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Psychological Disorders
Psychological disorders refer to a wide range of mental impairments characterized by debilitating behaviors that persist for more than several months and significantly restrict the performance of one or more major life activities. Examples of psychological disorders include major depression, bipolar disorder (also see Neurological Disorder), anxiety disorders, schizophrenia, and personality disorders (EEOC, 1997). A student with a psychological disability may have one or more diagnoses.
Functional Limitations
In most situations, students with psychological disabilities will not show outward signs of the disability. Nevertheless, psychological disorders are disabling and pose many challenges to effective academic performance. Fear of stigma makes some students reluctant to self-disclose, even when they are experiencing academic difficulties. Students may experience various difficulties that include but are not limited to:
Chronic fatigue or pain
Sleep problems
Undesirable side effects of medications
Maintaining stamina throughout the day or from week to week
High levels of anxiety or depression, or extreme mood swings
Severe test anxiety
Problems concentrating, understanding, or remembering
Problems managing assignments, prioritizing tasks, and meeting deadlines
Difficulty interacting appropriately with others, including participating in group work or approaching instructors
Difficulty understanding and correctly interpreting criticism or poor grades
Problems coping with unexpected changes, such as changes in assignments, due dates, classrooms, or instructors
Difficulty screening out environmental stimuli (sounds, sights, or odors) that interfere with concentration
Feeling misunderstood, ignored, invalidated, or stigmatized
Difficulty articulating needs
Accommodations
Accommodation needs of students with psychological disabilities vary greatly by individual and academic activity. Typical accommodations for a student with a psychological disability may include:
Prearranged or frequent breaks
Preferential seating, especially near the door to allow leaving class for breaks
Beverages permitted in class
Use of audio recorder/note-taker
Early availability of syllabus and textbooks
Exams in alternate format (e.g., from multiple choice to essay, oral presentation, role-play, or portfolio)
Use of assistive technology
Extended time on exams
Exams in a separate location
Teaching Strategies
Establish a welcoming climate.
Establish standards of classroom behavior for all students. Be consistent, caring, and firm in holding all students to the established standards
Address essential academic expectations the first day of class, and repeat them often
Employ Universal Design for Education strategies to build flexibility into the course. Allow students to learn and show what they have learned in a manner that is suitable to them
Engage students in continuing dialogue to help minimize problems.
Speak with the student privately when dealing with a problem, so as not to embarrass the student in front of peers
Brainstorm solutions with students. Be prepared to listen and to involve students in finding solutions to their problems
Ask students to repeat back to you what was agreed on.
Be patient and non-judgmental; avoid sarcasm
Embrace diversity to include students with psychological disabilities
If you sense that discussion with the student may not be effective, refer the student to the office of disability services
Our Sources and Additional Resources
U.S. Equal Employment Opportunity Commission (EEOC) Enforcement Guidance on the Americans with Disabilities Act and Psychiatric Disabilities:
http://www.eeoc.gov/policy/docs/psych.html
Center for Applied Special Technology:
http://www.cast.org/index.html
DO-IT Home (University of Washington):
http://www.washington.edu/doit/Faculty/
Working with College Students who have Psychological Disorders (Texas A&M University System Disability Training Network):
http://dtn.tamu.edu/pdf/ts-psychdisorders.pdf
Center for Psychiatric Rehabilitation: How-to Tips for Educators:
http://cpr.bu.edu/resources/reasonable-accommodations/how-to- tips-for-educators
National Alliance for the Mentally Ill (NAMI):
http://www.nami.org/
Fast Facts for Faculty: Invisible Disabilities in the University (The Ohio State University Partnership Grant):
http://ada.osu.edu/resources/fastfacts/Invisible_Disabilities.htm
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