Pervasive refusal syndrome (PRS), also known as pervasive arousal withdrawal syndrome (PAWS) is a rare presumed mental disorder in children. PRS is not included in standard psychiatric classification systems; that is, PRS is not a recognized mental disorder in the World Health Organization's current (ICD-10) and future (ICD-11) International Classification of Diseases and the current Diagnostic and Statistical Manual of Mental Disorders (DSM-5). According to some authors, PRS symptoms share common characteristics with other psychiatric disorders, but (according to these authors) current psychiatric classification schemes, such as the Diagnostic and Statistical Manual of Mental Disorders, cannot account for the full extent of symptoms observed in PRS. Alleged symptoms include partial or complete refusal to eat, move, talk or care for oneself; active and angry resistance to help and support; social withdrawal; and school refusal.


Treatment BeterKlinic

BeterKliniek is the clinic for Integrative Medicine that bridges regular and non-regular medicine.

An van Veen (physician) and Michael van Gils (therapist) look for the cause of a condition or disease. That is where the treatment starts otherwise, as people often say, it is 'carrying water to the sea'. We call this cause medicine. Sometimes it is also desirable to treat the symptoms (at the same time). We call this symptom medicine.

Chronic disorders often have their cause in epi- genetics. You can schedule a free informative telephone consultation (phone number 040-7117337 until 1 p.m.) at BeterKliniek to discuss your symptoms so that we can provide you with further advice.