Generally, the behavior of the distressed student causes concern for the personal well-being of that student, rather than creating a worry for their impact on others or on the classroom. Signs of distressed students are:

• Excessive procrastination and very poorly prepared work, especially if inconsistent with previous work
• Infrequent class attendance with little or no work completed
• Dependency (e.g., the student who makes excessive appointments during office hours, sends frequent e-mail messages)
• Listlessness, lack of energy, or frequently falling asleep in class
• Marked changes in personal hygiene
• Students who appear overly nervous, tense or tearful
• Repeated requests for special consideration (e.g., deadline extensions)
• Report of sexual or physical assault, or the recent death of a friend or family member
• Over inattentiveness

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