COUNSELING CENTER 2002-2003 ANNUAL REPORT AND DATA SUMMARY

Prepared by:  Michael Mond, Ph.D., Director, Johns Hopkins University Counseling Center

 

«               The Counseling Center (CC) hired new staff that included an International and Asian-American Student Program Coordinator, a Peabody Institute of Music Coordinator, and a Graduate Student Program Coordinator.

 

«               The CC was reaccredited by the International Association of Counseling Services (IACS).

 

«               The CC made progress in its goal of attaining an American Psychological Association accredited predoctoral internship program in psychology.  A comprehensive self-study was completed and accepted by the accrediting agency.  A site visit to review the program was completed in May and the feedback received was positive and promising for approval in the coming year.

 

«               The CC provided Individual Personal Counseling to 886 student clients (compared to 802 clients the previous year- a 10.5% increase) and Group Counseling to 71 students in 15 groups. During the Academic Year (Sept 2002- May 2003) the CC provided 9,693 hours (7,311 contacts/visits) of direct services.  Direct services activities, including clinical case management, accounted for 63% of all CC activity.

 

«               The CC averaged 123.8 client sessions per week and 11.7 emergencies per week in the Fall semester.  In the Spring semester the CC averaged 139.1 client sessions per week and 8.1 emergencies per week.

 

«               In addition to Direct Services, CC services during the Academic Year included Training and Supervision (11% of time), Outreach, Workshops, and Faculty/Staff/Parent Programs or Consultations (3%), Community Activity (3%), Professional Development (3%), Professional Activity including Research and Teaching (2%), and Administrative Activity (15%).  In total during the Academic Year the CC provided 14,070 sessions/contacts in 15,438 hours of service.

 

«               The CC averaged 6.2 sessions per client during the Academic Year in individual personal. 313 students were evaluated by staff psychiatrists (35% of clients served) and these students were seen an average of 3.0 sessions by the psychiatrist.  251 students received psychotropic medication (28% of clients served).  In Emergency Interventions, the Center served 273 clients in daytime emergencies (about 31% of clients served) and 77 clients in after hour emergencies.  The CC made 9 violence assessments, monitored 44 students in its suicide tracking system, recommended 47 mental health (medical) leaves, and administered 27 readmission evaluations.  Forty-eight clients were referred off campus for more extensive treatment. The CC played a significant role in preventing 105 students from dropping out of school last year; while 67 were given assistance in exercising appropriate extensions or withdrawal from classes. Twelve students were hospitalized.

 

«               The most common problems/symptoms presented by clients during individual therapy include: “feelings of being overwhelmed” (36%), “general anxieties and worries” (34%), “time management and motivational issues” (33% of students), “academic concerns” (32%), “depression” (24%), “lack of self-confidence or self-esteem” (24%), “generally unhappy and dissatisfied” (23%), “overly high standards for self” (20%), “sleep problems” (20%), and “lack of motivation, detachment, and hopelessness” (18%). These problems are not mutually exclusive.

 

«               In Career Counseling, the Counseling Center provided career counseling, working together with the Career Center.  Both departments met on a regular basis to discuss career counseling cases, programming for career counseling and other topics focusing on enhancing career service delivery.  In the CC a total of 134 students were seen in individual counseling sessions. An additional 17 were seen in group career counseling in the First Step workshops.  Usage of career assessment tools included 67 students who took the Strong Interest Career Assessment Inventory, 16 who took the Strong Interest-College Edition Inventories, and 114 who took the Myers-Briggs Type Indicator. The Counseling Center continued use of the web-based version of the FOCUS II career planning system with a link from the web pages of both the Counseling Center & the Career Center. During this reporting period, 128 students were registered for the program, of which 96 students utilized the resource.  The CC also provided extensive training to its interns in developing career counseling skills.

 

«               The CC provided 36 Outreach Activities, Workshops, and Consultation programs last year serving 17 University units/departments, 67 faculty and staff, 1,855 students and an overall total of 2,642 clients in 5,210 contacts in 444 hours. 

 

«               Evaluations -The CC Intake Service Evaluation Report reveals that on a survey taken after the initial session 52% of clients feel that the personal counseling service is excellent while an additional 44% feel that the service is good. A follow up Student Satisfaction Survey measuring satisfaction with work done with their therapist indicated an overall 3.58 satisfaction score on a scale from 0 (no satisfaction)  to 4 (strong satisfaction). Ninety percent “agreed” or “strongly agreed” they would recommend using the CC to their friends with similar problems.

