News, Views and Careers for All of Higher Education
June 2, 2006
She thought she was a cat.
She tackled a guy on the street whom she wanted to be her boyfriend.
She tried to commit suicide.
This all happened just after Lizzie Simon had graduated high school and was accepted at Columbia University. In the months before she started college, she was wrongly diagnosed with depression. When she was prescribed drugs that worsened her condition, doctors ultimately determined that she had bipolar disorder. When she needed further help once in college, she tried to go to a counselor at the campus health center. But the counselor, she says, spent an inordinate amount of time focusing in on why she had wanted to be a cat.
“This wasn’t some Freudian issue I was dealing with,” Simon told a group of keenly interested health professionals during a Thursday session at the annual meeting of the American College Health Association. “I was sick and needed help.” She ultimately stopped going to therapy and relied on private doctors to help get her through her ups and downs.
“It was a scary thing being in college with this on my back,” said Simon. “I had all kinds of self-esteem and identity issues.... All of these complex emotions I had were never addressed by the doctors.” Nor by campus health professionals, although she admits she was wary of opening up to them for fear of them sharing her information with people that she didn’t want to know about her illness, namely administrators.
Now 30, Simon has been on lithium for 13 years and has become an advocate for high school and college students coping with mental health issues. She’s written a book called Detour: My Bipolar Road Trip in 4-D, and has worked with MTV to produce programs that help young people dealing with similar emotions understand that they are not alone.
Many health professionals think they’re doing things right, said Simon. But from a student’s perspective, that may not be the case.
Throughout the conference, several health professionals said that this kind of quandary has been crossing their paths with more frequency. And many were looking for answers on how to help students feel less stigmatized, while concurrently battling administrators at some institutions who are taking steps that some feel do not have students’ well-being in mind.
In a session called “Mental Health 2006 Update,” Richard Kadison, the chief of mental health services at Harvard University, detailed the complex issues facing professionals who are coping with cases like Simon’s on a regular basis. He noted that more students are seeking treatment for mental illness while in college than ever before. Plus, more students are being treated for conditions like Attention Deficit Hyperactivity Disorder before they enter college, so more are in need of help maintaining their medications once there.
Soon after Kadison began his presentation, he offered a slide showing a boat paddle store, with a sign above it that read “Shit Creek.” “This is where a lot of us feel we are right now,” he said.
The hardest challenge, according to Kadison, is to get administrators and students to help in the effort to reduce stigma surrounding mental illness. He said that gathering institution-specific data on the numbers of students who need assistance is one route that can help get more attention focused on this topic. He also said that there has been no real legal precedent that would make administrators liable in cases where students hurt themselves on campus.
But what if a student is in such dire straits that he or she needs to leave college?
“You need to have some involuntary medical leave policy spelled out in your student handbook,” suggested Kadison. “If a student’s behavior is disruptive, the dean would have the right to tell them that they have the right to take involuntary leave.”
But Kadison noted that handbook policies aren’t effective in the short-term when a student is dealing with his or her problem but is not disruptive. He said that Harvard is fortunate in that it has a dedicated infirmary for students who are sick but remain in college. “The most difficult question we’re left with is when should a student leave,” he said.
“One of the things I hope you’ll take away is having students involved is crucial in helping administrators understand these issues,” said Kadison. He said that student support and mental health awareness groups help reduce stigmatization and provide avenues for talking about problems in a possibly less stressful environment.
Simon said that she understands all too well the difficulties involved with trying to serve mentally ill students. In an effort to help, she came armed with some recommendations from the Bazelon Center for Mental Health Law to share with health professionals regarding rights for students with mental illness. Lawyers with the organization are currently representing Jordan Nott, a former student at George Washington University, who is suing the institution because he claims he was forced to leave the institution and threatened with criminal prosecution after he sought help for depression at the university’s counseling center. The litigation was brought up several times throughout the conference.
The recommendations included nurturing the mental health of all students and working with administrators to create policies that are not punitive toward students. Sounds good, but even Simon said that she questions how far institutions should go in accommodating students who clearly need more assistance than a college or university health professional can offer. “Not every case is the same,” she said. “It’s hard.”
