When to Refer

Academic Signs

  • Excessive or increased absence/tardiness
  • Inconsistent or deteriorating quality of work
  • Disorganized work and/or presentation of ideas
  • Repeated requests for extensions
  • Written or verbal expression of morbid, dark, or violent thoughts
  • Disproportionate anxiety about coursework and/or in response to grades 

Behavioral Signs

  • Exhibits high levels of emotionality, tearfulness, crying 
  • Excessively demanding or dependent behavior 
  • Nonsensical, incoherent speech 
  • Expression of suicidal thoughts
  • Angry outbursts, intimidating or aggressive behavior. Impulsivity.
  • Expressions of worthlessness, hopelessness, despair
  • Unusually animated or withdrawn.
  • Unpredictable and/or rapid shifts in mood. Inability to regulate mood/behavior. 

Physical Signs

  • Deteriorating or poor hygiene, disheveled appearance, soiled clothes 
  • Comes to class smelling of alcohol or appearing high 
  • Noticeably slowed or rapid speech