College Officials Won't Believe I have Depression and Anxiety

<p>I have told many of my college professors that I need extra help or take tests in another room due to my anxiety. I understand everything perfectly before a test, but I just get this rush of extreme anxiety every time I start working on the test, especially math. Some teachers even ask to write down any problems that may you have. It happens a lot and it seems that the teachers won't believe me, even with proof, and act dismissive towards me. This isn't the first time this has happened to me. It happened in high school, and my individual and group therapy sessions. I can put on a "happy face" so I won't breakdown in class or in front of other people because I use it as a defense mechanism to avoid attention and public ridicule.</p>

<p>Does anyone have any good advice on what I should?</p>

<p>You need to go through your Disabilities office at school.</p>

<p>What romani said and you need to have your medical documentation for them to review. You need to do it as soon as possible since academic adjustments (also known as accommodations) are not retroactive.</p>

<p>Take your documentation from your pdoc or your psychologist to the disabilities office. Your professionals already know this, but you will need a diagnosis and a description of how your learning is affected by your disease. The campus disabilities office should take care of the rest. Tsdad is spot on with the recommendation to do it now. Accommodations are not retroactive. </p>

<p>In the meantime, don’t be too hard on your professors. It is actually your own best interest not to have your faculty decide who has a disability and needs accommodations and who doesn’t. You don’t want to turn over a piece of your medical records to each faculty member each semester.</p>

<p>The disabilities office will look over documentation from an MD and/or therapist and then provide letters for you to show to your professors at the beginning of each term. The letters won’t say what your disability is, and in some schools the letters will list accommodations for you, and in other schools many of the accommodations will have to be worked out as you go.</p>

<p>it might be helpful to have a therapist on campus who can help advocate for you. In some schools, a dean will e-mail professors if a student comes to him or her with a problem that requires accommodations. But this should be per incident and against a background of prior registration with the disabilities office.</p>

<p>You should also know that the standard colleges have to meet is much lower than the standard high schools have to meet, legally, in terms of accommodations. Your accommodations have to be 'reasonable", not cause undue administrative or financial burden or substantially change the college program.</p>

<p>I am sympathetic, believe me. I also hope you are receiving treatment, whether medication or therapy or both.</p>

<p>If you’re this emotionally fragile, I think you need to work on the underlying issues more than trying to get accommodations for them. A medical withdrawl is probably wise until you have resolved the underlying issues.</p>

<p>That said, if you didn’t do the extra legwork through the Disability Office, its not your professors fault, its yours.</p>

<p>I know plenty of students at the most selective schools who have this kind of anxiety at exams, had proper support and graduated just fine. </p>

<p>(If you ever do think you might need a break, make sure you have tuition refund insurance.) </p>

<p>But hopefully your anxiety is limited to exams and you can get the accommodations you need.</p>

<p>Maybe beta blockers would help you-? Musicians use these for auditions. A physical check up isn’t a bad idea either.</p>

<p>Note: test anxiety is often not considered a disability unless it is related to something else like depression–it has to be a disability that impacts a major life function.</p>

<p>Not true.</p>

<p>Guidelines for Evaluating Test-Anxiety as a Disability </p>

<p>Purpose: These guidelines are designed to help determine when students’ anxiety, limited to exams or other academic performances, constitutes a disability resulting in the need for academic accommodations. </p>

<p>Working definition: Test anxiety occurs when symptoms of anxiety (e.g. agitation, “blanking out”) reduce academic performance, preventing students from demonstrating their true abilities.</p>

<p>To be considered as a disability, test-anxiety symptoms need to substantially limit one or more major life activities (such as concentrating, remembering, or other physiological functions). They should also occur in more than one subject area or one test format (e.g. multiple choice). Anxiety occurring from remediable causes such as lack of ability or preparation, or from situational stressors, or too narrowly confined, would not meet the intent of disability law and therefore should be ruled out. These students should be referrals to the appropriate resources. </p>

<p>no symptoms -------------------------------------------------------------X------------------severe symptoms</p>

<p>Test-Anxiety continuum: It is the job of the DSS office to determine where on the continuum of test-anxiety symptoms (from mild to severe) the cut-off point is for disability.</p>

<p>CONSIDERATIONS</p>

<p>• Assessment: Generally, students come to DSS staff with an assessment or diagnosis, but students with test anxiety often come of their own accord or by referral from instructor without a formal evaluation; students should be encouraged to see a mental health practitioner. For documented test anxiety, has the condition been assessed and documented by an appropriate specialist (e.g. therapist, psychologist)? Was a diagnosis made (e.g. generalized anxiety, phobia)? If so, does the diagnosis formally include anxiety? Have causes been explored: temporary situational factors? long-term stressors (e.g. PTSD)? anxiety secondary to a primary condition such as a learning disability or AD/HD? If a formal psychological diagnosis has been made, this may indicate a more broadly disabling condition than test anxiety alone, thus strengthening the justification for accommodations.</p>