 

«               The CC continues to provide services to the Nursing School and the Peabody Institute of Music.  Students from both schools report satisfaction with the services offered to their students (Nursing School evaluation shows 54% of clients have an “excellent impression” of the CC and 42% have a “good” impression.  For Peabody the percentages are 54% and 44% respectively).

 

«               The CC Pre-Doctoral Training program had 3 full time interns, a prerequisite for APA accreditation, to advance its progress towards an accredited pre-doctoral internship training program. The training program included 42 didactic programs and supervision in both individual and group formats.

 

«               The CC appointed staff coordinators to develop and improve programming for Asian-American students/International students, Minority students, Career Counseling, Outreach/Workshop and Consultative Services, Group Counseling, Professional Development, Substance Abuse Counseling, Peer Counseling, Research, Nursing School, Peabody Institute of Music, Predoctoral Training, Eating Disorders and - new this year- Graduate Students Program Coordinator. 

 

«               The CC continues to foster values of teamwork and collaboration by participating in over 61 JHU programs, activities, and committees. These programs are designed to serve, assist, and enrich the JHU community.

 

«               CC staff are active in professional development and professional activity with clinical staff participating in 33 professional workshops, conferences, courses, and seminars while support staff engaged 14 educational programs.  In addition, professional staff are members of 11 professional organizations, and actively engage in Teaching, Consultation, and Research.  Three staff have obtained licensure in Maryland as psychologists this past year.

 

CONTENTS

 

Topic

SECTION I. 

Overview of CC Hours and Contact by Service Area: AY 2002-03

SECTION II.

Individual Psychotherapy Services: May 18, 2002 - May 17, 2003

 

A) Individual Psychotherapy: Direct Services Caseload Statistics

 

 

1.  General Numbers

 

 

2.  Intakes (New Clients)

 

 

3.  Number of Clients Seen per Week

 

 

4.  Psychiatrist Clients Seen per Week

 

 

5.  Emergency Walk-in Clients Seen per Week

 

 

6.  Total Number of Individual Clients Seen for Past 5 Years

 

 

7.  Weekly Case Load Comparisons for the Past 5 Years

 

 

8.  Emergency Sessions Per Week Comparisons for the Past 7 Years

 

 

9.  Frequency of Client Visits

 

 

10. Insurance

 

B) Individual Psychotherapy: Demographics of Counseling Center Clients

 

 

1. Gender

 

 

2. School Affiliation

 

 

3. Age

 

 

4. Ethnic Status

 

 

5. Marital Status

 

 

6. Class Year

 

 

7. Academic Standing

 

 

8. Other Items

 

 

9. Academic Major

 

 

10.  Medical

 

 

11.  Residence

 

 

12.  How First Heard of Counseling Center

 

 

13.  Referral Source

 

 

14.  Presenting Complaints by Frequency  (Rank Order)

 

 

15.  Presenting Complaints by Problem Area

 

C) Individual Psychotherapy:  Intake Service Evaluation Survey

 

D) Individual Psychotherapy: Counseling Center Student Satisfaction of Therapist Survey (Therapeutic Bond Scale)

 

 

E) Graduate Student Survey

SECTION III.  

Research Projects

 

A) Suicide Tracking

 

B) The Behavioral Health Questionnaire (BHQ) Research Project

 

 

C)  Psychotherapy Treatment Progress of Suicidal Students

SECTION IV.

Summary of Group Psychotherapy Provided by Counseling Center Staff

SECTION V.

Summary of Counseling Center Pre-Doctoral Internship Training Program

 

A) Intern Service Activity

 

B) Training Seminars and Professional Development

 

C) Supervision

 

D) Training Program Assessments

 

E) Recruitment and Selection of 2003-04 Interns

SECTION VI.

Summary of Workshops, Outreach, and Consultation Activity by CC Staff.

SECTION VII.

Summary of JHU Community Activity by Counseling Center Staff.

SECTION VIII.

Summary of Professional Development and Professional Activity by CC Staff.  

SECTION IX.

Summary of CC Coordinators’ Reports

APPENDIX I.

