Midterm grades are in, and something feels off. For students with ADHD, a learning disability, or anxiety, the hardest part usually isn’t the coursework, it’s actually sending the email or walking into office hours. Here’s how to do it well, and why it matters more than most students realize.
Midterm is the point in the semester where the gap between how a class is going and how you’d like it to be going becomes hard to ignore. For most students, that’s an uncomfortable moment. For students with ADHD, a learning disability, or anxiety, it can be a genuinely difficult one, not because the academic problem is necessarily bigger, but because reaching out about it triggers exactly the kind of avoidance, shame, or dread that these conditions tend to produce.
The good news is that checking in with a professor at midterm is one of the highest-leverage, lowest-risk moves available to a struggling student, and it gets much easier with a plan. Here’s how to approach it.
Why This Is Harder Than It Sounds (and Why That’s Not a Character Flaw)
In high school, a parent or teacher usually initiated the hard conversation for you. In college, no one is going to email your professor on your behalf, and that shift in responsibility lands especially hard for students with ADHD or executive function challenges, for whom initiating an uncomfortable task is often the single hardest step in any process, well ahead of actually doing the task itself.
Anxiety adds its own layer: worry about looking incompetent, about the professor’s reaction, or about having to explain a diagnosis can make a two-minute email feel like a much bigger event than it actually is. None of this means you’re being dramatic or lazy. It means the barrier is real, and it’s worth planning around rather than white-knuckling through.
Before You Reach Out
Get specific before you get in touch
- Pull your actual grades, not a general feeling that things are going badly. Know your current standing in the class as precisely as you can.
- Identify one or two concrete questions. “I’m not sure if I’m losing points on content or on how I’m structuring my answers” is more useful than “I’m struggling.”
- Check your syllabus for office hours and any stated late-work or extension policy before you ask, so your question is informed.
- If you have an accommodations letter, have it ready to reference or resend if needed.
What to Say in the Email
Keep it short. A clear subject line, a brief explanation, and a specific ask is all you need, according to guidance echoed across multiple student-success resources: state what’s happening and since when, without over-explaining or over-apologizing, and end with a direct request.
Subject: PSYC 210 — Request to meet during office hours
Dear Professor [Last Name],
I’m in your Tuesday/Thursday PSYC 210 section. I wanted to check in after seeing my midterm grade, I want to make sure I understand where I’m losing points and what to focus on for the rest of the semester. Would you have time during your office hours this week, or could we set up a short call?
Thank you,
[Your name]
You do not need to disclose a diagnosis, a medical history, or personal details to ask for help. Share only what you’re comfortable sharing. “I’ve been having a hard time staying on top of the reading load this semester” is a completely sufficient explanation on its own.
What to Actually Do in Office Hours
Lead with the specific question or grade you brought, not a general apology. Ask what the professor would recommend focusing on for the rest of the term, whether there’s a way to demonstrate understanding you may have missed on a particular assignment, and whether office hours, review sessions, or teaching-assistant support are available going forward. Professors are far more responsive to students who show up with something concrete to work from than to students who arrive only with distress.
If you’re anxious about the conversation itself, it can help to remember that reaching out before you’ve fallen too far behind is read by most professors as responsibility, not weakness. Asking early, before finals are the only remaining option, is exactly the behavior office hours exist to support.
If You Have (or Might Need) Formal Accommodations
College accommodations work differently than the IEP or 504 process in K-12: they’re opt-in, meaning you have to register with your school’s disability services office and choose to share your accommodation letter with professors. Professors generally see only the approved accommodations, not your diagnosis or evaluation history, so disclosure is far more limited than many students expect going in.
If you’re not yet registered and you suspect ADHD, a learning disability, or an anxiety disorder is playing a real role in how you’re performing under timed or high-pressure conditions, it’s not too late to start that process mid-semester, though accommodations generally apply going forward rather than retroactively. A comprehensive evaluation is usually the starting point; our sister practice’s page on college accommodations evaluations walks through what that involves.
