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• Decline in quality of work/grades
• Repeated absences
• Disruptive behavior
• Disorganized thinking in writing/presentations
• Repeated requests for extensions
• Overly demanding of faculty/staff time and attention
• Conduct that interferes with classroom, activity or engagement
• Bizarre content in writings/presentations
• Student meetings are dominated by personal content rather than educational matters

• Marked changes in physical appearance: deterioration in grooming, changes in hygiene, and weight loss/gain
• Excessive fatigue, listlessness
• Sleeping or eating too much or too little
• Intoxication, hangover, smelling of alcohol
• Disoriented, 鈥渙ut of it,鈥� or forgetful
• Hyperactivity, garbled, rambling, tangential, disconnected or slurred speech
• Strange ideas/beliefs or paranoia
• Isolation/withdrawal

• Excessive self-disclosure of personal distress, losses, family problems or financial difficulties
• Withdrawal or agitation
• Unusual/disproportional emotional response to events
• Excessive tearfulness, panic reactions, irritability, or apathy
• Antagonistic and impulsive behavior
• Verbally abusive 鈥� taunting, badgering, intimidation
• Expressions of concern about the student by the student鈥檚 peers
• Loss of pleasure
• Major shifts in mood
• Isolation from friends, family, or classmates
• Recent major stressors such as the loss of a loved one, relationship break-up, etc.

1. Nazareth Health and Counseling Services (confidential) 585-389-2500
2. Title IX Coordinator 585-389-2877
3. Center for Spirituality (confidential) 585-389-2308
4. Virtual Support and Services

Rochester Area Resources听(these agencies are not obligated to report to Nazareth)

1. 585-546-2777
2. 911
3. Rochester Police Department Victims Assistance
   585-428-6630
4. Monroe County Sheriff, Victims Assistance
   585-753-4389
5. 585-753-4573
6. 585-733-5481
7. 585-545-7200
8. 585-222-7233
   Text 585-348-7233
   TTY Phone 585-232-1741
9. 866-341-7773
10. 585-232-4090
11. 听
    844-845-7269
12. 听听
    585-275-4325

1. 1-800-656-4673
2. 1-800-273-8255
3. 1-800-799-7233
   TTY Phone 1-800-787-3224
4. Text HOME to 741741
5. 1-866-331-9474
   TTY Phone 1-866-331-8453
   Text Line Text LOVEIS to 22522
6. 1-866-488-7386
   Text Line Text START to 678678
7. 1-877-565-8860

:听1-800-273-8255:听Lifeline assists people in immediate crisis with a skilled, trained crisis worker who will listen to the problems they are experiencing and will connect them to local mental health services. All calls are confidential and free.

: text "start" to 741-741.听Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24/7 support via mediums people already use and trust.

:听1-585-275-8686. Available to those who may be coping with mental health concerns, such as a panic or anxiety attack, but who do not feel the need to visit the Psychiatric Emergency Department at the University of Rochester Medical Center. Counselors can help callers work through feelings of anxiety, panic attack, depression, isolation, etc.

:听1-866-488-7386听or text 678-678. Trained counselors who understand the challenges LGBTQ+ young people face are available for support 24/7.听