Schools don't always have counseling available. And even if they claim to, sometimes it's worse than nothing.
Alt's high school (our town's public school) had guidance counselors and an "adjustment counselor", a/k/a social worker. The guidance counselors pretty much just dealt with getting the kids through their classes, making sure they were passing everything, and helping them choose what to do after high school. The adjustment counselor dealt mostly with kids who were in special education and had different social or emotional needs than the non-special ed students, and with kids who were either engaging in criminal behavior or came from homes in which there was criminal behavior, i.e. abuse.
In theory, they were supposed to do at least some counseling of other kinds, as well. In reality... Alt's guidance counselor told me *not* to tell Alt's teachers that they had mental illnesses because "you don't want to stigmatize her", and my attempts to have Alt referred to the adjustment counselor were met with stonewall refusals from the guidance counselor and administrators. After a while, Alt's anxiety and depression started impacting their attendance; they would force themself to go to school because of the attendance policy, but then would have an anxiety or panic attack in class, go to the nurse, and get sent home for the day. I kept getting calls from the guidance counselor and administrators telling me Alt was in danger of failing, and I kept saying, "She (at the time, Alt still identified as female) is in danger of failing because YOU KEEP SENDING HER HOME! If you're so frigging worried about her attendance, keep her in school!" (And yes, I yelled and swore.)
The guidance counselor was completely ineffective--and *she* was the only one "stigmatizing" Alt for having mental illnesses. The nurse didn't really know what to do; she could only operate based on Alt's physical symptoms, which included nausea and vomiting, which according to school policy was an automatic "go home."
For the last year of Alt's high school career, after my rant at the guidance counselor and administrator, every time she had an anxiety or panic attack, the school called me... and I went to school, sat with Alt, talked them down from whatever was going on, and pretty much gave the "professionals" a crash course on how to work with students who have mental health issues. Every time I went in, out of the nurse, guidance counselor, and assistant principal, I made whichever one(s) were available sit with us to see just how bloody easy it was to help Alt if someone actually TRIED instead of just sending them home. Which pissed me the fuck off, because as a parent it should NOT have been my job to teach professional educators or school staff how to work with students, but at least my kid graduated on time. After my rant, the administration and Alt's teachers (only one of whom complained about the situation) agreed Alt wouldn't be penalized for missing class time as long as they stayed in the school building and checked in with the teacher as soon as they were able, so the attendance policy of "if you miss a class three times in a grading period, you automatically fail" stopped applying to them.
One of Alt's friends is the same age as Country and has been in and out of psychiatric hospitalization for several years so is two grades behind Country and attends our town's school. (Country does not.) The friend told Alt that this year, the high school established an alternative class for kids whose mental health issues impact their ability to stay in class, so they aren't being penalized for something beyond their control. Even though Alt graduated in 2013, I would like to think she and I had something to do with that.