college essays about depression and anxiety

Anxiety Disorders and Depression Essay (Critical Writing)

Introduction, description section, feelings section, action plan, reference list.

Human beings become anxious in different situations that are uncertain to them. Depression and anxiety occur at a similar time. Anxiety is caused due to an overwhelming fear of an expected occurrence of an event that is unclear to a person. More than 25 million people globally are affected by anxiety disorders. People feel anxious in moments such as when making important decisions, before facing an interview panel, and before taking tests. Anxiety disorders are normally brained reactions to stress as they alert a person of impending danger. Most people feel sad and low due to disappointments. Feelings normally overwhelm a person leading to depression, especially during sad moments such as losing a loved one or divorce. When people are depressed, they engage in reckless behaviors such as drug abuse that affect them physically and emotionally. However, depression manifests in different forms in both men and women. Research shows that more women are depressed compared to men. This essay reflects on anxiety disorders and depression regarding from a real-life experience extracted from a publication.

“Every year almost 20% of the general population suffers from a common mental disorder, such as depression or an anxiety disorder” (Cuijpers et al. 2016, p.245). I came across a publication by Madison Jo Sieminski available who was diagnosed with depression and anxiety disorders (Madison 2020). She explains how she was first diagnosed with anxiety disorders and depression and how it felt unreal at first. She further says that she developed the need to get a distraction that would keep her busy so that she won’t embrace her situation. In her case, anxiety made her feel that she needed to do more, and everything needed to be perfect.

Madison further said that the struggle with anxiety is that it never seemed to happen, but it happened eventually. She always felt a feeling of darkness and loneliness. She could barely stay awake for more than 30 minutes for many days. Anxiety and depression made her question herself if she was good enough, and this resulted in tears in her eyes due to the burning sensation and overwhelmed emotions. In her own words, she said, “Do I deserve to be here? What is my purpose?” (Madison 2020). Anxiety made her lose confidence in herself and lowered her self-esteem. She could lay in bed most of the time and could not take any meal most of the days.

Madison said that since the sophomore year of high school, all was not well, and she suddenly felt someone in her head telling her to constantly worry and hold back from everything. She could wake up days when she could try a marathon to keep her mind busy. However, she sought help on 1 January 2020, since she felt her mental health was important, and she needed to be strong. She was relieved from her biggest worries, and what she thought was failure turned into a biggest achievement. She realized that her health needed to be her priority. Even after being diagnosed with depression disorders, she wanted to feel normal and have a normal lifestyle like other people.

Madison was happy with her decision to seek medical help even though she had her doubts. She was happy that she finally took that step to see a doctor since she was suffering in silence. She noted that the background of her depression and anxiety disorders was her family. It was kind of genetic since her mom also struggled with depression and anxiety disorders. Her mom was always upset, and this broke her heart. She said it took her years to better herself, but she still had bad days. Madison decided to take the challenge regarding her mother’s experience. Also, Madison said she was struggling to get over depression since her childhood friends committed suicide, and it affected her deeply. She also told the doctor how she often thought of harming herself. The doctor advised her on the different ways she could overcome her situation after discovering she had severe depression and anxiety disorders.

After going through Madison’s story, I was hurt by the fact that he had to go through that for a long time, and something tragic could have happened if she had not resorted to medical help. I felt emotional by the fact that she constantly blamed herself due to her friends who committed suicide, and she decided to accumulate all the pain and worries. The fact that I have heard stories of how people commit suicide due to depression and anxiety disorders made me have a somber mood considering her case. In this case, you will never know what people are going through in their private lives until they decide to open up. We normally assume every person is okay, yet they fight their demons and struggle to look okay. Hence, it won’t cost any person to check up on other people, especially if they suddenly change their social characters.

Madison’s story stood out for me since she had struggled since childhood to deal with depression and anxiety disorders. In her case, she was unable to seek help first even when she knew that she was suffering in silence (Madison 2020). However, most people find it hard to admit they need help regardless of what they are going through, like Madison. People who are depressed cannot work as they lack the motivation to do anything. In my knowledge, depression affects people close to you, including your family and friends. Depression also hurts those who love someone suffering from it. Hence, it is complex to deal with. Madison’s situation stood out for me since her childhood friends committed suicide, and she wished silently she could be with them. Hence, this leads to her constant thoughts of harming herself. Childhood friends at one point can become your family even though you are not related by blood due to the memories you share.

Depression and Anxiety disorders have been common mental health concerns globally for a long time. Depression and anxiety disorders create the impression that social interactions are vague with no meaning. It is argued by Cuijpers (2016, p.245) that people who are depressed normally have personality difficulties as they find it hard to trust people around them, including themselves. In this case, Madison spent most of her time alone, sleeping, and could not find it necessary to hang around other people. Negativity is the order of the day as people depressed find everything around them not interesting.

People who are depressed find it easy to induce negativity in others. Hence, they end up being rejected. Besides, if someone is depressed and is in a relationship, he/she may be the reason for ending the relationship since they would constantly find everything offensive. Research shows that people who are clinically depressed, such as Madison, prefer sad facial expressions to happy facial expressions. Besides, most teenagers in the 21 st century are depressed, and few parents tend to notice that. Also, most teenagers lack parental love and care since their parents are busy with their job routines and have no time to engage their children. Research has shown that suicide is the second cause of death among teenagers aged between 15-24 years due to mental disorders such as suicide and anxiety disorders.

Despite depression being a major concern globally, it can be controlled and contained if specific actions are taken. Any person needs to prioritize their mental health to avoid occurrences of depression and anxiety orders. Emotional responses can be used to gauge if a person is undergoing anxiety and depression. The best efficient way to deal with depression and anxiety is to sensitize people about depression through different media platforms (Cuijpers et al. 2016). A day in a month should be set aside where students in colleges are sensitized on the symptoms of depression and how to cope up with the situation. Some of the basic things to do to avoid anxiety and depression include; talking to someone when you are low, welcoming humor, learning the cause of your anxiety, maintaining a positive attitude, exercising daily, and having enough sleep.

