Acute Mental Health Crisis on College Campuses: How University Counseling Centers Handle Emergencies

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It was 2:47 a.m. when Maya, a sophomore at the University of Michigan, finally typed the message into her residence hall group chat: “I don’t think I want to be here anymore.” Her roommate Ainsley, asleep until her phone buzzed, woke up, read the screen twice, and ran across the hallway barefoot. She had heard … Read more

Pet Death Mental Health Crisis: When Bereavement Becomes a Medical Emergency

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Helen had lived alone in a one-bedroom apartment in Tucson, Arizona for eleven years after her husband died. Her companion through every one of those years was a small black poodle named Otto. When Otto was diagnosed with hemangiosarcoma at thirteen and declined rapidly, Helen stayed up with him for the last seventy-two hours, hand-feeding … Read more

Acute Sleep Deprivation Psychosis: When Insomnia Causes Mental Health Emergency

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Marcus, a 34-year-old software engineer in Austin, Texas, had been chasing a deadline for nine straight days. By the third night without real sleep, he started seeing shadows shift on his apartment wall. By the fifth night, he believed his coworkers were planting microphones in his keyboard. When his sister found him on day six, … Read more

Hyperventilation Tetany ER Visits: Distinguishing from Cardiac and Neurological Emergencies

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Priya, a 28-year-old paralegal in San Diego, had just bombed an oral argument practice when her hands began to claw inward involuntarily. Her lips went numb. Her jaw tightened. By the time her supervisor walked her to the urgent care two blocks away, she was convinced she was having a stroke. The clinician took one … Read more