Cumulative Number of Clients Seen for Each Year from 1998 to 2003

APPENDIX II.

Comparison of Academic Year Emergencies by Week for 3 Years


 

SECTION I. Overview of CC Hours & Contacts by Service Area: Academic Year 2002-03.

   

Function/Activity for

2002-03 Academic Year

Staff Hours

AY 2002-03

% Hrs

AY 2002-03

Contacts/Visits

AY 2002-03

1. Individual Therapy- Counselors

4,604

29.8%

4,632

(Note: 5,498 for full year)

2. Psychiatrists’ Visits/Medication Checks

453

2.9%

697

(Note: 943 for full year)

3. Individual Consultation Services to Students

628

4.1%

1,212

4. Group Therapy

282

1.8%

770

5. Clinical Management – Counselors

3,499

22.7%

--------

6. Clinical Management – Psychiatrists

130

.8%

--------

7. Group Management

97

.6%

--------

Direct Services Total

9,693

62.7%

7,311

8. Training & Supervision Activity

1,843

11.9%

1,549

9. Outreach  and Workshops Activity

290

1.9%

4,022

10. Consultation to Non-students Activity

154

.9%

1,188

11. JHU Community Activity

425

2.8%

--------

12. Professional Development Activity

 465

3.0%

--------

13. Professional Activity, including teaching

234

1.5%

--------

14. Administrative Activity*

**2,334

15.1%

--------

All Services Total

15,438

~100%

14,070

 

 

*Note: Administration includes staff meetings, public relations, budget activity, data management, coordinating activity with Nursing School and Peabody, coordinator responsibilities of professional staff, coordinating and directing internship program, coordinating and training of Peer Counseling program (APTT), marketing, personnel activity, and overseeing Career Center.

 

**Note: 811 hours (35%) of all administrative hours were accounted for by the Director of the Counseling Center.

 

SECTION II:  Individual Psychotherapy Services: May 18, 2002 - May 17, 2003

 

A) Direct Services Caseload Statistics

1.  General Numbers

No. of Clients seen in Personal Counseling

No. of Clients seen by Consulting Psychiatrists

No. of Therapy Sessions (Full Year) -(Not including Consulting Psychiatrists)   

No. of Client sessions with Consulting Psychiatrists (Full Year)

No. of Clients receiving psychotropic medication

No. of Clients seen in emergency crisis during daytime hours

No. of Emergency clients served after hours

No. of Emergency phone calls received after hours

No. of Clients sent to emergency room after hours

No. of Hours spent in after hours emergencies

No. of Weeks during year that required after hours emergency response

Avg. Number of minutes spent responding to after hour emergency (min – max)

No. of Clients hospitalized after hours

No. of Clients hospitalized -after hours plus day

No. of Clients CC estimated to have helped stay in school

No. of Clients given CC Mental Health Withdrawal

No. of Clients given course assistance (i.e., letter for withdrawal or extensions.)

No. of Clients who received readmission evaluation

No. of Clients on Suicide Tracking

No. of Clients believe prevented from harming self/others

No. of Clients assessed for ADHD

No. of Clients given Violence Assessment

No. of clients who report that “someone in their family owns a gun”

No. of Clients who received counseling for sexual assault

No. of Clients successfully terminated

No. of Clients referred off campus

     #   

886

 313 (35%)

5,498

    943

251 (28%)

273

77

 101

     12

70 hours and 5 min.

38

   110.7 min (15-330 min)

 7

12

105 (12%)

 47  (5%)

  67  (8%)

27  (3%)

44  (5%)

81  (9%)

22  (2%)

9  (1%)

149 (17%)

13   (1%)

324 (37%)

48   (5%)

2.  Intakes (i.e., New Clients)  (See Appendix I)

Average # of Intakes /Week (Fall Semester)

Average # of Intakes /Week (Spring Semester)

Maximum # of Intakes/Week  (Academic Year)

 

21.8

14.0

30.0

3.  Clients Seen/Week

Average # of clients seen/Week  (Fall - Not including Psychiatrists)         

Average # of clients seen/Week  (Fall - Including Psychiatrists)

Average # of clients seen/Week  (Spring - Not including Psychiatrists)

Average # of clients seen/Week  (Spring- Including Psychiatrists)

Maximum # of clients seen/Week (Academic Year- Not including Psychiatrists)