Depression and anxiety disorders are different forms among people, such as irritability and nervousness. Most people are diagnosed with depression as a psychiatric disorder. Technology has been a major catalyst in enabling depression among people as they are exposed to many negative experiences online. Besides, some people are always motivated by actions of other people who seem to have given up due to depression. Many people who develop depression normally have a history of anxiety disorders. Therefore, people with depression need to seek medical attention before they harm themselves or even commit suicide. Also, people need to speak out about what they are going through to either their friends or people they trust. Speaking out enables people to relieve their burden and hence it enhances peace.

Cuijpers, P., Cristea, I.A., Karyotaki, E., Reijnders, M. and Huibers, M.J., 2016. How effective are cognitive behavior therapies for major depression and anxiety disorders? A meta‐analytic update of the evidence . World Psychiatry 15(3), pp. 245-258.

Madison, J. 2020. Open Doors .

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Bibliography

IvyPanda . "Anxiety Disorders and Depression." June 16, 2022. https://ivypanda.com/essays/anxiety-disorders-and-depression/.

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Companies & Schools

Should you discuss mental health issues in your college essay?

by Erica L. Meltzer | Oct 20, 2018 | Blog , College Essays | 6 comments

college essays about depression and anxiety

Image ©Nickshot, Adobe Stock

Note, January 2022: This post was written in 2018, before the start of the Covid-19 pandemic. Obviously, many things have changed since then, not least the amount of psychological pressure that many high school students have experienced. Clearly, some of the boundaries and expectations surrounding acceptable/advisable topics for admissions essays have shifted, and applicants undoubtedly have more leeway in discussing mental-health issues than they did in the past. That said, I would still caution against making this subject the exclusive focus of your essay(s). If it happens to be relevant—and it very well might be, given the events of the last couple of years— then you should focus on discussing it in a mature way that conveys qualities such as empathy and resilience, and that demonstrates your ability to reflect insightfully on what may have been very difficult situations.

As regular readers of my blog may know, I periodically trawl the forums over at College Confidential to see what’s trending. Recently, I’ve noticed a concerning uptick in the number of students asking whether it’s appropriate for them to write about mental health issues, most frequently ADD and/or anxiety, in their college applications.

So the short answer: don’t do it.

The slightly longer version:

If you’re concerned about a drop in grades or an inconsistent transcript, talk to your guidance counselor. If these types of issues are addressed, the GC’s letter is the most appropriate place for them. If, for any reason, the GC is unable/unwilling to discuss them and the issues had a significant impact on your performance in school that unequivocally requires explanation, you can put a brief, matter of fact note in the “is there any additional information you’d like us to know?” section, but think very carefully about how you present it. Do not write your main essay about the issue.

The full version:

To understand why these topics should generally be avoided, you need to understand what information colleges are actually seeking to gain from the personal statement. Although it is technically a personal narrative, it is, in a sense, also a persuasive essay: its purpose is to convey what sets you apart from the thousands of others with equally good grades and scores, and to suggest whether you have qualities that make you more likely to thrive at university x than the other 10 or 15 or even 20 applicants clamoring for that spot.

Now, whether such thing can actually be determined from 650 words (with which some students receive significant help) is of course questionable; however, the bottom line is that, adcoms are looking for students who will be successful in college. Discussing one’s inability to focus or intense aversion to social situations does not exactly inspire confidence, even if a student insists those problems have been overcome. Leaving home, dealing with professors and roommates and more challenging classes… Those are all major stressors. There is a tacit understanding that of course some students will flame out, have breakdowns, etc., but adcoms are understandably hesitant to admit anyone who is already at a higher risk for those issues. You want them to be excited about the prospect of admitting you, not debate whether you’ll really be able to handle college. (In fact, I had multiple students with various issues who were not truly ready for college and who did flame out — colleges have good reason to take these things seriously.)

This concern goes beyond any particular student’s well-being: graduation rates get factored into rankings, and every student who doesn’t make it through drags that statistic just a little bit lower. If a student does develop serious problems while on campus, there are also potential legal/liability issues involved, and no school wants to deliberately court those.

Besides, if your grades are iffy, it is extremely difficult not to sound as if you are making excuses. You are much better off talking about an experience or interest that will make them look past the transcript and think, “Hey, I really like this kid.” And the reality is that if your grades are that iffy, you’re probably not a competitive candidate at super-selective colleges anyway. These schools are looking for applicants who are on the way to fulfilling their potential, not for ones who need to explain away chronic underachievement.

In addition, one thing applicants — and sometimes their parents — have difficulty wrapping their heads around is the sheer number of applications the average admissions officer has encountered. Situations that may seem extreme and dramatic to adolescents who have recently confronted them may in fact have already been experienced — and written about — by thousands of other applicants. A 17-year old may believe that describing their anxiety in morbid detail will make them seem complex and introspective, but more likely it will only come off as overwrought and trite.

I know that might sound harsh, but please remember that admissions officers are coming at this process with no pre-existing knowledge of you as a person, only a few minutes to spend on your essay, and hundreds of other applications to get through. They are also under intense pressure to ensure that the appropriate demographics targets are being met and all the various institutional constituencies (coaches, development office, orchestra conductor) are being satisfied. They’re not ogres, and they’ll try to give you the benefit of the doubt, but if yours is the fifth essay about overcoming anxiety they’ve seen in the last 48 hours, they will look at it and reflexively think, “oh, another one of these.” That is not a first impression you want to make.

Now, are there exceptions? Yes, of course, but they are rare. In all the time I did college admissions work, I had exactly one student successfully discuss anxiety in an essay. It was, however, introduced in the context of a family tragedy that had profoundly shaped the student’s life; given that background, the discussion seemed natural and matter of fact rather than overdramatized. Even so, I made the student take a good week to think about whether that topic was truly the one they wanted to write about.

