Our 10yo was dx’d Autistic at 5 (likely ADHD also and has some PDA traits), and school have been very good and proactive supporting him. Despite that, anxiety and EBSNA have cropped up since year 2. It worsened significantly after Xmas this year and he’s now been out of school over a month. Since taking him out we don’t get the intense distress the night before or morning of attempting school but it’s almost as if his anxiety and burnout has been getting worse - despite reducing demands as much as we possibly can. Recently he’s had repeated bouts of nausea that see him in bed for most of the day, insisting one of us is with him. Thats reduced his eating, and having v restricted eating he doesn’t have weight to lose! We can’t really go anywhere or have anyone over as he’s afraid he’ll feel sick. His world (and ours) is getting so small. We’re still working well with school (his EHCP application going in currently), GP are sympathetic, and we’re still waiting on repeated CAMHS referrals. We’ve tried blood tests (2 hour meltdown and no sample) and also waiting on stool samples and a peads gastro referral in case there is anything physiological, tho we doubt it. We’ve tried private talking therapy but he can’t/wont engage, finding it even more stressful. He can’t/wont talk about his feelings or thoughts, only really his special interests (Roblox games which I play with him when I can so he feels understood). Just feeling so lost as to what we should be doing to support him! Is getting worse before he gets better normal? How do we get him out of cyclical nausea if it is psychological? Even if CAMHS do respond, what could they offer if he can’t/wont talk about what’s going on? Any advice, reassurance or similar experiences much appreciated.