As we prepare to launch another semester mostly online, we are facing what may be the most severe mental health crisis in the history of American education. The next three months promise to bring the most dangerous and stressful period in American medicine. It will unfold in the cold, dark months of winter -- December, January, February and into March -- when the death toll mounts higher and higher before a hoped-for spring of vaccinated immunity begins to bring hope and some measure of mobility and in-person engagement. I am sounding the alarm now to alert readers that the next three months may bring struggle and harm to our faculty, staff and students.
