Early Warning Signs of Student Mental Health Crisis in Ohio Schools: How Therapists Can Help
September 23, 2025

Why This Matters Now

Back-to-school season can be exciting, but it can also be one of the most stressful times of year for students. The return to structure, new teachers, shifting friendships, and higher expectations can all add pressure. For some students, these challenges are manageable. For others, they can build into something much more serious.


That’s where guidance counselors play a crucial role: you’re often the first to notice when a student is struggling. Recognizing early warning signs and quickly connecting students to caring therapists can make all the difference.


According to the CDC, nearly 1 in 5 children experience a diagnosable mental health disorder during the school year, and symptoms often peak during fall and winter months when academic pressures rise and daylight decreases (National Institute of Mental Health).


For guidance counselors in Wayne and Holmes County, this reality is front and center. Spotting early warning signs of a student mental health crisis isn’t just important, it can be life-changing. That’s where trusted partners like Anazao Community Partners come in, offering timely and reliable behavioral health services for children and families.


Early Warning Signs of Student Mental Health Crisis in Ohio Schools

Guidance counselors are often the first to notice when a student’s behavior shifts. Here are some of the most common early signs to look for:

1. Academic Changes

Sudden changes in academic behavior can be concrete indicators that students are struggling with their mental health. Here are several specific examples: 

  • Decline in grades or sudden lack of interest in schoolwork
  • Increased absences or tardiness
  • Difficulty concentrating in class


2. Emotional & Behavioral Shifts

Nothing happens in a vacuum. The following shifts can indicate that students’ mental health may be suffering. 

  • Persistent sadness, irritability, or anger
  • Withdrawal from friends or activities they once enjoyed
  • Visible anxiety before school or specific classes


3. Physical Symptoms

The side effects of mental illness aren’t just emotional. Students can experience the following physical symptoms as well. 

  • Frequent headaches, stomachaches, or unexplained pain
  • Fatigue or difficulty sleeping
  • Noticeable changes in eating habits


4. Crisis-Level Red Flags

When students act in the following ways, always take these red flags seriously.

  • Talking or writing about hopelessness or death
  • Sudden extreme mood swings
  • Self-harm behaviors or substance use


How Guidance Counselors Can Intervene Early

Recognizing signs is just the first step. When guidance counselors saw the signs at a middle school in Wayne County, their collaboration with Anazao’s School-Based Services made a noticeable difference in the lives of several teen students. Anazao taught them how to deal with their anxiety in healthy ways, have confidence in themselves and build friendships. All of this was possible because of early intervention with therapists that happened in the following small (but significant) ways. 


Build Trust Through Small Conversations

Students may not open up during a formal meeting. A quick check-in in the hallway or after class can be less intimidating.


Normalize Mental Health Discussions

When teachers and guidance counselors talk openly about stress, anxiety, and seeking help, it reduces stigma for students.


Connect Families to Resources

Parents often don’t know where to turn when their child is struggling. Guidance counselors can bridge that gap by connecting them with trusted therapists.


The Role of Community Partnerships

In rural areas like Wayne and Holmes Counties, access to affordable care is a major concern. Many families rely on Medicaid, and not all providers accept it. According to the Ohio Council of Behavioral Health & Family Service Providers, rural counties report some of the highest unmet needs for behavioral health services for this reason alone.


That’s why partnerships with agencies like Anazao matter. Anazao not only accepts Medicaid but also offers fast intake, meaning students can access help quickly when stress is high and stakes are urgent. Anazao responds in a matter of days when it matters most.


Practical Tools for Guidance Counselors

Here are a few actionable steps you can take right now:

  1. Create a Referral Folder: Keep Anazao’s referral form, phone number (330-264-9597), and printed resources in one place. 
  2. Develop a Check-In Schedule: Identify students at higher risk and schedule short, regular touchpoints.
  3. Collaborate with Teachers: Teachers see daily changes in behavior; encourage them to share observations early.
  4. Promote Mental Health Literacy: Post information in hallways or newsletters so students know support is available.


People with Heart: Anazao’s Unique Approach

What makes Anazao different isn’t just the services, it’s the people. Therapists and Community Care Workers see themselves as responsive, collaborative, and reliable partners. They don’t just provide therapy; they walk alongside families through each stage of life. 


You Don’t Have to Do This Alone

As a guidance counselor, you carry a lot on your shoulders. The good news? You’re not alone in this work. Recognizing early warning signs of a student's mental health crisis is the first step. The next step is connecting families to caring therapists.


Anazao Community Partners is here to help, offering affordable, accessible, and timely behavioral health services for children in Wayne and Holmes Counties. Refer a student today. 

