Psychological or mental health impairments are broad and range from mild depression to chronic disorders such as post traumatic stress syndrome, schizophrenia or bipolar disorder. Negative stereotypes and the fact that these disabilities are typically "invisible" further complicate making accommodations for students with these disorders.

Students with mental health or psychiatric impairments can be affected in many ways. They may be more susceptible to the common stressors of school involving academic demands as well as interpersonal relationships. Students may have particular problems receiving, processing and recalling information during times of stress.

Side effects from medication may also impact attention, memory, alertness, and activity level. The episodic and unpredictable onset and recurrence of illness can also interrupt the educational process.

Individuals with psychiatric impairments may be treated with a combination of medication, counseling, and behavioral therapy. A student with a psychiatric impairment may need to build time into his schedule for therapy and/or support services.

Accommodations for students who have mental health impairments include:

• Notetakers.
• Early notification of projects, exams, and assignments to reduce stress.
• Flexible attendance requirements.
•  An encouraging, validating, academic environment.
• Alternative testing arrangements in a quiet room.
• Assignments available in electronic format.
• Web page or electronic mail distribution of course materials and lecture notes.