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Student mental health part 2

Following on from my last post about student mental health, here’s a post from the other side of teaching about making space for “quiet students”. There are some really interesting ideas there and it’s made me reflect on my own teaching practice.

When I was an undergraduate, one of the people I was taught by seemed to have an air of desperation and mute appeal whenever we scrutinised the floor rather than meet his eyes. I found it unbearable; it would make the seminars drag on (dull – I wanted to get to the interesting stuff!) and honestly, I felt kind of sorry for him. So I talked a lot (which I disliked, and disliked myself for not shutting up) but furthermore, I felt I was being forced into the position of the talkative student who risked looking daft just so that the tutor at least had something to build on. I wasn’t a quiet student, but I resented not being given the chance to be one.

When I started teaching, I was determined not to reproduce that dynamic but at the same time, didn’t want to pick on people. I think there’s room for silence as a pedagogical tool but it wasn’t something that I wanted to use on a regular basis. In addition, I knew what access requirements my students had requested; some of these requirements concerned seminar room dynamics.

Instead I got my students to talk in pairs, trios or small groups while I visited each group in turn, listening to what they had to say, encouraging them and making sure they would have something to offer. I then brought the whole seminar group together and elicited something out of each group. I don’t know how obvious it was to my students but everyone got the chance to speak in the seminar and usually did so.

Obviously this tactic wouldn’t work everywhere and in every type of seminar which is why I liked Sarah’s post so much. I also think that strategies for helping quiet students create a better environment for everyone – everyone gets a chance to participate, no one feels vaguely resentful like I did as an undergraduate, and these strategies help make a seminar a supportive environment where students can try out ideas.

Something I didn’t discuss was mental health as specific to PhD students; this isn’t due to me not caring but, rather, it being a bit too personal. Jessica has recently been writing about this – there’s more in the series, but I particularly liked PhD blues: mental health and the PhD student and Having “the chat” with your supervisor: what I talk about when I talk about depression.

I also like this post about the experience of doing a PhD while disabled or chronically ill and the sheer stubbornness it takes: disabled PhD students of the world unite, unite and take over

And yet our inability to show up has no significant bearing on our ability to contribute beautiful original things to the world. We have the experience of working successfully according to our own strategies: we must do, for how else could we be here, now? We have strategies to get around these walls in our world. We need only your support, your belief, and your acknowledgement that the stories here speak to a state of affairs whose days should be numbered.

In other words: we know how to do this. All we need is the right support, the right conditions. In this respect we are no different from any other PhD student, or any student, or any individual embarking on a project of any kind.

Every single PhD student has worked hard to be where they are. Every single disabled PhD student has had to do this work within a context where things may be harder than they are for your average bear. They are not the only ones. Nonetheless, their experiences represent a distinct category of experiences among many. As with so many things it is only by bringing these experiences before the eyes of the world that we can hope that things will ever improve.

Student mental health

I recently read a Time To Change blog post on starting university with a mental health problem and it made me wonder what advice I’d give to a student in that position.

I was an LGBT welfare officer at Nottingham and I considered it part of my role to know as much as possible about structures for student welfare and advice – everything from housing issues to sexual health – all of which stood me in good stead when I began teaching. If a student came to me with a problem, chances were that I’d know where to find information to help them – or at least know where to start looking.

Student mental health is one of the things I care a lot about and it both frustrates and terrifies me that information about student mental health can be so difficult to find on university websites. So with that in mind, here are three things that I’d especially like students to know.

Identify formal sources of support

You’ll probably be assigned a personal tutor who’ll be your first point of contact if you have any problems or issues. If you don’t click with them you can usually swap to someone with whom you’ll get on better. Some departments may have mentorship schemes where you can ask to be matched with a postgraduate researcher and have regular meetings with them.

In my experience, there is support for mental health issues in universities but these aren’t necessarily well signposted. For example, in my university, people who can help with mental health issues include department disability liaison officers (DLOs), the counselling service, the disability advisor based in the student union, the postgraduate disability advisor, the Disabled Students Network, a mental wealth group, HealthyU and a mental health advisor in Occupational Health. Because it’s a university, no one talks to each other and it seems to come as a genuine surprise to some of these that others exist.

I know, it sucks that you have to negotiate this and learn more about the arcane systems of a university than any of your peers, but on the other hand you will gain an unparalleled education in “organisational structures” and will be able to negotiate the shit out of any workplace or organisation you may end up dealing with in the future. Sorry, that’s not really much consolation.

I’d recommend talking to different people, groups and services and working out which of them are useful to you and which are not. If you don’t find a service useful or find that it actively upsets you, then don’t feel compelled to stay with it. Some people find peer support useful; others find counselling useful; others just want to check in with the DLO every so often. Whatever works for you.

Work out what you need to do to be formally recognised as disabled

Unfortunately, this is one of the things that differs between universities. You’ll probably have to contact your university’s disability office or student services to find out about this – in my experience, different departments range from incredibly clued up, helpful and supportive (like my current one) to them going “errr, you what now?” if you try asking (some others I could mention).

In the University of Nottingham, you generally start by disclosing a disability or Specific Learning Difficulty/dyslexia or a long-term medical condition. You’ll probably meet someone to discuss what reasonable adjustments you require to support your studies. Reasonable adjustments include things like getting work to you (for example, providing handouts and slides in advance of the lecture/seminar or in a different format), recording lectures, arrangements about group work, scheduling seminars, and arrangements for assessments and exams. You’ll then end up with a Disability Referral Form, which briefly outlines the nature of the condition and what sort of support you need – these then go to your department and, in turn, your tutors.

It’s a good idea to get one of these even if your mental health is well managed – the last thing you want in the middle of a crisis is someone turning around and saying “sorry, we can’t give you an extension because you’re not on record as having a disability”. Even if you don’t end up requesting different arrangements, they’re useful because they let your department know you exist – and if you ever do need additional support, it’s like a fasttrack ticket to help.

You won’t be alone in having a referral form either; both undergraduates and postgraduates have them, including postgraduates who teach. Your seminar tutor or lecturer could be among them.

Talk to us

Having taught students with mental health issues, nothing worries me like one of them seemingly disappearing off the face of the earth. I’d much rather they let me know they were alright but too anxious to attend seminars, or they’d switched medication and it was making them sleep through their alarms, or they were too depressed to leave their room. These things happen, and if the student lets the department and me know about it, we can do something about it – like move the student to an afternoon seminar group, meet them individually to help them catch up on work, reassure them about coming to a seminar or direct them to better sources of support.

It’s also better to do this sooner rather than later – let us know when there’s a problem developing rather than when you’ve got loads of work to catch up on and are feeling a horrible mixture of guilt and anxiety for missing so much work, making it impossible to approach your tutor. There are things we can do to help.

Ultimately, we want our students to get as much as possible out of university and develop intellectually, creatively and personally. Mental health problems mean that it might not be easy or straightforward, but it’s still possible to do very well – indeed excel – at degree level.

Thanks to Heather and Alex Brett for their much appreciated comments on this post