Maximum # of clients/ seen/Week (Academic Year- Including Psychiatrists)

 

          123.8

145.8

139.1

160.6

177.0

205.0    

4.  Psychiatrist Clients Seen/Week

Average # of Psychiatrist clients seen/Week (Fall)

Average # of Psychiatrist clients seen/Week (Spring)

Maximum # of Psychiatrist clients seen/Week (Academic Year)

 

 

22.6

21.5

35.0

5.  Emergency Walk-in Clients Seen/Week    

Average # of emergencies seen/Week (Fall)

Average # of emergencies seen/Week (Spring)

Maximum # of emergencies seen/Week (Academic Year)

 

 

11.7

8.1

24.0

6.  Total # of Individual Clients Seen for the Past 5 Years.  (See Appendix I)

Total # Clients Seen for 2002-03

Total # Clients Seen for 2001-02

Total # Clients Seen for 2000-01

Total # Clients Seen for 1999-00

Total # Clients Seen for 1998-99

 

 

886

802

726

750

756

7.  Weekly Case Load Comparisons for the Past 5 Years during AY

Average Sessions/Week for 2002-03

Average Sessions/Week for 2001-02

Average Sessions/Week for 2000-01

Average Sessions/Week for 1999-00

Average Sessions/Week for 1998-99

 

145

144

114

115

113

 


8.  Emergency Sessions/Wk Comparisons for the Past 7 Years  (See Appendix II)

Average Sessions for 2002-03

Average Sessions for 2001-02

Average Sessions for 2000-01

Average Sessions for 1999-00

Average Sessions for 1998-99

Average Sessions for 1997-98

Average Sessions for 1996-97

 

 

7.1

5.8

5.4

5.4

6.1

4.2

4.0

9.  Frequency of Client Visits

l-3 sessions  (not including psychiatrists)

4-7 sessions (not including psychiatrists)

8-12 sessions (not including psychiatrists)

More than 12 sessions (not including psychiatrists)

Average number of visits/per client (not including psychiatrists)

Average number of visits/per client to psychiatrists

 

 58%

 18%

11%

 13%

6.2

3.0

10.  Insurance

No. of clients who reported having University Health Insurance Policy

No. of clients who reported having other insurance- self or through parents

No. of clients who did not know or did not respond

No. of graduate student clients who reported having University Health Insurance Policy

No. of clients with University Health Insurance policy who were referred out

No. of total sessions clients with University Health Insurance seen before referred out

 

182 (21%)

152 (17%)

532 (60%)

102 (of 248) (41%)

17 (of 182)  (9%)

222

 

B) Individual Psychotherapy: Demographics of Counseling Center Clients (N=886)

1. Gender

Male

Female

Total

Number

  339

 547

       886

Percentage

               38% 

62%

       100%

2. School Affiliation

Arts and Sciences

Engineering

Nursing School

Peabody Institute

Other /NR

Number

568

162  

 79

    51

   26

Percentage

    64%

18%    

 9%

      6%

     3%

3. Age

Age Range

Mode

Mean

Median

Greater than 25 years of age

Number

15-48 years

20.0 years

22.7 years

21.0 years

190

Percentage

 

 

 

 

21%

4. Ethnic Status

African-American

Asian

Caucasian

Native-American

Latino/Hispanic

Other

No Response

Number

45

 179

 548

3

37

       53

   21

Percentage

   5%

 20%

 62%

    < 1%

      4%

    6%

2%

5. Marital Status

Single

Married/Committed Relationship

Separated

Divorced

Other

No Response

Number

 755

   106

     4

    3

   10

     8

 Percentage

  85%

 12%

 < 1%

 < 1%

     1%

1%

 

6. Class Year

Freshman

Sophomore

Junior

Senior

Graduate Student

Other/NR

Number

   121

 109

 162

 181

 248

65  

Percentage

14%

 12%

 18%

 20%

 28%

7%

7. Academic Standing   

Good Standing

Academically dismissed

Reinstated

On Probation

Other/NR

Number

 758

    1

 15

 53

 59

Percentage

        86%

   >1%

    2%

    6%

    7%

8. Other Items

International Students

Transfer Students

Physically Challenged Students

Students concerned about Attention Deficit Disorder (ADD)

