries and screams that he cannot go, chews holes in his shirt, pulls his hair,digs at his face, punches the wall, throws himself on the floor,and experiences headaches, stomachaches, and vomiting. If he attends school, he is less anxious until bedtime. As his separation anxiety has increased, he has become gloomy, has stopped reading for fun, and frequently worries about his mother’s having a heart attack.