When to Refer for further Assistance

Some signs that suggest problems for which the student should be referred for assessment are if the student:

  • Manifests a change in personality (goes from being actively involved to quiet and withdrawn, or goes from being quiet to more agitated or demanding).
  • Begins to display aggressive or abusive behavior to self or others; exhibits excessive risk-taking.
  • Shows signs of memory loss.
  • Shows loose or incoherent thought patterns, has difficulty focusing thoughts, or displays nonsensical conversation patterns.
  • Exhibits behaviors or emotions that are inappropriate to the situation.
  • Displays extreme suspiciousness or irrational fears of persecution, believes they are being watched or followed, etc.
  • Withdraws, not allowing others to be close.
  • Exhibits signs of hyperactivity (unable to sit still, difficulty maintaining focus, gives the impression of going "too fast," appears agitated).
  • Shows signs of depression (no visible emotions or feelings, appears lethargic, loses weight, looks exhausted and complains of sleeping poorly, displays feelings of worthlessness or self-hatred, or is apathetic about previous interests).
  • Talks about unusual patterns of eating, not eating, or excessively eating.
  • Shows signs of injury to self, cuts, bruises, or sprains.
  • Experiences deteriorating academic performance (incapacitating test anxiety, sporadic class attendance, or extended absences from class).
  • Begins or increases alcohol or other drug use.
  • Makes statements regarding suicide, homicide, feelings of hopelessness, or helplessness.

Emergency Services

The Counseling Center offers after-hours emergency coverage for urgent mental health concerns such as suicidal thoughts, sexual assault, and other trauma.  Call the Counseling Center at 828-262-3180 and select the option to speak with the counselor on-call.

During operating hours, students in crisis can walk in any time.

Prevent Suicide Block

Contact Us


Physical Address: 
1st Floor, Miles Annas Building
614 Howard Street 
Boone, NC 28608-2044

Mailing Address:
P.O. Box 32044
Boone, NC 28608

Phone: 828-262-3180
Fax: 828-262-3182

Hours of Operation:
Monday - Friday 8:00 a.m-5:00 p.m

Initial Consultation Hours:
Monday - Friday:
8:30-11:00 a.m. & 1:00-4:00 p.m.

 - Please Note -
During Summer Sessions, Initial Consultation Hours at times may vary. Please contact us at (828) 262-3180 for our current schedule and to verify availability.

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