Although everyone experiences periods of stress and unhappiness, some people’s reaction to these periods is so severe that they develop physical or behavioural symptoms. For others, chemical imbalances or medical conditions are the cause of behaviours which can include aggression, withdrawal, or obsessional repetition.

Some people are born with these kinds of difficulties (e.g. Asperger’s Syndrome) whilst others develop conditions (e.g. depression). Some conditions are temporary and can be treated successfully with medication, rest and/or counselling. Others are longer term and the person may experience periods of good health interspersed with poor health.

People with mental health difficulties often lack confidence. It is essential that tutors recognise this and promote the student’s self esteem which will have a positive outcome in terms of effective learning. 

Etiquette:

• Avoid discussing the student’s condition in front of other students - respect confidentiality.
• Be discreet; do not make an issue about a student’s absences/ behaviour. Be patient and remain calm.
• Some students need a place of privacy for taking medication including injections; others may need a place of rest for a short while.

Enabling Strategies:

• People with mental health difficulties have often experienced rejection by those who have not understood their needs. Establishing a good, relationship with plenty of encouragement can prove extremely helpful. Aim to discuss the matter as fully as possible with the individual student in order to discover in what situations they feel most comfortable and able to deal with.
• Sometimes people will be withdrawn or disruptive because they either have not understood what is required, or they feel inadequate to the demands of the task. Being aware of this possibility will allow tutors to intercede and attempt to break the cycle of failure.
• It may require time for some students to settle in to a new situation, develop their confidence and demonstrate their abilities to the full. Allowances may need to be made for this.
• Assessment, particularly formal assessments such as assignments and examinations can be very stressful for any student. Students may perform well below standard. Practice and reassurance will help students to overcome this anxiety.
• Access to personal counselling may be the most important help available to students with mental health difficulties.
• Occasionally, students on medication may experience side effects such as drowsiness. It is helpful if you have this information as performance is likely to be affected. It may also be advisable to conduct a risk assessment if the course includes potentially hazardous activities or materials.

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