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College is a challenging period in a student’s life with many changes and transitions physically and mentally, on a personal, social, and professional level. This individualized society augments such challenges, as students are ill prepared to adapt and the world on many different levels. Thus, we should make it a priority to educated our Universities to better equip and educate their staff to assist and help students through this difficult time period, whether the student may have real mental issues, or is only a normal, growing, developing person. To punish a student while not admitting the Counseling/Mental Healt Dept.’s role in failing the student’s past attempts for help demonstrates recklessness and injustice on the Dean’s part, and by such an example does not positively and properly educate the student.
Angela Q., at 4:20 pm EDT on June 2, 2006
What I wonder is why colleges persist in treating their students different than people of similar ages that don’t have the benefit of going to college. Outside of academe most many Americans don’t have the benefit of going to college, and must exist in apartments and houses without the benefit of institutionalized support networks. If they do something illegal, they are prosecuted, and are generally assumed to be responsible for their own actions. (Occasionally, people are able to successfully assert an insanity defense, but contrary to popular opinion, this is rare.)
Colleges and University seem to welcome people who know that they have mental problems with open arms. Rather than asking people point blank the following question, “Are you going to harm others?” Colleges think that they can manage people who might be a danger to everyone around them by providing a limited amount of “care” and then, when something bad does happen, or when someone indicates that at some future point that they might do something harmful, expelling the person without any form of neutral inquiry to the facts, likely resulting in legal liability for the college (as they have effectively publicized that the person is a danger to others – even if they did nothing dangerous.) As I have always said, a better solution is to make sure that adequate care is available to students in the form of 3d-party insurance and health-care providers, and not even attempt to be a mother, doctor, judge and banker to every student.
Now, adopting my position doesn’t mean that people with problems won’t get an education. There are plenty of educational alternatives for people with problems. They can commute. They can take one course at a time. Sure, this won’t result in revenue for large universities, but let us not kid ourselves that this concern for peoples’ mental health is just about “the children.” It is about the money.
Personally, my culture does not accept the existence of mental illness, and I would be disowned if I went to a shrink. But since our system of laws does, and it seems to be all the rage to constantly talk about psychology, I grudgingly apply legal analysis to these norms.
Larry, at 7:55 pm EDT on June 4, 2006
The stigma attached to mental illness is contradictory to the press generated on the subject. The answer is join NAMI and self educate then practice acceptance and understanding. I’ve seen my daughter paralyzed by the stigma and it’s repercussions NOT by her mental illness. She is a college student who also works part time. NAMI has changed the lives of our family...we accept because we understand and we cope because we know how.
Rebecca, at 7:25 pm EDT on June 5, 2006
From the perspective of a parent, I feel that Universitites have too much power, and thereby are in the position reassess their systems (but not necessarily conduct themselves as parents, bankers etc.). For the future, recommending other sources beyond the Institution, as suggested, is a good idea— and would be the most reasonable approach in ensuring the quality and thoroughness. My concern, however, is the Universities approaches towards current cases. They may possess a lot of responsibilty, but they do not seem to admit responsibility for their misjudgements, procedures, and system errors. I knew a student who was charged with harrassment for sending her TA love notes. The University’s response to this was to put the student on probabtion, and stipulate that the student obtain a mental evaluation or otherwise not graduate. This was a responsible student who allocated her time towards tutoring low income elementary students and volunteering at shelters— she meant no harm with her notes. Obviously the system is getting out of hand with the paranoia, power plays, and biases without the forward question “are you going to harm/hurt this person". Needless to say, the student was traumatized by the experience as a result of the University’s politically correct, irresponsible approach towards the definition and determination of mental instability. I wholeheartedly advocate the straight-forward method, all cards on the table method of questioning or counseling— leaves less room for second-guessing or incorrect, harmful speculation for the parties involved.
Sharon, at 9:00 pm EDT on June 6, 2006
Rebecca, I don’t get it. Are you saying that if I “educate” myself, I will jettison my cultural beliefs and automatically agree with you who has a clearer view of truth? There are stigmas attached to lots of things: physical appearance, lack of graduate education, watching TV, putting beads on your rear-view mirror, and smoking (to name a few). Why should mental illness be any different, especially when people tend to want to stay around people with mental defects.
