[Not_here]

Hey there Kate,

It sounds difficult to deal with school when your mental health issues flare up. Having concern about how your mental health might impact your grades is common and I do understand it.

By any chance have you spoke to an adviser at school about this? Many universities have an office of disabilities and that includes mental illnesses and conditions. Maybe you can check out that office and speak to a counselor there. That way you have accommodations in place and the support you need.

Support is also really important- from family, friends and professionals. You might need a professional to write a letter of documentation for you to get accommodations. But even after that, it may help to continue seeing someone.

Lastly, plan ahead early. Go to the writing centers, tutors and office hours once you find you're having difficulty keeping up. I know it's hard not to procrastinate but doing things early makes things much easier. Sometimes professors can help you out a great deal if you're stuck on the lessons or need extra help with the materials.
Study groups can also be really helpful. I've formed a few at university and it helped all of us get much better grades because we had a collective effort.
Another thing to keep in mind is to maybe keep track of when your episodes might come up. I know it is probably hard to predict, but if you notice patterns then keep note of it and then you can have a plan put in place ahead of time.

Remember that urges for SH are okay to have, but you don't have to act upon them. Recognize them for what it is and see what alternatives you can use instead for coping.

You can do this! I wish the best of luck.