Challenging students can be difficult to interact with because they can be intrusive and persistent. Demanding traits can be associated with anxiety and agitated depression, but also occur in the general population. Some features associated with challenging students are a sense of entitlement; an inability to empathize; a need to control; difficulty dealing with ambiguity; a strong drive for perfection; difficulty respecting structure, limits, and rules; persistence after hearing “no”; dependence on others to take care of them; and a fear of dealing with the realities of life. These students may require a lot of time and attention.