When Is It Time to Refer a Student for Therapy?

As a school counselor or educator, you may wonder when a student’s emotional or behavioral needs go beyond what can be supported in school. Identifying the right time to refer a student to therapy can make a significant difference in their academic and personal growth.

Here are five signs it may be time to refer a student to a therapist:

  1. Chronic or escalating behavior issues that disrupt the classroom despite school interventions.

  2. Ongoing sadness, irritability, or mood swings that impact social and academic functioning.

  3. Trauma or significant life changes such as parental separation, death of a loved one, or family instability.

  4. Persistent anxiety, panic attacks, or phobias that interfere with daily routines.

  5. Concerns from caregivers that the child may benefit from additional emotional support.

While school-based support is essential, private therapy can offer a more consistent, individualized space to address root causes and build emotional skills.

Therapists provide:

  • Consistent weekly support

  • Family involvement and coaching

  • Coordination with school teams (with proper consent)

Want a quick way to evaluate if a student might benefit? Check out my free "A Therapist’s Guide for School Counselors" designed for school staff.

If you have a student in mind, I’m happy to consult confidentially and help determine the next step.

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What Educators Need to Know About Student Mental Health