Nurse Advice Toll Free Line

Great News!

Our toll free number for after hours nurse advice is back in service! The toll free number is 877-514-5307,

Students may access this number after hours for advice concerning illness or injuries. The after hours nurses do not make appointments or call in medication refills.

Appointments can be made on line and refills can also be made online or by calling the SHS Pharmacy.

Prescription Refills
If you know your prescription number, request refills via the mobileRX app (for android or apple) or online.

 If you do not know your prescription number, request refills in person, online via Healthweb or by phone at 919-515-5040.

Thanks for your patience while our phone situation was being addressed.

Stay Healthy and Have a Safe Summer!



Coping With Losing Someone to Suicide

Death by suicide not only affects the person who died, but also others – “suicide survivors” – who cared deeply about the person. If you are a student survivor, this experience may be one of the most challenging experiences that you’ve ever faced. While there is no easy way to grieve, it is often helpful to understand what you might experience as well have access to resource information.

Understanding Grief

The shock and grief that consumes you after you lose someone to suicide is overwhelming. It can feel like you have fallen into a deep hole and will never be able to get out. These are natural feelings which will likely change as you move through the grieving.

No two people experience loss in the same way. Some may experience physical symptoms such as headaches or changes in appetite and/or sleeping patterns. A person in grief may also experience some or all of the following feelings:

SHOCK: “I feel numb.” Feelings of being dazed or detached are a common response to trauma. Shock can protect the mind from becoming completely overwhelmed, allowing the person to function.

DENIAL: “I feel fine.” Sometimes people can consciously or unconsciously refuse to accept the facts and information about another’s death. This process can be even more challenging when there is little information or explanation about a loved one’s suicide. Eventually, as you gather information and accept that you may not be able to know everything, you can begin to process the reality of this tragic event and all the emotions that come with it. In time, however, our minds become more able to analyze the tragic event, and this allows the denial to give way to less troubling emotions.

GUILT: “I think it was my fault.” Feelings of guilt following a suicide are very common. Guilt comes from the mistaken belief that we should have, or could have, prevented the death from happening. Guilt can also arise if there are un-reconciled issues with the deceased or regret about things said or not said. In truth, no person can predict the future, nor can they know all the reasons for another person’s actions. It is human nature to blame oneself when experiencing a loss, rather than accepting the truth that some things were out of our control.

SADNESS: “Why bother with anything?” Once the initial reactions to the death by suicide have lessened in intensity, feelings of sadness and depression can move to the forefront. These feelings can be present for some time and can, at times, be triggered by memories and reminders of the loved one who was lost. Feelings of hopelessness, frustration, bitterness, and self-pity are all common when dealing with a loss of a loved one. Typically, you gradually learn to accept the loss and embrace both your happy and sad memories.

ANGER: “How could they do this to me?” Feelings of anger towards the person you have lost can arise. Many who mourn feel a sense of abandonment. Others feel anger towards a real or perceived culprit. These feelings can be complex and distressing when they are directed at the person who died. It is important to know that it is possible to both be angry with someone, and to still hold them dear in your heart. Sometimes anger is needed before you can accept the reality of the loss.

ACCEPTANCE: “I can miss them and still continue living.” The ultimate goal of healing is to accept the tragic event as something that could not have been prevented and cannot be changed. Acceptance is not the same as forgetting. Instead, acceptance is learning to live again and to be able to reopen your heart, while still remembering the person who has passed away.

What Makes Suicide Different

Losing a friend or loved one is never easy. However, when you lose someone to suicide, it can feel different from other types of loss. Several circumstances can make death by suicide different, making the healing process more challenging.

STIGMA AND ISOLATION: Talking about suicide can be difficult for those who have experienced the loss. Different cultures view suicide in different ways, and sometimes discussing it can be a challenge. This can also be made more difficult when the act of suicide conflicts with religious views. Suicide can be isolating as communities of friends each struggle differently to make sense of the loss they all experienced. Finding the right people in your support network who are able to help you experience your loss is important. Sometimes, this may mean seeking professional help in order to help you cope with your loss. In those situations it is recommended that you contact a counselor at the UT Counseling and Mental Health Center, or find a trusted therapist in the community.

MIXED EMOTIONS: After a death by illness or natural causes, the bereaved’ s feelings may be less complicated than when the death is by suicide. When a death is by suicide, you might both mourn the person’s passing while also hold intense feelings about the circumstances of their death. Feelings such as anger, abandonment, and rejection can all occur after a suicide as well as positive feelings about the deceased. Sorting through all of these diverse feelings can make the healing process more challenging.

NEEDING TO UNDERSTAND WHY: Understanding the circumstances of a death by suicide can sometimes lead us to asking “Why?” You may second guess actions, wish that you had noticed signs earlier, or wonder how you could have acted differently. This need to understand “why” may be a difficult path, as the circumstances surrounding the loved one’s death could be unclear or not easily known. Some questions may never be answered, while you may find other answers that make sense. Sometimes you will find answers to your questions, while other times, you must learn to accept the fact that there are some things no one can know.

RISK FOR SURVIVORS: People who have recently experienced a loss by suicide are at increased risk for having suicidal thoughts themselves. After experiencing the loss of a loved one, it’s not uncommon to wish you were dead or to feel like the pain is unbearable. Remember that having suicidal thoughts does not mean that you will act on them. These feelings and thoughts will likely decrease over time, but if you find them too intense, or if you’re considering putting your thoughts into action, seek support from a mental health professional.

Healthy Ways to Cope with Grief and Loss

You will never “get over” the loss you’ve experienced, but you can “get through” it. You have been changed by this loss, but you can learn how to survive, even grow, from this challenge. The following are suggestions for healing in healthy ways:

SEEK SUPPORT: It’s very important to find people in your life who are good listeners, so you can turn to someone when you need extra support. You may find it helpful to talk to a friend, family member, mental health professional or spiritual advisor. Some find joining a support group helpful since each person will be able to relate in different ways to your experience. The UT Counseling and Mental Health Center offers a Grief and Loss group that you could join. Whatever support looks like for you, it’s important to reach out for help when you feel like you need it.

BE PATIENT: Just as you may be feeling a range of emotions, people around you may also be sorting through their feelings. Be patient with yourself and others: those who are supportive of you as well as those who do not seem to understand. Limit your contact with those who tell you how to feel and what to think. Take time to heal. Set limits for yourself, and give yourself permission to say “no” to things that may come your way. It’s difficult to make decisions when you’re feeling overwhelmed; you may decide it’s best to put off important decisions until you feel ready to make them.

STAY PRESENT: Take each moment as it comes. That way, you can better accept whatever you’re feeling and be able to respond in the way that is most helpful to you. Maybe you would benefit from calling your best friend. Maybe journaling would help you let go of your thoughts for now. Learning mindfulness or relaxation techniques like deep breathing can help you stay present and experience your emotions without feeling overwhelmed. The UT Counseling and Mental Health Center offers a Mindfulness Meditation group, or you could check out their MindBody Lab located on the 5th floor of the Student Services Building.

EXPRESS YOURSELF: You can choose to tell others how you’re feeling or acknowledge your feelings privately. If you don’t feel like talking, you can set aside time each day to grieve. Just make sure you leave enough time to do something pleasantly distracting before bed. Either way, acknowledging your experiences helps.

ALLOW YOURSELF TO HAVE FUN: Social events or pleasant activities can provide relaxation and distraction. Laughter heals, and it’s also OK if you cry.

ESTABLISH ROUTINE: Even getting dressed may seem challenging, but it’s important to reestablish routine as soon as you can. Building in some structure can help you manage your grief and provide a sense of normalcy and hope.

TAKE CARE OF YOURSELF: Eat as well as you can, exercise when you can, and avoid alcohol and other drugs that will make it harder for you to work through your feelings.

We at the Counseling Center want to support you- Set up an Appointment. If you are currently considering suicide or fear that someone you know is, please contact the Counseling Center at 919-515-2423, visit us in person for urgent care services, or contact Campus Police 919-515-3000. If you would prefer to be seen off-campus, please call 911 or go to the nearest emergency room.


Information on this page adapted from University of Texas at Austin-

Chris Carden

I am the Training Coordinator for the Predoctoral Internship here at NCSU, and I also serve as a staff psychologist here at the Counseling Center.  I have special interests in supervision and training, multicultural identity development, couples therapy, positive interpersonal relationships, trauma and group therapy.  My theoretical orientation is Time Limited Dynamic Psychotherapy (TLDP), which seeks to assist with gaining insight into problematic patterns, then seeks to interrupt these patterns through cognitive-behavioral, interpersonal and psychodynamic interventions.  With these interventions, I seek to assist clients with an increased understanding of thoughts and beliefs regarding self and others, to assist with learning more about how past experiences have impacted interactions with self and others and then to assist clients with learning about how to interrupt problematic cognitive and relational patterns.  The interruption of patterns is achieved through learning specific skills around negative thought reduction, and skills regarding how to better navigate interpersonal relationships.  My hope is that clients can have a different experience of themselves as they relate to others and/or the academic environment here at NCSU.  I earned my Ph.D. in Counseling Psychology from Auburn University and completed my pre-doctoral psychological internship at Appalachian State University.

Health Awareness Topic of the Month – Tuberculosis Screening

Student Health works hard to CDC_TBeducate students on a variety of topics including prevention, treatment of common illness and injury, and public health initiatives.

March is TB Awareness Month, thus, this is your opportunity to learn more about Tuberculosis! Below is a message from Dr. Tom Howard, Associate Medical Director at Student Health.

Tuberculosis is an uncommon infection in the US, but more so internationally.  It is spread through respiratory droplets (coughing) and requires a good amount of exposure to an individual with coughing.  Passing contact in hallways, classrooms and dining facilities is not a risk of contracting this infection.  In most people who breathe in TB bacteria and become infected, the body is able to fight the bacteria to stop them from growing. The bacteria becomes inactive, but they remain alive in the body and can become active in the individual at a later time. This is called a latent TB infection.  When the bacterium grows in the lungs evidence of infection can be detected by chest xray.  These individuals with active disease may or may not be infectious, based on the presence of a cough or evidence of the bacteria on sputum evaluation.

Screening for Tuberculosis involves questioning for exposure-travel to high-risk countries, exposure to infected individuals and symptoms (cough, fever, weight loss).  Screening is performed with a skin test or a blood test.  Both screening tests are quite effective in identifying affected individuals and hence the low incidence of this disease in the United States.  Individuals with an abnormal screening test undergo further screening for symptoms and chest x-ray looking for active lung involvement.  Treatment of individuals with abnormal screening involves the use of a course of antibiotics for 6-9 months.  Those with symptomatic Tuberculosis require more complex antibiotic treatment for similar periods of time.

Further information can be obtained from the CDC at:

Yours in Health,

Tom Howard, MD


NC State Mental Health Ambassadors Program

Stigma Hand

NC State Mental Health Ambassadors

NC State Mental Health Ambassadors are a group of undergraduate and graduate students with a passion for mental health awareness and wellness education.  NC State MHAs will assist in the development and presentation of various topics for classroom presentations, campus partners and community events.  Our goal is to utilize the benefit of peer to peer education and support to continue to decrease stigma around mental health, help seeking and self-care.  In addition to a significant time commitment, this program will require students to have strong communication and organizational skills, work well in a group, display maturity and empathy and a high level of responsibility.

NC State MHAs will be thoroughly trained in various areas of mental health and wellness.  Each participant will shadow current staff members and then be paired with other MHAs for all programs.  Ambassadors will be prepared and knowledgeable to educate peers in an effort to positively impact the NC State campus community by raising mental health awareness through preventative education.

NC State Mental Health Ambassadors will gain:

  • Solid leadership experience and opportunities to serve as group officers
  • Completion of Certified Peer Educator (CPE) program through NASPA (Student Affairs Administrators in Higher Education)
  • Significant public speaking experience that will boost graduate school and/or career credentials
  • Professional references
  • Connections with other likeminded peers and mental health professionals

Students will be trained in and offer standardized programs on the following topics:

  • Introduction to the Counseling Center and how to refer a friend
  • Stress Management
  • Time Management and Academic Skills
  • Healthy Relationships
  • Diversity and Multicultural Awareness
  • Communication Skills and Assertiveness/Conflict Resolution
  • Anxiety and Depression Reduction strategies
  • Assist with QPR (Question, Persuade and Refer) Suicide Prevention Program
  • Mental Health Screenings and Tabeling Events including Suicide Prevention Vigil, Stop the Stigma events, information fairs and Earth Fair.


  • There will be a two day training ( 2 -6 hour days) the week before classes resume in August (date to be determined by availability). All NC State Mental Health Ambassadors must be available to attend.
  • NC State Mental Health Ambassadors will meet weekly (time to be determined by availability). Students must commit to not miss more than 3 meetings per semester.
  • NC State MHAs must complete at least 6 outreach presentations per semester. All presentations are co-presented with senior staff or other MHAs.
  • NC State MHAs is a one year commitment. Only apply if you can commit to both semesters.
  • Must have and maintain a minimum of 3.0 GPA.

Please complete the following application including 2 reference forms and return to Angel Bowers, LPC. They can be submitted by email ( or by bringing the application materials to the Counseling Center (Attn: Angel Bowers). The application is due April 10th, with references due April 17th. Reference letters that are not submitted electronically by recommenders must be enclosed in an envelope and signed over the envelope flap. Applications will be reviewed and interviews scheduled between April 13th and April 24th.  Feel free to send any questions to above e-mail as well.

Mental Health Ambassador Application Packet

Mental Health Ambassador Reference Form

Thomas Howard

Dr. Howard joined NC State in 2015. HeHoward_1_2015previously practiced at Fairfax Family Practice in Virginia where he was named a Washingtonian “Top Doc” in 2014. Howard earned his medical degree from the Uniformed Services University of the Health Sciences School of Medicine and completed a fellowship in primary care sports medicine from the USUHS and the Nirschl Orthopedic Sports Clinic located in Arlington, Virginia.

Dr. Howard has held several leadership positions throughout his career, including Program Director at VCU-Fairfax Family Practice Sports Medicine; faculty member at VCU-Fairfax; Chief, Family Practice and Director, Family Health Center of Fort Belvoir; and Assistant Director, Primary Sports Medicine Fellowship at DeWitt Army Community. He has special interest in concussion management, serving as team physician for high school and university teams and working with all patients to meet their individual needs in a balanced and thoughtful manner.


Ashley Pinet

Ashley received her undergraduate degree at NC State before going to Meredith College for her dietetic internship.  She is passionate about helping students meet their nutrition goals through individual nutrition counseling as well as group presentations. In addition to working with students one-on-one, Ashley currently serves as co-chair of the Eating Disorder Treatment Team at the Student Health Center and co-leader of the Food Allergy Support Group on campus.


Lauren Johnson

Dr. Lauren Johnson joined our clinical staff in 2014. She graduated from North Carolina State University with an undergraduate degree in Zoology. She graduated medical school from the University of North Carolina at Chapel Hill and completed her residency in Family Medicine at Maine Medical Center in Portland, ME.  Before coming to NC State Student Health she worked at Duke University Student Health. Her interests include compassionately caring for students and empowering patients through education.

Application Process – Post Master’s Fellowship


Thank you for your interest in NCSU’s Counseling Center’s Post-Master’s Fellowship. We anticipate offering three positions for the 2015-2016 Fellowship year. You will find information about the application process below. Please feel free to contact the Training Director (Richard Tyler-Walker, regarding any questions you may have.

Minimum Experience/Education: Recent Graduation from accredited Master’s Program in Counseling or Social Work and completion of an Internship or Field Placement at a University Counseling Center or equivalent clinical experience. Also, demonstrated progress in application for licensure within applicant’s discipline.

Departmental Required Skills: Established commitment to multicultural competencies. Candidate must have had prior clinical experience (during Training is sufficient) and experience in assessing for risk and managing crises. Strong interpersonal skills required.

Preferred Experience, Skills, Training/Education: Experience in a University Counseling Center is desirable. Preference for candidates who are generalists with experience utilizing a time-limited model of care.  Preference for candidates who have experience and strong interest in providing outreach presentations and group work..

Application Deadline

All Applicants must apply online at  The vacancy posting should be like by late-March.  It will be advertised on the NC State Jobs website and through PICC.  Review of Applications for 2015-2016 are currently underway.  We anticipate have similar vacancies for the 2016-2017 academic year.

Application Process

Once the position has been posted, Applicants need to apply at  Application materials will include:

  • Completed University Application
  • Statement of interest and how the Post-Master’s Fellowship at NCSU fits with your experience, training goals and longer term plans
  • Vita detailing educational, training, practicum, and employment experiences
  • Contact Information for References, two of which must be from persons familiar with your recent clinical/counseling work.  (It is fine to provide this in your vita).

Skype interviews will be held in April. Skype interviews typically average 45 minutes in length and are conducted with members of the staff. Applicants are notified of invitation for a interview via email and are asked to sign up through an on-line scheduling program.

Contact Information:

For questions about our Internship Program, please contact

Richard Tyler-Walker, PhD, LPC-S
Training Director
via e-mail at
or 919-515-2423

Counseling Center

NC State University

2815 Cates Ave.  Box 7312

Raleigh, NC  27695-7312


The Post-Master’s Fellowship is for a full Academic year (August through July) and Fellows must be able to commit to full-time work.  Focus of time will be on direct service with clients.  The Fellowship will be renewable for a second year if both the Fellow and Center are in agreement

The stipend for the internship is $30,000 annually (August through July).  The training program also provides full benefits and leave equivalent with an EPA position at the university.  This includes full employee benefits, including health care and flex options.  Interns receive the same amount of leave as other EPA employees. Annual leave is accrued at 16 hours per month, and sick eave is accrued at 8 hours per month. In addition, interns have university holidays off.  The university typically closes between Christmas and New Year to save on energy costs. Depending on the designated state holidays staff, including interns, may need to use some leave during this time (usually 0-2 days).  Leave requests must be submitted for approval and it is encouraged that larger amounts of leave taken during slower times of the semester to allow us to
better serve students.  Please review NC NC State University Benefits Website for more information.  In addition, Interns will be provided with professional development money and educational leave.

Fellows receive a University ID which allows them access to the NC State University Library and check out materials for an extended length of time.  Fellows also have membership at the university recreational center (for a nominal fee), access to many cultural and social events on campus, use of the Wolfline bus, and access to dining facilities on campus.

Fellows are also entitled to purchase a staff parking permit.  Transportation will deduct the cost monthly, pre-tax, from employees checks if they prefer.  Fellows receive clerical and technical support for client scheduling, business and travel arrangements, computing, and general office functions.  Each Fellow has a private, fully furnished office with a computer and wi-fi access.  Fellows are also eligible for a number of other employee discounts that are outlined on the HR Benefits page.

There are nearby a number of other activities that are close by that might be of interest. The Pullen Arts Center, run by the city of Raleigh, is adjacent to campus and offers affordable classes in pottery, jewelry making, painting and more. Pullen Park is also close-by and houses picnic areas, paddle boats, playgrounds, and a merry-go-round and mini-train.  The location of the university allows for numerous opportunities.

Sample Weekly Schedule – Post Master’s Fellowship

The Post-Master’s Fellowship is a full-time, one year, paid internship that can be renewed for a second year if the Fellow and the Center are in agreement.  A sample 40-hour weekly schedule is described below. While the experiences described in this section generally remain constant, the specific number of hours devoted to each activity may vary.  This is a sample of a typical Fellow schedule and may be modified depending on the time of the year, completion of activities or seminars, and with respect to any specialized focus, and any systemic changes in the Center.

Direct Services Activities: Hours Per Week
Intakes (Personal, Academic & Career) 4 – 6
Individual Counseling Follow-Ups 15 – 25
(Personal, Academic & Career)
Triage 0 – 3
Outreach Programming 0 – 4
Group Counseling 0 – 2
Consultation 0 – 1
After Hours / On-Call 0 – 1 (Rotates through staff)
Observing Senior Staff 0 – 1
Total Direct Service: Ave 25
Training – Supervision Activities:
Individual Supervision 2
Group Supervision 1
Training Seminar Topics 2 – 3
Case Consultation 1
Total Training & Supervision:  Ave 6
Administrative Activities:
 Clinical Notes & Paperwork 5
Preparation for Supervision 1
Staff Meeting 2
Committee Meetings / Center Involvement 0 – 2
 Total Administrative:  Ave 9
 Approximate Totals:  40 (Possibly more due to nature of EPA position)


Please note: We expect all trainees to take a lunch break when appropriate (when full or most of day is worked).  Self-care is essential for a positive and successful training experience.  We attempt, with all staff, to encourage balancing our busier times with some respite where possible. We feel that for all new professionals learning to set
limits and establishing reasonable goals is an important part of self-care and
is a goal of the training program. Also, trainees are not able to see students after the Center is closed, unless the supervisor has agreed to remain and be available.  This does not include educational outreach presentations which may be scheduled after-hours.

Intern Seminar:

Intern Seminars are designed to enrich the training experience of emerging mental health professionals.  In addition to weekly group process time with the intern cohort and case-consultation meetings with fellow trainees and senior staff, training seminars are offered on a variety of topics.  Seminars are didactic in nature and are illustrated with rich case examples.  Seminars will be offered on a weekly basis for a minimum of two hours.  Some topics will be offered regularly and others will be offered throughout the academic year.

Seminar Topics include:

  1. Multicultural / Diversity Seminar
  2. Clinical Skills / Clinical Issues Seminar
  3. Theories and Techniques Seminar
  4. Assessment Seminar
  5. Outreach Seminar
  6. Supervision of Supervision Seminar
  7. Group Counseling Seminar
  8. Professional Identity / Professional Development