How Therapeutic Tutoring Helps With This Specific Problem
For a lot of students, the academic gap and the avoidance around addressing it grow together. A missed assignment becomes easier to avoid discussing the longer it sits, and the anxiety about the conversation compounds along with the coursework itself. Therapeutic tutoring is built specifically for this intersection: sessions combine direct academic catch-up strategy with the executive function and confidence work needed to actually send the email, show up to office hours, and follow through on whatever plan comes out of that conversation.
Our page on therapeutic tutoring for college students covers how sessions are structured around this kind of mid-semester catch-up and self-advocacy work. If ADHD or anxiety specifically is the bigger piece of what’s getting in the way, see ADHD tutoring and anxiety tutoring. For a broader look at the adult-specific presentation of ADHD and anxiety that often complicates college life, our sister practice’s pages on ADHD coaching for college students and therapy for college students go further.
If midterm has made it clear you need more support than you’re currently getting, a free consultation can help you figure out what’s actually going to help.
Schedule a Free Consultation Support for College StudentsFrequently Asked Questions
When is the right time to reach out to a professor if I’m struggling?
As soon as you notice a pattern, not after final grades come out and definitely not the week before finals. Reaching out early, ideally within a day or two of a grade you don’t understand or a moment you realize you’ve fallen behind, gives you and the professor far more options: an extension, a plan to catch up, a redirect to tutoring, or simply clarity on what’s expected. Waiting until the end of the semester usually leaves only damage control.
Do I have to explain my ADHD, learning disability, or anxiety to my professor?
No. Unlike K-12, college accommodations work on an opt-in disclosure model, and you’re not required to explain a diagnosis to a professor to get help. If you’re registered with your school’s disability services office, professors typically only see an accommodation letter listing what’s approved, not your diagnosis or history. If you’re not registered, you can still email a professor about falling behind or struggling with the material without disclosing any medical information at all. Share only what you’re comfortable sharing.
What should I actually say in an email to my professor?
Keep it short and specific. Use a clear subject line that names the course and purpose, state briefly what’s happening and since when, and ask a direct question: whether you can meet during office hours, whether an extension is possible, or what you should focus on to catch up. You don’t need to justify yourself at length or apologize repeatedly. A few sentences that get to the point are more effective, and more professional, than a long explanation.
What should I bring to office hours if I’m behind or confused?
Bring your actual grades or graded work, not just a general sense that things are going badly, and one or two specific questions. Showing up with specifics, rather than a vague “I’m struggling,” tends to produce a much more useful conversation and makes it clear you’ve already put in some thought before asking for help.
I don’t have formal accommodations yet. Is it too late to get them partway through the semester?
It’s not too late, though accommodations typically apply going forward rather than retroactively to grades already recorded. If ADHD, a learning disability, or anxiety is making a real difference in how you perform under timed or high-pressure conditions, it’s worth starting the evaluation and registration process with your school’s disability services office as soon as possible so accommodations are in place for the rest of the semester and finals. A comprehensive psychological evaluation is usually the first step.
How does therapeutic tutoring help with this specifically?
For many students, the hardest part isn’t the coursework, it’s actually sending the email or walking into office hours in the first place. Avoidance, shame about falling behind, and anxiety about the conversation itself often do more damage than the original academic struggle. Therapeutic tutoring addresses both sides together: the study and executive function strategies to catch up on material, and the confidence and self-advocacy skills to actually have these conversations with professors before a small gap becomes a semester-ending one.
Sources
- Learning Disabilities Association of America — How College Students with LD Can Self-Advocate
- ADDA — What College Students with ADHD Need to Know About Advocacy and Accommodations
- National Center for Learning Disabilities — Self-Advocacy Education
- Research.com — How to Talk to a Professor When You’re Struggling
- Mental Health America — How to Talk to Your Professor About Your Mental Health
