Abstract
Oliver, a 12-year-old boy, was referred to child and adolescent mental health services due to school refusal. Oliver had always struggled at school. He was often in trouble for not listening to instructions in class and when he tried to join in games with his peers during break, they often laughed at him. Sometimes he lashed out, but when he was asked about what happened by the teachers, he could not explain his side of the story. Recently Oliver had become anxious and withdrawn and had refused to attend school. Child and adolescent mental health services offered Oliver talking therapy as the first-line treatment for his anxiety. However, Oliver was disengaged in therapy; he did not seem to listen to what the therapist was saying and said very little back. Oliver's therapist referred him to a speech-language pathologist in the same team, who diagnosed Oliver with developmental language disorder (DLD). Both therapists are now working together with the school to support Oliver with his anxiety and language challenges.
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