Number

113

31

8

113

Percentage

13%

4%

1%

13%

9. Academic Major

 Undeclared/ Undecided

 No Response

 Arts and Science Totals 

 Anthropology

 Behavioral Biology

 Biology

 Biophysics

 Chemistry

 Classics

 Cognitive Science

 Comparative American Cultures

 Earth & Planetary Science

 Economics

 English

 Environmental Earth Sciences

 Film and Media Studies

 French

 German

 History

 History of Art

 History of Science, Medicine, & Technology

 International Studies

 Italian Studies

 Mathematics

 Near Eastern Studies

 Neuroscience

 Philosophy

 Physics & Astronomy

 Policy Studies

 Political Science

 Psychology

 Public Health

 Russian

 Sociology

 Spanish

 Writing Seminars

 Other Arts & Sciences

 Humanistic Studies

 Natural Sciences

 Social & Behavioral Sciences

Number

   58

55

496  

8

5  

41

    8

 17

     10

9

1    

3

   26

   21

0

6    

9

    7

   20

     16

     3

   44

    4

5

     3

19    

15

    20

    9

     32

 41

 34

1  

5

1  

35

   6

3

 8

    1

Percentage

6.5%

 6.2%

56.1% 

0.9%

0.6%  

4.6%

   0.9%

   1.9%

 1.1%   

1.0%

0.1%  

0.3%

 2.9%

   2.4%

0.0%

0.7%

1.0%

 0.8%

    2.3%

    1.8%

   0.3%

    5.0%

0.5%

      0.6%

     0.3%

2.2%   

1.7%

     2.3%

    1.0%

    3.6%

4.6%

3.9%

0.1%

0.6%

0.1%   

4.0%

.7%

     0.3%

     0.9%

     0.1%

Engineering Totals  

 Biomedical Engineering

 Chemical Engineering

 Civil Engineering

 Computer Engineering

 Computer Science

 Electrical Engineering

 General Engineering

 Geography & Environmental Engineering

 Materials Science & Engineering

 Mathematical Sciences

 Mechanical Engineering

 Other Engineering

153

     41

       16

       9

14   

23

     12

2 

 13

      4

       8

        9

        1

17.1%

     4.5%

     1.8%

      1.0%

1.6% 

 2.6%

   1.4%

0.2%  

  1.5%

     0.5%

    0.9%

1.0%

0.1%

9a. Peabody- Affiliated School

 Performance Certificate

 GPD

 Peabody/Homewood Double Degree Program

 Performance: Bachelors

 Performance: Masters

 DMA

 AD

 Music Education: Bachelors

 Music Education: Masters

 Recording Arts: Bachelors

 Recording Arts: Masters

 Conducting

 Other Peabody

49

      1

      5

1

21

12

3

0

1

0

1

1

0

3

5.5%

0.1%

0.6%

0.1%

2.4%

 1.4%

0.3%

0.0%

0.1%

0.0%

0.1%   

0.1%

 0.0%

0.3%

9b. Nursing - Affiliated School

 Regular Program

 Accelerated Program

 Other/NR

75

29

33

13

8.5%

3.3%

3.7%

 1.5%

10. Medical

Previously received counseling elsewhere

Currently taking medication

Experiencing medical problems

Medical problem in family

Emotional problem in family

Alcoholism/Substance abuse in family

Adopted

Number

 336

363

 152

287

299

230

13

Percentage

     38%

     41%

17%

33%

     34%

     26%

 2%

11. Residence  

Residence Halls (On-Campus Total)

  AMR I

  AMR II

  Building A

  Building B

  McCoy Hall

  Wolman Hall

  Bradford Apartments

  Homewood Apartments

  Ivy Apartments

  Rogers House

  Peabody Residence Hall

Off-campus Other

No Response

Number

240

 25

 37

    11

  13

 49

44

    14

25

7

    4

   11

 624

 21

Percentage

 28%

       3%

       4%

      1%

       2%

      6%

        5%

       1%

        3%

        1%

       1%

      1%

    70%

2%

12. How first heard of Counseling Center

Friend/Relative

Word of Mouth

Student Health & Wellness

Brochure

Faculty

Residence Hall Staff

JHU Publication

Saw Location

Dean of Students

Personal Contact with CC Staff

Flyer

Peabody Publication

Newsletter

Career Center

Other

No Response

Number

 172

 106

78

70

37

36

35

30

27

22

19

 7

7

4

114

122

Percentage

      20%

      12%

     9%

8%

4%

4%      

 4%

       3%

              3%

3%             

2%

        <1%

<1%      

<1%

13%

14%

13. Referral Source

Self

Friend

Student Health & Wellness

Residential Life Staff

Academic Advising

Relative

Faculty

Dean of Students

Staff

Other

No Response

Number

 419

114

 70

34  

31

25

22

21

           14

29

105

Percentage

      48%

      13%

        8%

4%      

 4%

3%

3%

2%

       2%

             3%

      12%

 