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February 13, 2026
Seasonal Depression in Ohio: How Movement Helps During Long Winters When November hits Ohio and the gray skies don't leave until March, life hits differently. The days are shorter. It's too cold to go outside. And if you're already dealing with a lot, winter can make everything feel ten times harder. Seasonal depression is real, and it affects thousands of people in Ohio every year. But here's the thing: it doesn't always look like what you see on TV. You're not crying all day or unable to function. You're just tired. Really tired. Getting out of bed is harder. The kids are crankier. You're snapping at people you care about. The things that used to help don't seem to work anymore. And if you're working, taking care of kids, managing appointments, and trying to keep up with bills, winter can feel impossible. When someone tells you to "exercise" or "practice self-care," even though it’s true, it just sounds like one more thing you don't have time or energy for. But movement doesn't have to be a whole workout. It's not about having energy. It's about giving your body small signals that help you feel a little more okay, even when everything else feels stuck. Why Winter Depression Hits So Hard in Ohio Seasonal Affective Disorder (SAD), sometimes called winter depression, happens when your body doesn't get enough sunlight. The lack of light messes with chemicals in your brain that control your mood and sleep. In Ohio, where winters are long and gray, this problem gets worse because people spend more time inside and alone. If you live in a small town or rural area (like many of us in Wayne and Holmes Counties), winter can feel even more isolating. You're not running into people at the store. You're not chatting with neighbors outside. You're just inside, dealing with everything on your own. This is especially hard if you're already managing depression, anxiety, ADHD, or trauma. Winter doesn't cause these things, but it makes them worse. Why Moving Your Body Helps, Even When You Don't Feel Like It Here's something important to know: depression takes away your motivation before you do anything. That's not you being lazy. That's how depression works. But research shows that movement helps, even when you don't feel motivated. You don't have to wait until you feel better to start. You move first, and your brain catches up later. This is called behavioral activation, and it's one of the main ways therapists help people with depression. Even small amounts of movement help your brain make chemicals that improve your mood, help you sleep better, and lower stress. During Ohio winters, when it's hard to get outside or stay active, intentional movement becomes even more important. Real Movement That Works When You're Exhausted Forget the gym. Forget running. Real movement for depression looks different, and you're probably already doing some of it without realizing it. Stretching between tasks. Stand up and stretch after you drop the kids off at school. Stretch before you get in the car. Stretch while your coffee is brewing. These tiny moments tell your body: we're okay. We can move. Moving while you warm up. Pace around the kitchen while you're heating up food. Do slow stretches in a hot shower. Your body responds to warmth and movement together. Movement you're already doing. Squat down when you pick up laundry. Pace while you're on the phone. Do calf raises while you wash dishes. You're just moving while you do what you already have to do. Grounding movement. Rock slowly. Sway. Give yourself a tight hug or lean against a wall. This kind of movement can help if you feel anxious or overwhelmed. Get light while you move. Stand or sit near a window while you fold laundry, drink coffee, or check your phone. You're getting light and movement at the same time, both help. The point isn't to do a lot. The point is to make it easy. Because when you're depressed, the hard part isn't the movement itself, it's getting started. Helping Kids and Teens Who Are Struggling Kids and teens often show stress through their behavior before they can talk about it. They're more irritable. They won't talk to you. They blow up over small things. If your child has ADHD, anxiety, depression, or other challenges, winter can make everything harder. Movement helps kids regulate their emotions without having to explain what's wrong. Try walking side-by-side instead of sitting down for a "serious talk." Give them movement breaks before homework. Let them bounce a basketball, pace around, or swing, repetitive movement helps their brain calm down. If your kid is having a hard time this winter, that doesn't mean something is wrong with them (or with you). It means they might need some extra support to get through it. How Therapy Helps You Build Skills That Actually Work Therapy isn't just talking about your feelings. Behavioral therapy is about learning real skills and building routines that work in your actual life, especially when depression makes everything feel harder. At Anazao Community Partners, our therapists help you break things down into small steps. We help you follow through without expecting you to be perfect. And when things change week to week (because life is like that) we adjust our approach so it actually fits what you're dealing with. Therapy helps you practice getting better, not just understand what you should do. That's why it works for seasonal depression, anxiety, ADHD, trauma, and other challenges. You Don't Have to Wait Until Things Fall Apart Maybe you're worried about ending up in a crisis. Maybe you think you can't afford therapy. Maybe you're worried about being judged or turned away. Those worries make sense. But you don't have to wait until everything falls apart to get help. Anazao Community Partners accepts Medicaid. That means if you have Medicaid, therapy is covered. You won't get a bill you can't pay. You won't be turned away. We work with kids, teens, and adults all across Northeast Ohio. We know what it's like to manage stress, money problems, work, and family, all while trying to keep it together. We're here to help before things get worse. Try This One Thing This Week Pick one moment today to move your body. Pick the easiest thing. If you can, do it near a window or somewhere warm. If it helps even a little bit, that counts. That's progress . You don't have to fix everything at once. You just need one small signal that tells your body: we're okay. We're moving. We're still here. If winter feels too heavy (or someone you care about is struggling) help is available. Anazao Community Partners provides therapy that's covered by Medicaid for people and families across Ohio. We help you build real skills that make winter easier and life feel possible again. Call Anazao Community Partners today to talk with someone who can help. We accept Medicaid. No rejection. No surprise bills.
Work Requirements are among several factors
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Learn how Medicaid is changing (in 2026 work requirements and eligibility) and how Anazao’s community care workers help you connect to services.