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I believe in supporting them enough so they can keep it together at school.  In this case your daughter has had a medication change that may really be giving her a physical problem and a real reason to stay home.  Neither of my kids has ever acted out at school but I've always felt it would take just one incident to change everyone's perception of them.


However, I currently have a daughter at home who on a good day goes to school 1/2 day.  She has some physical symptoms but also has a lot of anxiety.  I've been waiting for the physical problems to resolve and so far it isn't happening.  She had some medication changes contribute to this as well.  It's been going on for more than 2 months.  Obviously, this hasn't protected her reputation at school since everyone knows something is going on with her.


So I may not be the best person to give advice. LOL


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