14. Presenting Complaints by frequency in Rank Only.  (Described by students as "serious" or "severe" problems).  Students seeking assistance at the Counseling Center experienced the problems reported below. These complaints are not mutually exclusive.

Presenting Complaint 

1)Feeling overwhelmed by a number of things; hard to sort things out (Item #19)

2)Anxiety, fears, worries (Item #18)

3)Time management, procrastination, getting motivated (Item #3)

4)Academic concerns; school work and grades (Item #1)

5)Depression (Item #26)

6)Self-confidence or self-esteem, feeling inferior (Item #16)

7)Generally unhappy and dissatisfied (Item #21)

8)Overly high academic standards for self (Item #5)

9)Sleep problems (can’t sleep, sleep too much, nightmares) (Item #36)

10)   General lack of motivation, interest in life; detachment and hopelessness (Item #25)

#

314

299

292

283

214

212

207

179

178

159

%

   35.6%

   33.8%

   33.0%

   32.1%

   24.2%

   24.0%

   23.4%

   20.2%

20.1%  

18.0%

11)   Loneliness, homesickness (Item # 9)

12)  Relationship with romantic partner (Item #12)

13)  Pressures from family for success (Item #7)

14)  Concern regarding breakup, separation, divorce (Item #13)

15)  Test anxiety (Item #2)

16)  Decision about selecting a major and/or career (Item #8)

17)  Concern over appearances (Item #17)

18)  Conflict/argument with parents or family member (Item #14)

19)  Physical stress (Item #35)

20)  Stage fright, performance anxiety, speaking anxiety (Item #4)

155

133

131

  129

126

121

109

101

100

93

17.6%   

15.0%

   14.9% 

   14.6%

   14.3%

   13.7%

12.4%

   11.4%

   11.4%

   10.5%

21)   Pressures from competition with others (Item #6)

22)  Concern that thinking is very confused (Item #40)

23)  Irritable, angry hostile feelings; difficulty expressing anger appropriately (Item #39)

24)  Eating problem (overeating, not eating or excessive dieting) (Item #29)

25)  Relationship with friends and/or making friends (Item #11)

26)  Shy or ill at ease around others (Item #15)

27)  Have been considering dropping out or leaving school (Item #44)

28)  Concerns about health; physical illness (Item #34)

29)  Problem adjusting to the University (Item #20)

30)  Sexual matters (Item #37)

88

84

74

 

 73

71

67

 58

52

49

47

9.9%   

9.5%

   8.4% 

  

8.2%

   8.0%

7.6%

   6.5%

   5.9%

   5.5%

   5.3%

31)   Confusion over personal or religious beliefs and values (Item #22)

32)  Relationship with roommate (Item #10)

33)  Grief over death or loss (Item #27)

34)  Fear of loss of contact with reality (Item #42)

35)  Physically or emotionally abused, as a child or adult (Item #33)

36)  Suicidal thoughts, feelings, or behaviors (Item #28)

37)  Alcohol/drug problem in family (Item #31)

38)  Alcohol and/or drug problem (Item #30)

39)  Sexually abused or assaulted, as a child or adult (Item #32)

40)  Concerns related to being a member of a minority (Item #23)

43

41

36

  28

23

21

21

20

17

15

4.8%   

4.7%

   4.0% 

   3.2%

   2.6%

2.4%

2.4%

2.3%

1.9%

1.7%

41)   Issues related to gay/lesbian identity (Item #24)

42)  Violent thoughts, feelings or behaviors (Item #43)

43)  Fear that someone is out to get me (Item #41)

44)  Feel that someone is stalking or harassing me (by phone, letter or e-mail) (Item #45)

45)  Problem pregnancy (Item #38)

15

15

13

  6

 

4

1.7%

1.7%

   1.5%

   0.6%

  

0.4%

 

15. Presenting Complaints by Problem Area   Described by students as "moderate" or "severe" problems. Students seeking assistance at the Counseling Center experienced the problems reported below.  These complaints are listed by problem area and are not mutually exclusive.

