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The case for grace when students are struggling with their mental health

Why 'real world' arguments against accommodations fall flat.

mental health depression anxiety education
Photo by Andrik Langfield on Unsplash, Cameron Mozafari/Twitter

A college professor shared why he accommodates students experiencing mental health struggles.

If you've ever battled anxiety or depression or have lived with someone who does, you know how debilitating it can be. No matter how much you want the brain to cooperate, sometimes it simply won't, and it's not possible to reliably predict when that's going to happen.

I've spent years helping my college-aged daughter figure out how to best manage a severe anxiety disorder. She's a bright young woman who really wants to do her best, but the anxiety monster in her brain makes that difficult. I've watched her knock out an impressive paper for a class in a short amount of time and I've watched her sit at the computer with a stack of sources struggling for hours to get her brain to put two coherent sentences together. Same person, same capabilities. It's not that she doesn't want to do the work or that she isn't trying, it's just that she's in a constant battle with her anxiety monster, and sometimes the monster wins.

I liken it to a person who has a bum knee that gives out at random times. They may have exercises and therapies to try to keep it from going out, and some days they can walk around just fine. But they may have chronic pain people don't see and sometimes things happen that can't be predicted—a wonky staircase, a longer-than-anticipated trek, an icy sidewalk—that can throw things off and suddenly make them incapacitated.

No one with any sense of empathy would expect a person with an injured knee to keep walking. They'd understand that the person might need a wheelchair or walker or cane sometimes. They'd understand that it might take that person a little longer to get from point A to point B. They'd be sympathetic if the person needed to rest their leg a bit before being ready to walk again and wouldn't bat an eye at the accommodations needed to help that person be mobile.

But unlike a visible physical injury or disability, mental health disorders aren't always obvious. A person can seem "fine" from the outside but can be struggling in ways that make it nearly impossible to function the way they want to on the inside.

That's why a Twitter thread from a college professor about accommodating a student struggling with depression is resonating with so many people. Cameron Mozafari, a senior lecturer at Cornell University's College of Engineering, shared his thoughts on allowing students to turn in late work when they're experiencing mental health struggles.

Mozafari described a student with major depression who asked if they could make up the work they'd missed after they'd disappeared for a few weeks. When he said, "Of course," they were confused and asked him if they'd get points marked off. Mozafari said colleagues had chastised him for the leniency he shows students struggling with mental health, saying he was setting a double standard: "Everyone else has to get the work in on time, so why don't folks in crisis?"

Mozafari understands something those colleagues don't, and he explained it perfectly:

"If my depressed student could do the work, I imagine they would. They, however, couldn't. Because their brain blocked them from being able to do much of anything. Will they always be like this? Maybe. I don't know. Will I still accommodate? Yes, why not?"

Bingo. If they could, they would. Trusting that students with mental health challenges really do want to do their best is such a simple but vital practice.

Mozafari also tackled the "real world" arguments that people often try to make against accommodations. College is supposed to prepare them for the "real world," and the "real world" is a supposedly cold, unsympathetic place where expectations are always high, rules are always rigid and no one is ever given any grace.

But as Mozafari points out, this student's life is real. Their depression is real. Their experience is real. The "real world" is full of all kinds of people with all kinds of challenges that sometimes require accommodations.

"The message we communicate to students when we don't accommodate mental health issues is that the 'real world' won't accept their mental illness," he wrote. "Whether that's true or not, I don't know. But if it is true, that's not the real world I want to usher any student into."

The truth is that everyone's "real world" experience is different, but no matter what defines the world we live in, empathy and kindness and understanding are always helpful, always appreciated and always on the table. Every single one of us has a role in creating the "real world"—so why did we decide that those who cling to harsh, cruel perspectives on humanity are the ones who get to make the rules?

The real world isn't as awful as many people make out. My daughter has often lamented asking a professor for an extension on an assignment, but the vast majority of the time, they have been not only accommodating, but genuinely understanding. She has had professors who have opened up about their own struggles and who have sent her words of encouragement that helped counter the negative thoughts her brain throws at her.

One commenter pointed out that being given grace by a professor actually made them want to work harder—"I felt like someone believed that I was smart and capable and worth fighting for when I didn't believe those things about myself"—and I've seen that reflected in my daughter as well.