<p>• Ability: When interference from test-anxiety is significant, it can cause a disparity between students’ aptitude and their achievement. Evidence of aptitude or ability can be seen in non-anxiety-producing performances such as homework, papers, or informal discussions. Students must be “otherwise qualified” to succeed at the course work or their anxiety may be due to lack of ability alone.</p>

<p>• Preparation: Students must be adequately prepared for exams or other performances or, again, anxiety can result. Quantity and quality of preparation can be evidenced by time spent with instructors, tutors, course and supplementary materials, as well as time spent with study skills and test-preparation </p>

<p>• Mitigating factors: If in treatment, where is the student at on the continuum of that treatment? Is the student at the point, according to the clinician, where he or she needs to challenge their anxiety by facing the performance situation? Does treatment (e.g. medications, relaxation strategies) reduce or eliminate the symptoms thus eliminating the need for accommodations?</p>

<p>• Accommodation effects: If students’ interfering symptoms are appropriately and reasonably accommodated formally or informally, does their performance improve (more accurately reflect their abilities)? Lack of improvement can provide evidence for a lack of ability.</p>

<p>• Pervasiveness: Although there may be exceptions, in general, a student’s test difficulties should encompass more than one subject or exam format to be considered disabling. If the anxiety symptoms are part of a broader psychological disorder such as Generalized Anxiety Disorder, Obsessive-Compulsive Disorder or Social Phobia, the pervasiveness consideration is more likely to fit the intention of the law.</p>

<p>• Duration: Has there been a history of the test anxiety for at least 6 months? Does the history include such evidence as classes dropped to reduce the test anxiety, or informal requests for accommodations? Has treatment (e.g. counseling, medications) been prescribed? If so, has it sufficiently reduced the symptoms to eliminate the need for accommodations?</p>

<p>• Severity: Anxiety symptoms (see symptom checklist) should affect one or more major life activities in at least a moderate way, and preferably be substantial or severe.</p>

<p>• Symptom checklist: Does the condition affect a major life activity? If yes, which one(s)? What is the severity of the symptoms? Is the severity proportional to the demand or stress (e.g. number of classes, level of course difficulty)? If a GAF score is available, what does it indicate?</p>

<p>Symptom Type mild
moderate
severe</p>

<pre><code>anxiousness, fear
breathing problems
</code></pre>

<p>concentration problems, distractibility<br>
dissociation, “spacing out”<br>
gastro-intestinal problems (e.g. vomiting)<br>
heart-rate or pressure increase<br>
memory blockage, retrieval problems<br>
perceptual problems (e.g. vision)<br>
shakiness<br>
other </p>

<p>Disability determination: To assist in summarizing the findings of a particular student, use the decision tree (attached) to list and gauge the various results of the preceding considerations </p>

<p>Cautions: Having determined a student to have disabling test-anxiety, warranting accommodations, there may not, in fact, be any adjustment that would improve students’ performance. For example, the usual accommodations (e.g. extra time, a quiet room) may not be sufficient nor may the clinician or student be able to suggest an alternative. Further, students’ or clinicians’ request may be unreasonable or cause an undue burden on an instructor or department, or, finally, it may fundamentally alter the nature of the exam (e.g. alternative format such as oral exam) or program.</p>

<hr>

<p>Developed by Debra (Solon) Claire, M.S. at the McBurney Disability Resource Center, University of Wisconsin-Madison 1999
Dsq on Red Gym/word/Guidelines for Evaluating Test Anxiety6.29.01</p>

<p>Test Anxiety Analysis</p>

<p>Pervasiveness diagram: How broadly do the anxiety symptoms affect the person: confined to one subject area or test format? More broadly affecting all performances? Or most broadly affecting many life activities?</p>

<p>Resources for Students Without Disabilities Services for Students
With Disabilities</p>

<p>Study & test-preparation skills development</p>

<p>Tutors</p>

<p>Faculty & Teaching Assistant assistance</p>

<p>Therapeutic & medical strategies</p>

<p>Informal test accommodations (requiring faculty approval): e.g. extra time, quiet room, breaks, alternative format, exam
substitution)</p>

<p>Exam substitution: (e.g. paper, project, oral discussion)</p>

<p>Course alternative: (e.g. courses without exams)<br>
All resources available to students without disabilities (listed left) plus:</p>

<p>Formal accommodations (legal status): eligible for alternative-testing (e.g. extra time, quiet room, breaks, alternative format, exam substitution)</p>

<p><a href=“http://www.jaapl.org/content/25/2/197.full.pdf[/url]”>http://www.jaapl.org/content/25/2/197.full.pdf&lt;/a&gt;&lt;/p&gt;

<p>The most important criterion is the degree to which the anxiety affects performance on an exam versus performance in other academic tasks such as discussion, papers, projects. The idea of the ADA, most basically, is to level the playing field so that a student can do his or her work to the level of his or her ability in a situation in which the disability would limit that ability. (This is my summary, it is worded better in the link.)</p>

<p>Yes, compmom, I’ve seen that article, too, but situational anxiety by itself, including test anxiety, is not currently recognized as a disability covered by the ADA and does not have to be accommodated. Any school can choose to be more generous than the law demands, but it does not have to be.</p>

