This paper is a psychological case analysis of students' Truancy in higher vocational college.A second-year student called Li mou often doesn’t go to class,after the counselor found out, for his truancy behavior to further understand his psychological reasons:after entering the student union, the student was too concerned about his fat body , fear of being ridiculed,so he seek unhealthy way to lose weight caused by insomnia, tension, anxiety and so on,and then there was serious truancy for nearly a month.In view of this situation, the counselors have taken a series of countermeasures,she used rational emotive therap, this method can correct the students' bad cognition and improve his bad emotions, then we can improve the bad behavior of truancy.At the same time, this case displayed counselors should be good at finding the deep-seated reasons behind truancy, especially the psychological reasons, and make targeted improvement.