Alludo Blog

When Students Struggle: Recognizing Mental Health Warning Signs

Written by Rebecca Barron | Jun 7, 2025 9:00:00 AM
🕵️ PD Intelligencer - JUNE 7 2025

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ONE BIG IDEA

Student Mental Health: Spot the Signs, Take Action

Your guide to confidently recognizing warning signs and taking action that makes a difference

The numbers tell a troubling story of what teachers face on a daily basis. Nearly 60% of teens struggle with anxiety or depression, yet only 48% of schools can provide adequate mental health services.

The gap is growing, and as a teacher, you're increasingly the first responder when students are in crisis.

The most commonly identified barriers include insufficient mental health staff coverage and inadequate funding.

Here's the hopeful truth: Early identification by teachers can be life-changing.

Since almost half of lifelong mental health conditions begin by age 14, your awareness and action can connect students with crucial support during the most critical window for intervention.

Warning Signs That Hide in Plain Sight

 

Spotting mental health concerns isn't always about dramatic behavioral outbursts.

Often, the most significant red flags are subtle shifts that happen gradually over time.

Academic Red Flags

  • Look for patterns, not isolated incidents
  • Like a student who consistently submitted quality work but now turns in incomplete assignments, shows declining grades, or stops participating

Social and Behavioral Changes

  • Social withdrawal: The chatty student now eats alone, avoids group work, seems isolated
  • Mood shifts: Persistent irritability, sadness, or emotional outbursts that seem disproportionate to the situation
  • Physical complaints: Frequent visits to the nurse, headaches, or stomach aches with no clear medical cause
  • Changes in appearance: Neglecting personal hygiene, dramatic weight changes, or wearing inappropriate clothing for the weather

Attendance and Engagement Patterns

  • Chronic tardiness or absences: Especially when combined with other warning signs
  • Disengagement: Not participating in activities they previously enjoyed, appearing "checked out" during lessons
  • Restlessness or inability to focus: Difficulty concentrating that represents a change from their baseline behavior

The Severity Question

  • Context is everything. A shy student who rarely speaks up but engages appropriately with peers may simply need encouragement
  • However, a student who shows multiple warning signs—isolation, declining grades, frequent nurse visits, and mood changes—likely needs professional evaluation
  • As one mental health expert notes: "If you see warning signs repeatedly, it's time to investigate what's going on with that student."

Recognition is only the first step. Here's exactly what to do next.

Your 4-Step Action Plan When You Spot Trouble

 

When you notice concerning patterns, having a clear action plan removes the guesswork and empowers you to respond effectively.

Step 1: Document What You Observe

Keep brief, factual notes about specific behaviors and dates.

  • Write "Student A missed three classes this week and appeared tearful when present" rather than "Student A seems depressed."

This documentation helps school counselors and parents understand the scope and timeline of concerns.

Step 2: Create a Safe Opening

Choose a private moment to check in with the student. Use these conversation starters:

  • "I've noticed you seem different lately. How are things going for you?"
  • "You haven't been yourself in class recently. Is everything okay?"
  • "I'm here if you need someone to talk to. What's on your mind?"

Listen without judgment and avoid trying to solve everything immediately. Sometimes students just need to feel heard by a trusted adult.

Step 3: Know Your Reporting Path

Every school has a protocol for mental health concerns. Typically, this involves:

  • Immediate safety concerns: Contact administration, school counselor, or call crisis services immediately
  • General concerns: Reach out to the school counselor or social worker within 24-48 hours
  • Parent communication: Follow your school's policy—some require counselor involvement first

Step 4: Follow Up Appropriately

After making a referral, continue to be a supportive presence.

  • Check in periodically with simple gestures, such as a smile, a brief positive comment, or asking how their day is going.
  • Avoid probing about their mental health directly unless they bring it up.

Red Alert: When to Call for Help Immediately

Contact administration or emergency services immediately if a student:

  • Talks about harming themselves or others
  • Shows signs of substance use
  • Appears to be in immediate physical danger
  • Exhibits behavior that threatens classroom safety

Boundaries That Protect Everyone

 

Understanding your role versus a counselor's role protects both you and your students while ensuring they get appropriate help.