<p>The anxiety comes from my depression that I was diagnosed with ever since the sixth grade. </p>

<p>Thanks everyone. I will ask my therapist from my hospital, and I finally fixed my class schedule so I can work and talk to a therapist on-campus. I’ll try to talk to the head of the disability department at my college when school starts again.</p>

<p>Honestly, unless your anxiety incredibly severe in which it visibly affects your functioning (i.e. regularly causing panic attacks, other physical health problems) I don’t think you should ask for accommodations.</p>

<p>I completely understand your position as I also have had a very similar diagnosis from around the same age which I have dealt with throughout the years by taking medication.
I do think that part of having this type of disorder is learning how to deal with it and make the best of things. Has my own personal anxiety affected my academic performance in college? Absolutely, mostly from inconsistent exam performance. It is very frustrating since Professor’s will often be confused by their perception of my knowledge based on homework and conversations versus sometimes poor or inconsistent performance on exams. However, the situation has gotten a LOT better with patience and perseverance. By mid sophomore year I was able to have very strong performances at times, which hadn’t been the case freshman year. I also have taken several take home exams in the past two years which I always excel on. When I apply to graduate school, I think the positives in my transcript will speak for themselves as well as my letters of recommendations and other academic achievements.</p>

<p>An issue I have always struggled with is whether it is okay to ask for leniency in an academic setting based on mental health issues. I never have, and sometimes I feel like I am at a disadvantage because of this. There have been times where I have had an incredibly difficult time even functioning and it might have been comforting to have received some help to reduce the stress. However, my pride and desire for privacy have convinced me to keep my mental health completely separated from my academic life. I honestly don’t know if this is the right choice.</p>

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<p>That’s how I felt all these years. The reason why I posted this is because I was offered this deal I didn’t have to talk in class because of my speech impediment. I tried it for one day and I felt even more isolated. Even though I had this “accommodation”, it didn’t feel right to not talk. So I kept talking anyways even when some teachers in high school tried to convince me not to. This is why I’m not sure if an accommodation is right in college, but I know it might help in this case.</p>

<p>Get the accommodation, It is the smart thing to do. You are not required to take advantage of it but it will be there for you if you feel you need it. Just knowing it is available may lessen some of the stress for you.</p>

<p>There is no obligation to use accommodations. Every disability office or dean will advise that you register and submit documentation so that you, and they, don’t have to chase a crisis situation after the fact. They advise thinking in terms of a worst case scenario, but it’s great if you don’t want to use accommodations at all, or only when absolutely needed.</p>

<p>The point I was trying to make is that it is the difference between your day to day functioning and your functioning/performance at an exam that proves the need for accommodations, which would basically allow you to function at your normal level- in theory.</p>

<p>If you have depression or anxiety every day, then that would be a different picture and you might need other supports as well.</p>

<p>I PM’ed you awhile back.</p>

<p>Talk to the Office of Disability Accomodation or whatever office name they have. They will ask you a medical examination from their approved doctors. For ADD or similar disabilities, the doctor’s fee can run into $1.5K that includes examination and reports and recommendation. To spend your $ wisely, bring the form to your primary doctor and ask if you have a chance of being in that category before going to hte school approved doctor.</p>

<p>Chris D–this has been your experience? I’ve never heard of a college requiring an exam from approved docs–for ADHD, which is not the issue here anyway, or anything else. Typically, it will be adequate for a properly credentialed professional who has been treating the student to supply a written evaluation setting forth a diagnosis and recommending particular accommodations. OP already has a therapist and a diagnosis, so he is ready to get assistance from the school’s disabilities office. Now if we were talking about a student whose disability had never been diagnosed by a professional, then yes, the school might be able to recommend a doc, and it could be expensive to start down that path, but surely that’s something that should be done in order to assure an accurate diagnosis and determine appropriate treatment, irrespective of whether school accommodations are at issue.</p>

<p>ChrisD. That is very odd.</p>

<p>This student needs to talk to the disability office at her school. She will need to find out what information she needs to provide to them. They will tell her exactly what they need, and how current it needs to be. A diagnosis made in 6th grade will need to have been revisited much more recently than that! Usually the documentation needs to be less than a year old. In the vast majority of cases, if the student HAS current documentation of a disability and the necessity for accommodations, that will suffice.</p>

<p>This student needs to deal with the disability office. Until that happens, the professors really won’t provide accommodations.</p>

<p>A lot of good advice in this thread. There are federal and state laws the school needs to follow - how good they are at following depends on interpreting and past experiences with students/parents/disability officer making sure it happens. My DD had depression and anxiety disorder (and for a short time in HS had suicidal thoughts every day, which was terrifying to H and me); she also had speech issues (articulation, morphology and later diagnosed competing ear auditory processing). So I can empathize with OP. I am glad you are having a better strategy than trying to keep academics and therapy separate - and I agree if you need the accommodation (and from posts, your stress level will be less with the accommodation in place so you do not have to work from scratch with each professor), you have to have it in place. Sounds like you are taking care of that, and I hope you can post an update that things are going better this semester.</p>