Ultimately, of course, the decision is yours, and the choice depends on the larger story you want to tell as well as your ability as a writer, but these topics are so difficult to pull off well that you are best off avoiding them if you can (particularly if you don’t have access to someone with a lot of admissions experience who can review your essay). Find another topic/ experience that you enjoy writing about (and that others are likely to enjoy reading about); that presents you as someone interesting and thoughtful; and that suggest you are ready to thrive in college.

If you really are concerned about your ability to function in college, most schools have plenty of resources for you to take advantage of (academic support, counseling center, etc.). But those are things to investigate after you get admitted. Before that, don’t go out of your way to fly red flags where none are warranted.

Why is Dyslexia ok to mention on an essay, but overcoming selective mutism is not?

Dyslexia is a learning disability that lends itself to proof that it has been overcome through excellent scores in reading and writing. It’s not easy to overcome or cope with dyslexia so an essay showing how a student did it demonstrates their tenacity and resourcefulness. Grades and scores are proof that the dyslexia will not be a problem in college, while the essay can highlight the characteristics that led to the student’s success and which will serve them well in college.

I wrote about how my dog helped me overcome me ending my life/depression and moving to another school is that too common

Thanks for the tips and perspective. It seems like common sense to me as a parent and tutor, but now I have an “established author” to cite!

I want to write about how depression had change me. But my grades and statistics are all great. Is this okay to write? My bad mental health somehow didn’t manage to get to the others parts of my life.

Is it okay to write about how despite psychosis I could manage to get good grades?

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Why Are College Students So Depressed?

It may not always feel like the best four years of your life

Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

Andreswd / Getty Images

Symptoms of Depression in College Students

What percentage of college students experience depression, what really causes depression in college students, impact of depression on academic and personal life, coping with depression in college, treatments for depression in college students, how schools can help.

Depression is one of the most common mental health conditions and affects people of all ages, including college students. It impacts thoughts, feelings, and behaviors and is characterized by persistent sadness and loss of interest in once-enjoyable activities.

This condition is prevalent on college campuses, affecting an estimated 53% of students at some point.

"College students are a vulnerable population who are faced with a range of new and often wonderful—yet sometimes stressful—experiences," explains Randall Dwenger, MD , the chief medical officer at Mountainside Treatment Center. He also notes that people who have a predisposition to depression typically start to display symptoms during their early 20s.

Depression can take a toll on many aspects of a young person's life, including academic performance, social life, and physical health. It can also increase their risk of substance abuse and co-occurring mental health conditions.

For this reason, it is crucial to recognize the signs of depression in college students and provide tools, resources, and support that can help.

At a Glance

College students are faced with multiple stressors like living on their own for the first time, meeting new people, and taking a rigorous course load. All of these changes happen at one time and cause major stress.

Any symptoms—both mild and severe—can affect college students' performance and mental health.

Fortunately, help is available and schools have also stepped in to address mental health concerns.

"Even mild symptoms may significantly interfere with academic and social functioning," explains Amy Mezulis, PhD , a licensed clinical psychologist and chief clinical officer of Joon. She also notes that it can lead to symptoms such as trouble concentrating, fatigue , and low energy, which can make it tough for students to keep up with academic work.

Randall Dwenger, MD

Some students may experience frustration with themselves at not being able to keep up with the challenges of living independently: balancing academics, social life, and tasks of daily living. These frustrations turned inward may present as depression.

Symptoms of depression that college students may experience include:

Feeling sad, low, or "empty"
Loss of interest in previously enjoyed activities
Difficulty concentrating and making decisions
Missing class
Poor grades
Not having the motivation to finish assignments
Poor self-care and personal hygiene
Using drugs or alcohol to cope with difficult emotions
Irritability or restlessness
Guilt, helplessness, or hopelessness
Lack of energy or fatigue
Feelings of worthlessness
Reduced physical activity
Changes in sleep habits and appetite
Thoughts of self-harm or suicide

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our National Helpline Database .

Unfortunately, it isn’t easy to predict which students will excel and which will struggle with all the changes and challenges that college brings.

“Some students may experience frustration with themselves at not being able to keep up with the challenges of living independently: balancing academics, social life, and tasks of daily living. These frustrations turned inward may present as depression,” Dr. Dwenger says.

In one study that involved interviewing college students about their experiences, students suggested that depression affected many academic areas, including their effort, ability to focus, and time management.

Struggling with motivation and falling behind on academic work were common themes.

"[Depression] can definitely be a drain on focus because if I’m having a particularly bad episode, it’s hard to do anything at all," one student explained.

For some students, falling behind in classes can make depression feel even worse. "Once you start falling behind, then the depression kicks in, it will make me think less of myself for that. Then it’s even harder to catch up. As the things pile up, it gets more difficult to pull myself out of [the depression]," another student told researchers.

Depression rates among U.S. college students are at an all-time high and growing. According to one internet-based survey, 44% reported that they currently have symptoms of depression, and 15% said they had considered suicide in the past year.

A 2022 study published in the Journal of Affective Disorders examined data from the national Healthy Minds study between the years 2013 and 2021. The researchers found that there has been a steady, consistent decline in the mental health of college students throughout the United States, amounting to a 135% increase in depression over the course of those eight years.

Between 2013 and 2021, the number of college students who met the diagnostic criteria for one or more mental disorders doubled.

Such numbers are sobering, but the survey also found some positive indicators; more students are participating in therapy, and fewer are turning to alcohol to cope with their mental health problems. Unfortunately, the increasing rates of depression may also be outpacing the resources that are available to treat it.

And while the COVID-19 pandemic was associated with significant increases in rates of depression, the survey data shows that these increases are part of a larger trend and not simply attributable to a singular pandemic-era dip in mental well-being.

For students to get the help they need, researchers, public health experts, and academic institutions need to learn more about why students are struggling with depression. By identifying the factors that play a role, they can offer better interventions and develop prevention programs to combat depression in college students.

