Many parents of children diagnosed with Orthostatic Dysregulation (OD) are deeply concerned and anxious about "relationships with schools" and "impact on future career paths" more than handling the condition at home. As the first semester passes its midpoint and the accumulation of absences becomes apparent in June, the Japan Association for the Improvement of Orthostatic Dysregulation (OD) conducted a "Survey on the Reality of School Support" targeting 105 guardians living with children with OD. The results revealed that while school accommodations have progressed to a certain extent, approximately 80% of households are anxious about advancing to higher grades or schools, and the daily burden of reporting absences has become significant. This report conveys the earnest voices of affected families, highlighting the need to deepen understanding in educational settings, recognizing OD not as "laziness" but as a "physical illness." Survey Background Orthostatic Dysregulation (OD) is a physical illness characterized by difficulties in waking up in the morning, dizziness upon standing, and general malaise due to autonomic nervous system abnormalities. While previous OD surveys have often focused on "how to deal with it at home," the most significant social barrier faced by children and parents is the interaction with "the educational environment." Visualizing the reality of school support, such as "anxiety about absences and tardiness affecting school records" and "frustration from not being recognized as ill by teachers," is essential to prevent isolation of parents and children and to promote understanding in educational settings. This survey was conducted from the perspective of parents during this period when anxiety about advancing to higher grades and attendance days intensifies, to understand the "current situation" in schools. Survey Summary Impact of OD Symptoms: Approximately 60% of children experience effects "several times a month or more," indicating unstabl