Another commenter pointed out that when people are having a mental health crisis, their work is usually one of the last things to go. So if someone is asking for accommodations, they're in a state where they really are having a hard time functioning.

Considering the fact that the median onset age for mental health disorders is late teens through early 20s, high school and college students need flexibility as they learn to manage their brain function. It can take time to find the right therapist and/or the right medications, and students ought to be given room for that while they're also trying to get their education.

Extending grace and offering encouragement won't bring the world to a screeching halt and it won't create bad habits in people battling their own brains. Accommodating mental health struggles lets students know that they are seen and understood and that their teachers and mentors want them to succeed, which is a far more powerful and transformative message than old, tired lectures about the "real world."

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Three women, three MS journeys: How multiple sclerosis looks different for everyone

Gina, Nathalie and Helga share their reactions to being diagnosed with MS and how they stay informed and positive in the face of ever-changing symptoms.

Courtesy of Sanofi

Helga, Nathalie and Gina all have MS, and their experiences show how differently the disease can manifest.

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It’s been 155 years since neurologist Jean-Martin Charcot gave the first lecture on a mysterious progressive illness he called “multiple sclerosis.” Since then, we’ve learned a lot. We know MS causes the immune system to attack healthy tissue, including damaging the brain and spinal cord. Resulting symptoms can be debilitating and include fatigue, blurred vision, memory problems and weakness. Huge advancements in our understanding of MS and its underlying causes, as well as treatment advances, have been made in the past few decades, but MS remains a complex and unpredictable reality for the 2.8 million+ people diagnosed around the world.

Ironically, the only real constant for people living with MS is change. There’s no set pattern or standard progression of the disease, so each person’s experience is unique. Some people with MS have mild symptoms that worsen slowly but sometimes improve, while others can have severe symptoms that drastically alter their daily lives.

All people with MS share some things in common, however, such as the need to stay informed on the ever-evolving research, find various lines of support and try to remain hopeful as they continue living with the disease.

To better understand what navigating life with MS really looks like, three women shared their MS stories with us. Their journeys demonstrate how MS can look different for different people and interestingly, how the language used to talk about the disease can greatly impact how people understand their realities.

woman with horse, woman riding horseGina loves riding her horse, Benita.Courtesy of Sanofi

Gina—Hamburg, Germany (diagnosed with relapsing multiple sclerosis in 2017)

When her youngest son was 4 months old, Gina started having problems with her eye. She’d soon learn she was experiencing optic neuritis—her first symptom of MS.

“Immediately after the diagnosis, I looked up facts on MS because I didn’t know anything about it,” Gina says. “And as soon as I knew what could really happen with this disease, I actually got scared.”

As her family’s primary income provider, she worried about how MS would impact her ability to work as a writer and editor. Her family was afraid she was going to end up in a wheelchair. However, for now, Gina’s MS is managed well enough that she still works full-time and is able to be active.

“When I tell somebody that I have MS, they often don't believe me the first time because I don't fulfill any stereotypes,” she says.

Overwhelmed by negative perspectives on living with MS, Gina sought support in the online MS community, which she found to be much more positive.

“I think it’s important to use as many positive words as you can when talking about MS.” It’s important to be realistic while also conveying hope, she says. “MS is an insidious disease that can cause many bad symptoms…that can be frightening, and you can't gloss over it, either.”

To give back to the online community that helped her so much, Gina started a blog to share her story and help others trying to learn about their diagnosis.

Though she deals with fatigue and cognitive dysfunction sometimes, Gina stays active swimming, biking, riding horses and playing with her sons, who are now 11 and 6.

Cognitive dysfunction is common in MS, with over half of people affected. It can impact memory, attention, planning, and word-finding. As with many aspects of MS, some people experience mild changes, while others face more challenges.

Gina says that while there’s still a lot of education about MS needed, she feels positive about the future of MS because there’s so much research being done.

woman in wheelchair holding medal, woman rowingNathalie is an award-winning rower with multiple international titles.Courtesy of Sanofi

Nathalie — Pennes Mirabeau, France (diagnosed with relapsing-remitting multiple sclerosis in 2002)

Nathalie was a teenager and a competitive athlete when she noticed her first symptoms of MS, but it would take four years of “limbo” before she was diagnosed.