Leaving home for the first time can be an exciting but also challenging time for many students. It can be a time of self-discovery and personal growth, but it can also be stressful, anxiety-provoking, and isolating for many.

The following are just some of the common factors that can play a role in the onset of depression among college-age students.

Transitions and Adjustments

"The transition to college can be a big change, both academically and socially," explains Laura Erickson-Schroth, MD , chief medical officer of The Jed Foundation (JED). Going to college often means leaving behind social connections and support and starting over in a new environment.

For most students, college is their first experience living away from home. Moving out, adjusting to a new environment, and forging new social connections can contribute to stress that can play a part in causing depression, Dr. Erickson-Schroth says.

Students are also dealing with a lot of pressure to perform well. This stress can affect well-being and contribute to feelings of inadequacy and helplessness.

Relationships and Social Pressures

Students also face the pressure of fitting in with their peers in a new setting. They may feel disconnected from their old friends and struggle to form new friendships in an unfamiliar environment. This lack of social support may contribute to depression.

The college years can also be a time to forge new relationships with friends and romantic partners, but this can also be a source of conflict and strife. Arguments with roommates, losing touch with old friends, and problems in romantic relationships can sometimes leave college students feeling distressed.

Financial Stress

Paying for school and managing living expenses can create additional pressures. College is the first time many young people have had to deal with this type of financial pressure, and it can create feelings of stress that can play a part in the onset of depression.

Dr. Erickson-Schroth notes that students from lower-income households experience more financial stress, including struggles related to finding stable housing, food, and healthcare.

Surveys suggest that three out of every five college students face some type of insecurity related to essential needs.

Social activities and academic demands can contribute to poor sleep habits. Depression and sleep have a bidirectional relationship. Irregular or poor sleep habits are linked to the onset of depression, but depression can make sleeping more difficult. Sleep disturbances are also associated with an increased risk of suicidal ideation.

Research has also found that 82% of college students who experience suicidal thinking also experience sleep disturbances.

Substance Use

Some students may experiment with alcohol and drugs in college, in some cases as a way to cope with negative emotions and stress. Unfortunately, such substance use is also associated with increased depressive symptoms.

Other Hurdles

Dr. Erickson-Schroth notes that some young adults face additional challenges that can make them more susceptible to depression.

"Youth of color who attend college at predominantly white institutions (PWIs) often experience microaggressions and have trouble finding spaces where they feel they can be themselves," she explains.

Research also suggests that LGBTQIA+ students, financially insecure students, and lower-division students have a higher risk of experiencing more severe depression.

Generational Challenges

The COVID-19 pandemic also played a role in fueling struggles that many college students have experienced over the past few years. Dr. Dwenger notes that the social disruptions caused by the pandemic left many students struggling without the tools, resources, and coping skills they needed to navigate what is already a tricky period in most people's lives.

"Many experienced a sort of “whiplash” in adjusting back to in-person learning and resuming social interactions," he explains.

Unique global concerns facing today's generation of college students can also contribute to depression. This can include environmental worries, climate anxiety , political turmoil, social justice issues, and other concerns.

The political minefield, losses in terms of personal freedoms and choice, and issues of diversity may inspire some young people into action and activism, but these issues can also bring feelings of pessimism and hopelessness to many.

The high rates of depression among college students negatively affect physical health, mental well-being, academic success, and interpersonal relationships . These effects can be distressing and far-reaching. They can also potentially interfere with a student's long-term academic and professional goals.

One of the most immediate effects of depression in college students is its effect on academic performance, attendance, and participation. Depression makes it harder to concentrate, reduces motivation to learn, and even makes it hard for students to attend class sessions.

The toll on a student's academic life can be severe. It can lead to poor test performance and bad grades, which even jeopardize a student's ability to graduate and, for those depending on academic scholarships, impair their ability to keep their form of financial support.

Declining grades and poor feedback from instructors can worsen the feelings of hopelessness and inadequacy that many students are already struggling with.

Life Outside of School

Depression also makes it more challenging for students to enjoy many of the experiences that are often associated with college. Extracurricular activities, social events, and hobbies that they used to enjoy lose their appeal. This often means that they stop participating in these activities altogether.

Because social withdrawal is another common symptom of depression, making important connections and getting the social support they need becomes even more of a challenge. As a result, a student with depression may feel disconnected from their friends, roommates, family members, and college community.

Physical Health

Depression can also affect a college student's physical health. When people are depressed, they also experience increases in stress hormones such as adrenaline and cortisol .

This stress response is associated with a variety of health effects, including impaired immunity. Periods of prolonged stress associated with depression can also elevate the risk of health problems such as autoimmune conditions, cardiovascular disease, high blood pressure, and gastrointestinal disorders.

It is also common for people with depression to experience a variety of physical symptoms, including back pain, stomach upset, reduced psychomotor activity, and joint pain.

If you are a college student struggling with depression, there are a few things that you can do that may help make it easier to cope.

Make a Plan

Dr. Erickson-Schroth suggests proactive plans for how you'll take care of your mental health before college begins.

"Make a list of some of the potential challenges you may face. This could include finding community, adjusting to living in a new place away from family and friends, keeping up with a different level of academic work, or getting the right amount of good nutrition, exercise, and sleep," she explains.

Once you have a list, brainstorm some ways you'll tackle these challenges. This can include checking out resources your school might offer and leaning on tactics that have worked for you in the past.

Try Behavioral Activation

Dr. Mezulis says that one of the best ways to manage depression is to use a strategy known as behavioral activation . It involves scheduling activities that help promote a positive mood and well-being, even if you might not necessarily feel in the mood.

The idea is that doing things that are good for us and that we typically enjoy will give us opportunities to feel effective, socially connected, and happy, thus improving our mood.