In this case, I am somewhat sympathetic to the girl who thought she was a cat, but I would not her as my lawyer, doctor, driver, or stylist. She could, however, be my exterminator, because I have a mouse problem.
Sharon, While your comment is vague in places, I think you are driving at the right idea: colleges need to define what they are going to do for all who are associated with them. (E.g. faculty are paid, promoted and given benefits; students are charged, “taught” and provided with housing on the same basis as any other landlord. Whether or not someone helps out poor kids is irrelevant to whether they are competent to exist in a higher-education setting.
Larry, at 9:50 am EDT on June 7, 2006
Larry, what makes you think you should be allowed to exist in “a higher education environment” with such a narrowminded veiw on the world around you. Some could say you suffer from narccisim by how you feel your oppinions are the only ones that count.
Tom, at 11:00 am EDT on September 21, 2006
Larry. You are too ignorant for your own good. If you look up Florence Nightingale and Huysmann the composer you will learn that suffered from similar conditions to the girl who thought she was a cat.
Florence Nightingale is a pioneering nurse who revolutionized the health care system, and Huysmann is a leading classical composer. People like YOU and almost everyone else don’t mind taking from those who can give to them. Society is a meritocracy. We are all taught to chase the American Dream or die for it. (Japanese people work 80 hour weeks and if they get sick they commit guolaosi ( A Chinese word for) suicide)Suicide is the leading cause of death among young people in many nations. Your attitudes contribute to suicide amongst people of your culture who do not tolerate illness. Type your country, mental illness and suicide on google (The rates may be high, and the services may be inadequate)
Huysman was great composer he gave much to this world. So did Florence NightingaleWhere would nursing be without her.
But When the givers and the functioning get sick you toss them aside because you are too ignorant for your own good.
Your sort of ignorance is just as bad as militant racist nationalism in times when the Japanese murdered the Chinese, or during the time when Pearl Harbour was bombed, racism is everywhere. I have heard that man in wheel chair with cerebral palsy had his eyebrows burnt of by some violent not ill prejudiced people who thought they were being funny. (The judge only gave them a light sentence). Sexual abuse is prominent and the culprit is not even mentally ill.Pedophilia is rife in Thailand, and the poor parents endorse it.
Be glad that your mother does not have Alzheimers disease which is a little similar to the disease of the girl who thought she had a cat. One day you might end up sick. and your racist nazi friends will make you feel suicidal because you belong in a society that has ill been informed.
When people vote for Saddam Hussein or President Bush and opt to go to war are they sane???? When people choose Nazism, and mass culling as a solution to the ills of the world are they sane. Institutions can also be sick. Society can also be sick and unaware of its own insanity until it is too late. Understand those people in the nursing homes and who get help. Understand the poor autistic boy who happens to be genius.A member of the band The Vines has a mild form of aspergers.
They are not a danger if they are able to get help, and people are not in favour of the Nazis. By creating stigma you prevent people getting help. You create perpetual sickness, homelessness. The worst that can happen is only if the person is acting violent towards another person. That when those people can be involuntarily locked up
In 1 in 4 relationships there is violence and the culprit does not have a mental illness.
Learn that not all criminals have a mental illness. Most are just plain evil.
Secondly learn to support people who get help. Not all people who are violent are mentally ill. Some of them watch too much Jerry Springer, do drugs, or a part of a militant gang that plays with knives and deals in prostitution and violence.Some people are paid to be hit men.
Armed forces do not always identify their targets correctly and can accidentally kill many innocent civilians during times of invasion. Acid bombs can burn off the faces of these innocent civilians.
You need to get help Larry. You need to educate yourself on the internet
You are sick yourself, Larry!Just learn that sick is not necessarily evil
Sickness and health is one scale.
Good and evil is another.
Go watch ‘A Beautiful Mind’ Don’t do drugs like Chrystal. Fergie from the Black Eyed Peas took it. Promote an environment where people are safe to bounce back and function again. Some people have relatives who are sick. How would you deal with your parents being mentally ill if they were not harming you?Do you just disrepect them then?
Polly, at 8:20 pm EDT on October 20, 2006
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Is this double-speak or a typo?: If a student’s behavior is disruptive, the dean would have the right to tell them that they have the right to take involuntary leave.
Larry, at 1:15 pm EDT on June 2, 2006