“Ultimately, the diagnosis was more of a relief, than a shock,” she says. “Because when you have signs and you don’t know why, it’s worse than knowing, in the end, what you have.”

However, learning more about the disease—and the realities of disease progression—scared her.

“That glimpse of the future was direct and traumatic,” she says. Her neurologist explained that the disease evolves differently for everyone, and her situation might end up being serious or very mild. So, she decided to stop comparing herself to others with MS.

She said to herself, “We’ll see what happens, and you’ll manage it bit by bit.”

By 2005, Nathalie’s MS had progressed to the point of needing a wheelchair. However, that has not dampened her competitive spirit.

Nathalie began her international rowing career in 2009 and has won multiple world titles, including two Paralympic medals—silver in London and bronze in Tokyo. Now, at 42, she still trains 11 times a week. Fatigue can be a problem, and sometimes hard workouts leave her with muscle stiffness and shaking, but she credits her ongoing sports career for helping her feel in tune with her body’s signals.

“Over the years, I’ve learned to listen to my body, letting my body guide when I need to stop and take breaks,” she says.

Nathalie explains that she used to only look backwards because of the initial shock of her diagnosis. In time, she stopped thinking about what she couldn’t do anymore and focused on her future. She now lives in the following mindset: “Even when doors close, don’t miss out on those that open.” Instead of focusing on what she can’t do, she focuses on the opportunities she still has. Right now, this includes her training for the 2024 Paralympic Games in Paris, where she will compete for another rowing medal.

“I only go forward,” she says. “Well, I try, anyway…It’s easy to say, it’s not always easy to do. But that’s what I try to do.”

woman exiting water after swimming, woman with great daneHelga's Great Dane has become a helpful and beloved companion.Courtesy of Sanofi

Helga—Johannesburg, South Africa (diagnosed with relapsing multiple sclerosis in 2010)

When Helga first started having balance issues and numbness in her feet, she chalked it up to her training as a runner. But when the numbness moved to her face, she knew something was wrong. She never guessed it was MS.

“When I was diagnosed, I felt completely overwhelmed and clueless,” Helga says. “I felt that I had nowhere near enough information. I did not know anything about the disease…I had no idea that it was going to be a process of continually monitoring and adjusting your lifestyle.”

In the beginning, Helga’s symptoms developed slowly, and she didn’t appear ill to others. She was even able to run for a few years after her diagnosis, but she couldn’t do marathons anymore, and she began to fall frequently due to balance issues and right-foot dragging. Then her cognition issues became more problematic, especially in her job as a trainer in a printing company.

“My executive function, decision-making and short-term memory were affected to the point that I was eventually medically unfit for work,” she says. She stopped working in 2017.

However, she didn’t stop living life. Even though she could no longer run, she continued to swim competitively. She got a Great Dane puppy and trained him as a service dog to help her walk. She also serves as vice chair of the patient support organization Multiple Sclerosis South Africa, and she advises others who have been diagnosed to join a patient advocacy group as soon as possible to get reliable information and meet others with MS.

Helga says she is “hopeful” about the future of MS. “I must say that I am so grateful that we have all the new medications available, because my life would not be the same if it wasn't for that,” she adds.

Part of how she manages her MS is by looking at the positives.

“If I could tell the world one thing about MS, it would be that MS is an incurable disease of the nervous system, but it's also the greatest teacher of valuing your health, family, friends, and managing change in your life,” she says. “My life is diversified in a way that I never, ever thought it would, and MS has been honestly the greatest teacher.”

Each MS journey is unique – with each person impacted experiencing different struggles, successes, and feelings as they manage this unpredictable disease. But the common thread is clear – there is a critical need for information, support, and hope. We are proud to participate in World MS Day and share these incredible stories of living life while living with MS. To learn more about MS, go to https://www.sanofi.com/why-words-really-matter-when-it-comes-to-multiple-sclerosis.

MAT-GLB-2301642-v1.0-05/2023

This article was sponsored by Sanofi. Participants were compensated when applicable.

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People share totally normal things from the 90s/00s that are now considered 'luxuries'

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Man shares the premarital counseling he wishes he'd gotten and it's spot on

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When people decide to get married, the primary focus in the relationship often becomes the wedding. There are so many details to think about—the venue, the guest list, the food, the wedding party, the dress and tux…it's practically a full-time job, especially if you're going big.

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That's the impetus behind Jimmy Knowles' (aka "Jimmy on Relationships") viral take on pre-marital counseling. Knowles' video titled "The Premarital Counseling I Wish I Had YEARS Ago" has been viewed over a million times on Facebook, and judging by the comments, he nailed what every soon-to-be-married couple needs to hear.

In the video, a couple is visiting with a counselor for premarital counseling. All three characters are played by Knowles himself, which is quite entertaining, but his counseling advice is spot on.

After asking the couple if they're excited about their wedding, the counselor says, "Yeah, it's meaningless. Your wedding—it has nothing to do with the success of your relationship. I'm not going to say it's a waste of $20,000, unless of course you get divorced a few years later, which 50% of people do. So your marriage is practically a coin flip."

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"Wrong," Jimmy responds. "Everyone's in love on their wedding day. Do you know why 50% of those marriages fail? Because they didn't know what love required of them—service, selflessness, sacrifice. Not one-sided. Mutual."

"They didn't have a plan to get things right," he adds. "And they didn't have a plan for what to do when things got hard and stressful, which they always do eventually."

Counselor Jimmy (who is not a real counselor, for the record) pulls no punches, but he delivers the reality of marriage in a way that both highlights what it requires and also what's really beautiful about it.

In less than 10 minutes, he manages to entertain while also dropping a crapton of solid truth and advice that would help anyone who is planning on getting married—or even people who are already married—strengthen their relationship.

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Don't let the boycotts bother you. A staggering number of Americans now support LGBTQ rights.

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via Daniel James/Unsplash

More Americans are supportive of the LGBTQ community than ever.

There have been numerous high-profile controversies surrounding LGBTQ rights recently that make it appear as though there has been a considerable backlash in acceptance of the LGBTQ community among Americans.

There’s the Bud Light backlash after the popular beer brand used trans activist Dylan Mulvaney as a spokesperson. There was an uproar after the Los Angeles Dodgers agreed to honor the Sisters of Perpetual Indulgence on LGBTQ Pride Night. There has also been an ongoing controversy surrounding Target selling LGBTQ-friendly merchandise.

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A new poll by GLAAD has found that non-LGBTQ Americans are more accepting of the LGBTQ community than ever and want them to be treated like everyone else. So, even though there is a loud contingent of political activists pushing back against LGBTQ progress, they don’t seem to significantly impact the growing movement toward acceptance.

Simply put, the opposition to LGBTQ people may be loud, but it’s only getting smaller.

The survey of over 25,000 non-LGBTQ Americans found three encouraging facts:

  • A 96% supermajority of non-LGBTQ Americans agree that school should be a safe and accepting place for all youth.
  • A 91% supermajority of non-LGBTQ Americans agree that LGBTQ people should have the freedom to live their lives and not be discriminated against.
  • An 84% supermajority of non-LGBTQ Americans support equal rights for the LGBTQ community.

The study also found that despite outrage over Dylan Mulvaney appearing in a Bud Light promotion, the vast majority of Americans are okay with seeing LGBTQ people and families represented in the media.

This corresponds with the fact that on the 2021 to 2022 TV season nearly 12% of all regular characters on prime-time television were LGBTQ. That’s a sea change over the 2005 to 2006 report that found only 2% of all characters were LGBTQ.

  • 75% of non-LGBTQ adults feel comfortable seeing LGBTQ people in advertisements.
  • 73% of non-LGBTQ adults report feeling comfortable seeing LGBTQ characters included in TV shows or movies.
  • 68% of non-LGBTQ adults feel comfortable seeing an LGBTQ family with children included in an advertisement.

The strange state of affairs in America is that even though an increasing number of Americans want LGBTQ people to have equal rights, there has been a staggering number of new laws aimed at disenfranchising them that have been proposed over the past three years.

GLAAD estimates that over 500-plus anti-LGBTQ laws have been proposed in 2023 alone.

“Support for LGBTQ equality has reached an all-time high, but allyship must turn into action,” GLAAD President and CEO Sarah Kate Ellis said in a statement. “Media, content creators, and corporate leaders need to lead and respond to hate with undeterred support for the LGBTQ community, including LGBTQ employees, shareholders and consumers. Allyship is not easy, but when values of diversity, equity, and inclusion are tested, we must defend them unequivocally."


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