This includes scheduling things like social events, exercise, and even daily tasks like doing your laundry and homework. Start by taking stock of some of your daily habits and look for ways to schedule activities that will support your emotional well-being:

Make it a habit to go to bed and wake up at the same time each day
Eat a balanced diet
Utilize relaxation techniques to cope with stress
Start a mindfulness or meditation practice
Get regular physical activity
Seek support from family, friends, professors, advisors, and others

While there are many strategies you can use on your own to improve your mental health and ability to cope, it is important to seek professional help if your symptoms have lasted longer than two weeks and/or are making it difficult to function in your daily life. Treatment options can include on- or off-campus options.

Talking to a mental health professional at your school's counseling center or student health services can be a great place to start. They can provide further options about mental health services that are available on-campus or refer you to off-campus providers.

Your doctor or therapist may recommend a few different options to treat your depression. Because depression is complex and influenced by a number of factors, research suggests that a combination of therapy and medication is often the most effective treatment approach.

During talk therapy , you can discuss the challenges you are facing with a professional. Your therapist can help you gain insights, improve relationships, and develop new coping skills.

There are different types of therapy that can help, including cognitive-behavioral therapy (CBT) , which focuses on changing negative thoughts; interpersonal therapy (IPT) , which focuses on improving relationships; and dialectical behavior therapy (DBT) , which improves thoughts, emotions, and relationships.

There are also medications that can help people find relief from symptoms of depression. Antidepressants that are commonly prescribed include Prozac (fluoxetine), Paxil (paroxetine), Zoloft (sertraline), Celexa (citalopram), and Lexapro (escitalopram).

Some antidepressants carry a black box warning of an increased risk of suicide in young people under the age of 25. This risk tends to be highest when treatment is first initiated, so young people should be monitored for signs of increased suicidal thinking or behavior while taking antidepressant medication.

Resources for Professional Help

Dr. Dwenger recommends reaching out for professional support sooner rather than later. "Don’t try to hide it when you find yourself falling behind or missing commitments. All colleges have Student Services that include mental health services, academic guidance, and many resources both on campus and off," he suggests.

While all colleges offer different services, you might be able to access mental health services at the following locations:

Student Support Services : Offers a range of services for academic and personal development and may provide counseling services
Counseling Center : Provides counseling services to students experiencing mental health concerns
Student Health Center : Offers a variety of health services to students, including mental health care
Psychology Clinic : Provides psychological services to students and community members

Some colleges and universities may also offer teletherapy services. Other places to turn if you are experiencing depression include your resident advisor (RA), academic advisor, a trusted professor, or campus helpline.

While colleges and universities offer resources to combat depression, evidence suggests that around 60% of students are unaware of these options.

Dr. Erickson-Schroth says every college should have a comprehensive plan designed to address aspects of student mental health. Such plans should include strategies that make student mental health a priority:

Ways to promote social connections: Strategies for promoting social connections include improving student coping skills, identifying students at risk, providing mental health and crisis support, and encouraging help-seeking
Staff mental health training: Training can help higher education faculty feel empowered, informed, and knowledgeable when it comes to helping students with mental health problems
Peer training programs: These can be particularly helpful since students are more likely to turn to their peers instead of other adults.
Community-building spaces: These can help students build connections, including LGBTQIA+ centers and clubs for students of color.

You don't have to be a mental health professional to have a positive impact on your students' emotional well-being. You just need to pay attention, listen, and connect students to help if they need it.

Colleges and universities must offer comprehensive support for students experiencing depression. Recognizing the signs of this condition can allow students to better access resources that can help support their well-being and recovery.

Schools can help by promoting depression awareness and working to combat the stigma that might prevent students from seeking help.

Frequently Asked Questions

While depression does not have a single cause, stress is a common factor that plays a major role in causing depression in college students. Coping with many different new challenges, including moving away from home, juggling new responsibilities, dealing with roommates, and adjusting to all of these transitions, can be stressful for many people.

Students who have mental health conditions such as depression may experience interruptions in their life that make it difficult to manage their normal daily needs and achieve their educational goals. If you have been diagnosed with depression or another psychiatric illness, you can request that your school make reasonable accommodations. Such accommodations may include more time to complete assignments or additional time on exams.

Liu XQ, Guo YX, Zhang WJ, Gao WJ. Influencing factors, prediction and prevention of depression in college students: A literature review . World J Psychiatry . 2022;12(7):860-873. doi:10.5498/wjp.v12.i7.860

American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders . 5th ed, text revision. Washington, D.C.; 2022.

Mohammed TF, Gin LE, Wiesenthal NJ, Cooper KM. The experiences of undergraduates with depression in online science learning environments . CBE Life Sci Educ . 2022;21(2):ar18. doi:10.1187/cbe.21-09-0228

Healthy Minds Network. The Healthy Minds Study: 2021-2022 Data Report .

Lipson SK, Zhou S, Abelson S, et al. Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021 . Journal of Affective Disorders . 2022;306:138-147. doi:10.1016/j.jad.2022.03.038

Ettman CK, Cohen GH, Abdalla SM, et al. Persistent depressive symptoms during COVID-19: a national, population-representative, longitudinal study of U.S. adults . The Lancet Regional Health - Americas . 2022;5:100091. doi:10.1016/j.lana.2021.100091)

The Hope Center for College, Community, and Justice. The Hope Center Student Basic Needs Survey .

Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment . J Cell Mol Med . 2019;23(4):2324-2332. doi:10.1111/jcmm.14170

Brüdern J, Hallensleben N, Höller I, et al. Sleep disturbances predict active suicidal ideation the next day: an ecological momentary assessment study . BMC Psychiatry . 2022;22(1):65. doi:10.1186/s12888-022-03716-6

Becker SP, Dvorsky MR, Holdaway AS, Luebbe AM. Sleep problems and suicidal behaviors in college students . J Psychiatr Res . 2018;99:122-128. doi:10.1016/j.jpsychires.2018.01.009

Brenner P, Brandt L, Li G, DiBernardo A, Bodén R, Reutfors J. Substance use disorders and risk for treatment resistant depression: a population-based, nested case-control study . Addiction . 2020;115(4):768-777. doi:10.1111/add.14866

Busch CA, Mohammed TF, Nadile EM, Cooper KM. Aspects of online college science courses that alleviate and exacerbate undergraduate depression . PLoS One . 2022;17(6):e0269201. Published 2022 Jun 1. doi:10.1371/journal.pone.0269201

Konturek PC, Brzozowski T, Konturek SJ. Stress and the gut: pathophysiology, clinical consequences, diagnostic approach and treatment options . J Physiol Pharmacol . 2011;62(6):591-9.

National Institute of Mental Health. Depression .

Cuijpers P, Sijbrandij M, Koole SL, Andersson G, Beekman AT, Reynolds CF. Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis . World Psychiatry . 2014;13(1):56-67. doi:10.1002/wps.20089

Inside Higher Ed. Lack of awareness causes students to fall through the cracks .

By Kendra Cherry, MSEd Kendra Cherry, MS, is a psychosocial rehabilitation specialist, psychology educator, and author of the "Everything Psychology Book."

How to Handle Stress and Anxiety in College

Practical advice beyond the all-too-commonly-prescribed meditation and exercise..

Posted July 31, 2021 | Reviewed by Tyler Woods

What Is Stress?
Find a therapist to overcome stress
Stress and anxiety is a reality in college and psychology courses are no exception.
There are a number of practical ways to handle the stress and anxiety that college can provoke.
The solutions may not be what you expect.

With college comes anxiety . Deadlines, grades, performance pressure…if you’re not feeling it, are you even in college?

I know there is a lot out there about how unfair it is for classes to cause stress. Test time limits are stressful and unfair, due dates are anxiety-provoking and unjust, rules are oppression.

We can continue having those debates, but in the meantime, how do we deal with the reality?

Introductory psychology students, for example, are usually getting used to the expectations of college, a transition from dependent to independent learning, while learning a new formal writing style, learning how to find and understand research, practicing critical thinking skills, and studying the approximately 5 million topics that come in an introductory course.

So, what are some practical ways to handle the stress and anxiety college can invoke?

Assume Good Intent

The student is there to earn points. The professor is not there to take them away. That small shift in perspective can do wonders. Professors want students to learn and tend to do everything they can to make that happen, but understand that professors are not free agents.

I stole that line directly from my colleague, Janet Carney-Clarke. As she reminds her students, instructors are beholden to government regulations, school policies, and rules of the department. In other words, professors can’t just “do whatever they want.” There are rules we have to follow, too.

Tragically, the professor-student relationship is too often framed as one of enemy combatants. No, no, no! Students are there to learn and professors are there to facilitate learning. We are each partners in the learning process; each role has responsibilities and expectations.

Check Expectations

“I didn’t do the assignment because you didn’t remind me to do it.” –former student

“I got some questions wrong and didn’t get all of my points. I deserve all of my points!” –former student

“I can’t come to class this semester due to my schedule, so I need you to repeat your lectures in office hours.” –former student

Where do I begin? Students who do best in college understand the expectations at that level, even if they don’t agree with them. This becomes an equity issue when some students are exposed to them far in advance and some never are. In fact, I can’t tell you how many high school sophomores and juniors take my introductory psychology courses.

Learning college-level expectations, let alone taking college-level coursework, in high school is quite a privilege. Almost every college and university, however, now offers preparatory courses for students who have not had that advantage. Take them!

Photo by Christina (at) wocintechchat (dot) com on Unsplash

Take Advantage of Office Hours

I was scared of some of my professors. With courage, I got myself through that office door and into drop-in hours. Doing so was truly giving a gift to myself. Frankly, office hours are what single-handedly pulled my grade up from a D to an A in Psychology of the Law.

Professors (and teaching assistants) get paid for office hours. Trust me, they are often sitting there waiting, just waiting, for a student to come in. Be that student!

Utilize School Resources

Schools have resources to help students. There are so many! And they often go under-utilized. Student health services usually offer support to students experiencing anxiety and stress and, in my experience, students tell me that they benefitted greatly. The point is, there are free resources available to students that really help. Ask professors, search online, they’re there and they are waiting to be used.

One thing to keep in mind, especially if you’re a psychology (or related discipline) student: Your instructor is not your therapist. They can’t be. The person in charge of your grade should never provide you clinical guidance. Sure, professors can give you resources and suggestions, but students should never seek therapy from an instructor…even if that instructor is a therapist in another life.

Use Other Free Resources

In the age of, “Take care of yourself!” there are approximately one billion apps and free meditation /relaxation tools out there, beyond resources provided by schools. One I love to share with students is U.C. Berkeley’s Greater Good Science Center. Specifically, they have an action center that offers science-backed activities that help with relaxation, stress, happiness , optimism , and so much more. I particularly appreciate that each activity provides a study backing why it works.

In psychology, we know that a sense of accomplishment has great benefits for confidence , self-esteem , and the like. So, take that scary test. Draft that frightening paper. Do it! Experience matters. Not only will accomplishing the anxiety-provoking task literally end that anticipatory stress, but it will also tell your brain that you can do this again in the future, thus reducing your stress. You succeeded!

Not What You Expected?

Meditation, exercise, taking breaks: Those are the expected solutions in a “take care of yourself” world, and for good reason—they work. But in an environment of prolonged stress and anxiety like college, the above solutions just may help go beyond the Band-Aid and provide healing deeper into the wound.

Ashley Maier teaches psychology at Los Angeles Valley College.

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Home — Essay Samples — Nursing & Health — Mental Health — My Struggle with Anxiety and Depression

My Struggle with Anxiety and Depression

Categories: College Students Mental Health

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Published: Mar 16, 2024

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Personal experience, impact on college students, factors contributing to anxiety and depression in college students, seeking support and treatment.

