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Health

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

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."

Joy

Meet the 11 outstanding nonprofits that took home this year’s Classy Awards

Each organization has gone above and beyond to make our world a better place.

All images provided by the Classy Awards, used with permission

Give these organizations all the awards

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Since 2009, the Classy Awards have celebrated nonprofits for their unique approaches to making our world a better place for everyone. Winners are given a platform to amplify their cause and showcase the positive impact of their programs.

This year, we are proud to announce that the Classy Awards have partnered with Upworthy, and we are thrilled to shine a spotlight on the 2023 winners.

From championing gender equality, to massively reducing food waste, to providing trade-based skills training to the neurodivergent community, each organization has made an incredible contribution to the betterment of our world.

Collectively through their efforts, nearly 1.5 million people and animals were served across 34 countries worldwide last year alone. That’s a win in itself.

Check out the 11 winners for 2023 below:


​412 Food Rescue

1/11

In an effort to address the growing concern of food waste, hunger, and environmental sustainability, 412 Food Rescue uses an innovative app to match volunteers, aka Food Heroes, with other organizations that might have a surplus of perfectly good but unsellable food that would otherwise be wasted and redirect it to people who need it.

Food Heroes has redirected 137 million pounds of edible food from landfills to the people who need it most.

@jac.rsoe8/TikTok

Some dads just get it.

There’s no shortage of stories out there showing how emotionally distant or out of touch some baby boomers can be. Younger generations are so fed up with it that they have their own catchphrase of frustration, for crying out loud.

The disconnect becomes especially visible in parenting styles. Boomers, who grew up with starkly different views on empathy, trauma and seeking help, have a reputation for being less than ideal support systems for their children when it comes to emotional issues.

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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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