Career Issues

Decision about selecting a major/career

Number

121

Percentage

13.7%

Academic Issues

Time management, procrastination, motivation

Academic concerns; school work/grades      

Overly high standards for self              

Test anxiety                                

Pressure from family for success

Stage fright, performance anxiety, speaking anxiety     

Pressures from competition with others

Have been considering dropping out or leaving school

 

292

283

  179

  126

  131

 93

 88

58

 

33.0%  

32.1%  

   20.2%

   14.3%

   14.9%

   10.5%

   9.9%

6.5%

Relationship Issues

Relationship with romantic partner   

Loneliness, homesickness                    

Concern regarding breakup, separation, or divorce 

Conflict/argument with parents or family member          

Relationship with friends and/or making friends                           

Shy or ill at ease around others

Relationship with roommate

 

  133

  155

  129

  101

71

67

   41

 

   15.0%

   17.6%

   14.6%

   11.4%

   8.0%  

7.6%

        4.7%

Self-esteem Issues

Self-confidence/Self-esteem; feeling inferior

Concern over appearances               

Shy or ill at ease around others

  

212

    109

67

  

24.0%

   12.4%

   7.6%

Anxiety Issues

Feeling overwhelmed by a number of things; hard to sort things out      

Anxieties, fears, worries   

Problem adjusting to University

 

314

299

49

 

   35.6%

   33.8%

   5.5%

Existential Issues

Generally unhappy and dissatisfied            

Confusion over personal or religious beliefs and values

Concerns related to being a member of a minority    

Issues related to gay/lesbian identity

 

207

      43

15

15

 

  23.4%

    4.8%

    1.7%

    1.7%

Depression

Depression

General lack of motivation, interest in life; detachment and hopelessness

Grief over death or loss

Suicidal thoughts, acts, feelings, behaviors (including moderate concern)

Suicidal thoughts, acts, feelings, behaviors (all thoughts)

 

214

159

     36

      57

161  

 

24.2%

18.0%

4.0%

6.5%

18.3%

Eating Disorder

Eating problem (overeating, not eating or excessive dieting) (including moderate concern)

  

166   

  

18.7%

Substance Abuse

Alcohol and/or drug problem

Alcohol/drug problem in family

    

20

     21

   

 2.3%

     2.4%

Sexual Abuse or Harassment

Physically or emotionally abused, as a child or adult

Sexually abused or assaulted, as a child or adult

 

23

     17

 

2.6%

      1.9%

Stress and Psychosomatic Symptoms

Sleep problems (can’t sleep, too much, nightmares)                  

Physical stress

Concerns about health; physical illness

 

    178

    100

      52

 

    20.1%

11.4%

5.9%

Sexual Dysfunction or Issues

Sexual matters                           

Problem pregnancy

 

      37

        4

 

      5.3%

      0.4%

Unusual Thoughts or Behavior

Irritable, angry, hostile feelings; Difficulty expressing anger appropriately

Concern that thinking is very confused     

Fear of loss of contact with reality              

Fear that someone is out to get me

Violent thoughts, feelings, or behaviors

 

74

    84

      28

      13

    15

 

8.4%

    9.5%

    3.2%

      1.5%

      1.7%

 

C) Individual Psychotherapy: Intake Service Evaluation Survey.

 

 1) Respondents’ Characteristics: (N=530; 60% return rate)

1) Race:

African-American

Asian-American

Caucasian

Latino

Other

NR  

 

    6.4%

 14.9%

 62.5%

    4.7%

 10.9%

    0.6%

 

2) Class Status:

  Freshman

  Sophomore

  Junior

  Senior

 Graduate  Student

  Alumni

  Other/NR

 

11.9%

10.4%

19.1%

23.0%

28.5%

  1.7%

  5.4% 

 

3) Residence:

  On-campus

  Off-campus w family

  Other off-campus

  NR

     24.9%  5.1%

69.6%

  0.4%

4) School Affiliation

Homewood Student

Nursing School

Peabody Institute

Other/NR

 

 

82.5%

   9.1%

 4.9%