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1 in 5 college students have anxiety or depression. Here’s why

Professor of Psychiatry and Neuroscience, Wayne State University

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David Rosenberg receives funding from the Children’s Hospital of Michigan Foundation, Detroit, MI, and a grant from the National Institute of Mental Health (R01MH59299).

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Many of us think of college as a wondrous time of new experiences and great freedom to explore new ideas and find one’s true self.

In recent years, however, depression and anxiety have afflicted college students at alarming rates. As noted in the latest Center for Collegiate Mental Health report , anxiety and depression are the top reasons that college students seek counseling.

Research shows that nearly 1 in 5 university students are affected with anxiety or depression .

So why are these disorders so prevalent in our college students? As a professor of psychiatry and a practicing psychiatrist who has experience with mental health problems among college students, I see a number of factors.

Dangers in technology

Social media and technology are among the most dangerous of these factors. Excessive use of each tends to engender impaired social interactions and an increased sense of isolation .

Excessive social media use also fosters a certain competition between one’s real life and one’s virtual life . That is, a tug of war between being engrossed in posting experiences on social media, sending texts and taking selfies instead of enjoying the moment for what it’s worth.

Many college students are living dual virtual and real lives, and the virtual life is competing and at times becomes more important than real life. This is not only something that those of us in the trenches see clinically but it has been well- documented in research studies.

Several other studies have found that mobile phone addiction , as well as excess smartphone use, is also associated with increased sleep disturbance , depression , anxiety and overall stress.

For example, one study found that almost 50 percent of college students indicated they woke up at night to answer text messages. The same study found that the more people use technology during their sleeping hours, the poorer the quality of their sleep and the higher their rates of depression and anxiety.

Seeking out drugs

But there are other culprits, such as the desire to get into a good college – and stay in college with good grades. To attain these goals, it is not uncommon for students and their parents to seek chemical assistance.

In the past five years, the number of requests I receive from high school and college students and their parents for stimulants such as Ritalin and Adderall has skyrocketed. A decade ago, I rarely, if ever, got such a request. Now, I get several per month. These requests are often made prior to taking major exams, such as finals, the MCAT or the LSAT. For those who are curious, I never acquiesce to these requests and instead recommend a comprehensive psychiatric assessment to make an accurate diagnosis and determine the most appropriate treatment, if one is necessary. The conversation often stops there.

While these medicines can be very effective and safely prescribed in patients with attention deficit hyperactivity disorder, there is considerable risk when they are used for other reasons. It is well-known that side effects from Ritalin and Adderall include anxiety and depression. This risk is even higher in people taking the medicine for an unapproved reason or who do not take the medicine as prescribed.

Another factor at play is that rates of depression in our society have increased significantly over the past 20 years. This means more parents of college students have higher rates of depression. And since depression has a significant genetic component , the risk for depression in the children of a depressed parent is much higher than in the general population.

College students who reported being victims of cyberbullying in high school — which has nearly doubled in the past decade — also had significantly higher rates of anxiety and depression.

Cigarette smoking has been associated with significantly more sleep problems in college students and increased risk for depression and anxiety. Fortunately, the rate of cigarette smoking and e-cigarette use continues to decline with the rate of past-month use declining to around 16 percent of college students in 2016.

College students with a history of attention deficit hyperactivity disorder also have much higher rates of anxiety and depression. It is estimated that between 2 to 8 percent of college students struggle with symptoms of this disorder.

Other stressors

Moreover, while going to college can be exciting for many, for some the adjustment is hard with profound homesickness and separation anxiety. These students are at very high risk for depression and anxiety.

Financial stresses brought about by the rising cost of college , including the dread of debt and fear of not getting a job after college and having to move back in with mom and dad after graduation, are associated with increased risk for depression and anxiety in college students.

In the past, it was taken for granted that our children would surpass their parents. Now that is not so. Many college students believe that they will not be able to accomplish as much as their parents did. There is a sense of frustration and that there are no “good” jobs out there anymore.

Parents are also more involved in their children’s college and work experience. It is not uncommon for parents to call college counselors, bosses and work managers. Once that would have been absolutely off-limits. Now, this is commonplace .

Such parental overinvolvement can foster dependence, anxiety and depression, and thwart creativity. I do not mean to blame parents who are concerned and who want the best for their children. However, sometimes failing or not getting an A on a test can be more instructive and instill a sense of resilience and the ability to “bounce back.”

So what do we do to curtail anxiety and depression among college students?

Help, hotlines and hope

Tough problems do not always yield simple, easy solutions. Having an insurance card, 24-hour helplines and hotlines can provide a false sense of security and belief that excellent care is available. However, one study that looked at mental health service use in university students found that even when universal access to mental health care is provided, most students with mental disorders do not get treatment.

The good news is that if we are proactive there is a solution that is cost-effective and that can work, but only if there is buy-in at every level of the particular university and society.

And, ironically, while technology can be a source of anxiety and depression, technology can also be used to treat depression. That is, computers, iPads and smartphones can be used to virtually bring a mental health professional to the student where he or she is, be that in their dorm room or off campus.

The key is recognizing those at highest risk and who are most vulnerable early. Colleges have to respond on day one and confront the stigma that still follows those with mental illness. Training peer support groups is vital. This is not something to be done in isolation but under the guidance, supervision, and training of experienced psychiatrists, psychologists and psychiatric social workers.

Most of all, students and parents need to know from the very beginning of the college experience that the physical and mental well-being of students matters. Colleges should let parents and students know that there are trained and qualified people who can help students at risk discreetly and confidentially.

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Depression, Anxiety, Loneliness Are Peaking in College Students

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Nationwide study, co-led by BU researcher Sarah Ketchen Lipson, reveals a majority of students say mental health has impacted their academic performance

Kat j. mcalpine.

