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In coping with stress, people tend to use one of the three main coping strategies: either appraisal-focused, problem-focused, or emotion-focused coping. Appraisal-focused strategies occur when the person modifies the way they think, for example: employing denial, or distancing oneself from the problem. People may alter the way they think about. These can include generalized anxiety, separation anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, social anxiety or panic disorder. Any of these can affect a student's ability to perform well in school. Students with anxiety may also be at risk for developing other mental health issues, such as depression, drug/alcohol.