In college, life is generally much different than it was in high school. In high school, there's often a lot of externally imposed structure and the expectations may be a lot lower. At a university, though, the parameters are a lot different, and some behaviors don't "work" any more. So for someone with a cognitive/psychiatric issue, this could be a major source of stress. For me, things started to unravel during the beginning of undergrad, because I was facing difficulties on both social and academic fronts, and the compensation mechanisms I'd used previously were no longer enough. I remember feeling like I was drowning.
As far as issues with GLOs and members with cognitive/psych issues, I think there might be a lot to be said for early alum status or some kind of alternative membership that reduced the demands on both the member and the other people in the organization. Punishment doesn't make sense, but it might be reasonable to look for an approach that reduces the stress on everyone involved.
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