Tips for recognizing distress

Marked Change in Academic Performance or Behavior

• Poor performance and preparation
• Excessive absences or tardiness
• Repeated requests for special consideration especially when this represents a change from previous functioning
• Avoiding participation
• Dominating discussions
• Excessively anxious when called upon
• Disruptive behavior
• Exaggerated emotional response that is obviously inappropriate to the situation

Unusual Behavior or Appearance

• Depressed or lethargic mood
• Hyperactivity or very rapid speech
• Deterioration in personal hygiene or dress
• Dramatic weight loss or gain
• Strange or bizarre behavior indicating loss of contact with
  reality
• Observable signs of an injury

References to Emotional or Life Stressors

• Problems with roommates, family, or romantic partners
• Experiencing a death of a significant other
• Experiencing a physical or sexual assault
• Experiencing discrimination based on gender, race,
  religion, ethnicity, sexual orientation, or disabilities
• Experiencing legal difficulties
• Any other problem or situation that is experienced as a loss
  or stress

References to Suicide, Homicide or Death

• Feelings of helplessness or hopelessness
• Verbal or written references to suicide
• Verbal or written references to homicide or assaultive
  behavior
• Isolation from friends, family and classmates