What IS Your Role:

  • Observer and reporter: Notice patterns and communicate concerns to appropriate professionals
  • Supportive adult: Provide a caring, consistent presence and safe classroom environment
  • Bridge to help: Connect students with qualified mental health professionals
  • Educator: Continue teaching while being understanding of mental health impacts on learning

What ISN'T Your Role:

  • Diagnosing: Never attempt to label or diagnose mental health conditions
  • Therapy provider: Avoid trying to provide counseling or therapeutic interventions
  • Crisis counselor: While you can provide immediate support, refer serious mental health crises to trained professionals
  • Confidentiality keeper: You're mandated to report safety concerns, even if a student asks you to keep secrets

Legal and Ethical Guidelines

  • Mandated reporting: You're required by law to report suspected abuse, neglect, or immediate safety threats
  • Documentation: Keep records factual and behavior-focused, not interpretive
  • Privacy: Share information only with appropriate school personnel who need to know
  • Professional boundaries: Maintain appropriate teacher-student relationships while being supportive

Working with Parents

When mental health concerns arise, parent communication requires sensitivity.

  • Focus on observable behaviors rather than diagnoses: "I've noticed Sarah has been having difficulty concentrating and seems withdrawn in class. Has she mentioned anything about school or expressed any concerns at home?"

Some parents may be defensive or in denial. Stay factual, express care for the student, and suggest they speak with the school counselor for guidance and resources.

 

Prevention First: Building Mental Health Into Your Daily Routine

 

The most powerful mental health support happens through prevention—creating classroom conditions that promote emotional well-being for all students.

Create Psychological Safety

  • Establish clear expectations: Students feel secure when they know what to expect
  • Celebrate effort over perfection: Praise progress and learning from mistakes
  • Address bullying immediately: Zero tolerance for meanness, teasing, or exclusion
  • Model emotional regulation: Show students how to handle frustration, disappointment, and stress appropriately

Build Connection and Belonging

  • Learn about your students: Show genuine interest in their lives, hobbies, and goals
  • Create opportunities for success: Ensure every student experiences achievement and recognition
  • Encourage peer support: Foster classroom community where students care about each other
  • Be predictably positive: Greet students warmly, use their names, and show you're glad they're there

Integrate Social-Emotional Learning

  • Teach feeling vocabulary: Help students identify and name emotions accurately
  • Practice mindfulness: Start class with brief breathing exercises or centering activities
  • Discuss coping strategies: Share healthy ways to handle stress, anxiety, and disappointment
  • Normalize help-seeking: Talk openly about when and how to ask for support

Environmental Considerations

  • Create calm spaces: Designate a quiet corner where students can decompress when overwhelmed
  • Use natural light: Open blinds and use lamps when possible to create a welcoming atmosphere
  • Display positive messages: Include affirming posters about growth, resilience, and support
  • Maintain organization: A tidy, organized classroom reduces anxiety and promotes focus

Responsive Teaching Strategies When you know a student is struggling with mental health:

  • Provide extra processing time: Allow additional time for assignments or responses
  • Offer choice: Give options in how students demonstrate learning
  • Check in privately: Brief, supportive conversations can make a huge difference
  • Adjust expectations temporarily: Academic accommodations during mental health crises prevent additional stress

Your Confident Next Steps

 

You don't need to be a mental health professional to make a profound difference in a struggling student's life. Your awareness, care, and willingness to connect students with appropriate help can be literally life-saving.

Take Action This Week:

  1. Today: Review your school's mental health protocols - Know exactly who to contact and when
  2. This week: Practice observation skills - Spend time really noticing your students' behaviors and patterns
  3. Ongoing: Identify your "trusted adult" role - Recognize that simply being a caring, consistent presence is powerful
  4. Before the next crisis: Prepare conversation starters - Feel ready to check in with students when you notice concerns

Remember Your Impact: Research consistently shows that students who feel connected to adults at school are significantly less likely to experience persistent sadness, hopelessness, or suicidal thoughts. Your classroom may be the safest place some students experience all day.

You're not responsible for fixing every problem or healing every hurt. You are responsible for creating a caring environment, noticing when students struggle, and connecting them with help. That's exactly what great teachers do—and exactly what struggling students need.

The Bottom Line: Mental health awareness isn't an additional burden on your already full plate. It's a lens through which to view the work you're already doing, making you more effective at reaching every student and creating the supportive learning environment where all children can thrive.

Start small, trust your instincts, and remember that your caring attention might be the first step toward getting a student the help that changes their life.

Before you go: Here is how we can help

Alludo - we have helped district leaders across the country increase capacity in thousands of schools by successfully delivering millions of evidence-based professional learning lessons to their educators and staff members.

See you next Saturday!

Rebecca