A survey by a Boston University researcher of nearly 33,000 college students across the country reveals the prevalence of depression and anxiety in young people continues to increase, now reaching its highest levels, a sign of the mounting stress factors due to the coronavirus pandemic, political unrest, and systemic racism and inequality.

“Half of students in fall 2020 screened positive for depression and/or anxiety,” says Sarah Ketchen Lipson , a Boston University mental health researcher and a co–principal investigator of the nationwide survey , which was administered online during the fall 2020 semester through the Healthy Minds Network. The survey further reveals that 83 percent of students said their mental health had negatively impacted their academic performance within the past month, and that two-thirds of college students are struggling with loneliness and feeling isolated—an all-time high prevalence that reflects the toll of the pandemic and the social distancing necessary to control it.

Lipson, a BU School of Public Health assistant professor of health law, policy, and management, says the survey’s findings underscore the need for university teaching staff and faculty to put mechanisms in place that can accommodate students’ mental health needs.

“Faculty need to be flexible with deadlines and remind students that their talent is not solely demonstrated by their ability to get a top grade during one challenging semester,” Lipson says.

She adds that instructors can protect students’ mental health by having class assignments due at 5 pm, rather than midnight or 9 am, times that Lipson says can encourage students to go to bed later and lose valuable sleep to meet those deadlines.

Especially in smaller classroom settings, where a student’s absence may be more noticeable than in larger lectures, instructors who notice someone missing classes should reach out to that student directly to ask how they are doing.

“Even in larger classes, where 1:1 outreach is more difficult, instructors can send classwide emails reinforcing the idea that they care about their students not just as learners but as people, and circulating information about campus resources for mental health and wellness,” Lipson says.

And, crucially, she says, instructors must bear in mind that the burden of mental health is not the same across all student demographics. “Students of color and low-income students are more likely to be grieving the loss of a loved one due to COVID,” Lipson says. They are also “more likely to be facing financial stress.” All of these factors can negatively impact mental health and academic performance in “profound ways,” she says.

At a higher level within colleges and universities, Lipson says, administrators should focus on providing students with mental health services that emphasize prevention, coping, and resilience. The fall 2020 survey data revealed a significant “treatment gap,” meaning that many students who screen positive for depression or anxiety are not receiving mental health services.

“Often students will only seek help when they find themselves in a mental health crisis, requiring more urgent resources,” Lipson says. “But how can we create systems to foster wellness before they reach that point?” She has a suggestion: “All students should receive mental health education, ideally as part of the required curriculum.”

It’s also important to note, she says, that rising mental health challenges are not unique to the college setting—instead, the survey findings are consistent with a broader trend of declining mental health in adolescents and young adults. “I think mental health is getting worse [across the US population], and on top of that we are now gathering more data on these trends than ever before,” Lipson says. “We know mental health stigma is going down, and that’s one of the biggest reasons we are able to collect better data. People are being more open, having more dialogue about it, and we’re able to better identify that people are struggling.”

The worsening mental health of Americans, more broadly, Lipson says, could be due to a confluence of factors: the pandemic, the impact of social media, and shifting societal values that are becoming more extrinsically motivated (a successful career, making more money, getting more followers and likes), rather than intrinsically motivated (being a good member of the community).

The crushing weight of historic financial pressures is an added burden. “Student debt is so stressful,” Lipson says. “You’re more predisposed to experiencing anxiety the more debt you have. And research indicates that suicidality is directly connected to financial well-being.”

With more than 22 million young people enrolled in US colleges and universities, “and with the traditional college years of life coinciding with the age of onset for lifetime mental illnesses,” Lipson stresses that higher education is a crucial setting where prevention and treatment can make a difference.

One potential bright spot from the survey was that the stigma around mental health continues to fade. The results reveal that 94 percent of students say that they wouldn’t judge someone for seeking out help for mental health, which Lipson says is an indicator that also correlates with those students being likely to seek out help themselves during a personal crisis (although, paradoxically, almost half of students say they perceive that others may think more poorly of them if they did seek help).

“We’re harsher on ourselves and more critical of ourselves than we are with other people—we call that perceived versus personal stigma,” Lipson says. “Students need to realize, your peers are not judging you.”

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Boston University moderates comments to facilitate an informed, substantive, civil conversation. Abusive, profane, self-promotional, misleading, incoherent or off-topic comments will be rejected. Moderators are staffed during regular business hours (EST) and can only accept comments written in English. Statistics or facts must include a citation or a link to the citation.

There are 25 comments on Depression, Anxiety, Loneliness Are Peaking in College Students

first of all, excellent writing! This report is extremely triggering for a few reasons. Obviously students are NOT okay at the moment, now confirmed by the student. But what does the university do about it? They micro-manage EVERY aspect of students’ life to mitigate Covid risk. Here, tell me why the university took away household table seating in the dining hall? That was one of the ONLY places on campus where students can eat with each other and actually see their friends’ faces. What type of modeling was used to make this decision and its impact on covid spread on campus. Same thing for the green badge, was there a statistical difference in case before and after students have to walk around showing that? The university’s policies are simply incentivizing off-campus, more dangerous gatherings because the university won’t facilitate anything like that on campus. Oh, and the university response? ‘you’re doing great sweetie’ type of deal – absolutely ridiculous. I know BU can’t keep this up much longer, they are losing far too much money because of Covid and less students on campus – there will be a reckoning. Students, stand up.

BU will acknowledge this but then still won’t do anything to actually help.

Great, but this school is doing absolutely nothing to help it

I appreciate this article because I feel that the issue of mental health isn’t talked about enough amongst students and just college culture in general. I don’t see any concerns coming from college faculty, at least clearly. It’s so important to talk about mental health, especially during a pandemic.

This article is definitely going in the right direction. That being said, as the other comments have also mentioned, BU needs to do MUCH more than just publishing an article telling students, “well, at least you aren’t alone.” If 83% of your student body reports their mental health affects their school work, then if not for them, at least change something for the benefit of the school’s name. To put it bluntly, this does not look good. