When a dean or faculty member becomes concerned about a student's well being, they may refer that student to the Counseling Service for a single consultation appointment. Reasons for referral have included poor attendance in classes, demonstrable or communicated distress, and changes in behavior or appearance. A referral to the Counseling Service is not a punishment, judgment, or indictment; it is rather an offer for additional support made out of concern for your well being. After an initial consultation appointment with a counselor, the student determines whether or not they would like to continue with counseling. The rules of confidentiality apply to this initial meeting and any subsequent sessions; communication with the referring faculty or staff about your engagement in counseling would only be made with your expressed consent. Whether or not the student chooses to continue counseling, resources within the community may be explained and offered as additional sources of support.