When to Refer

  1. Test or speech anxiety

  2. Excessive procrastination or poor preparation

  3. Attention/memory difficulties

  4. Repeated requests for extensions

  5. Isolation from others

  6. Dramatic weight loss/gain

  7. Attendance decline

  8. Outburst of anger

  9. Chronic fatigue/low energy

  10. Restlessness

  11. Changes in personal hygiene

  12. Alcohol/drug abuse

  13. Suicidal/homicidal threats

  14. Low self-esteem

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