Academic Signs
- Excessive absence/tardiness
 - Inconsistent or deteriorating quality of work
 - Increased tardiness or absences
 - 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 - Unusually animated or withdrawn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.
 - Increasing dependence on you (by making excessive appointments, hanging around your office or after class) or others
 
Physical Signs
- Deteriorating or poor hygiene, disheveled appearance, soiled clothes
 - Comes to class smelling of alcohol or appearing high
 - Noticeably slowed or rapid speech
 - Appears consistently fatigued and/or falling asleep in class
 - Significant weight gain or loss
 - Appears confused, disoriented, or out of touch with reality.
 
Other Reasons to Refer
Student references experiencing:
- food insecurity
 - housing insecurity
 - roommate issues
 - financial insecurity
 - grief/bereavement
 - physical health
 - any concern impacting their ability to succeed at TCNJ
 
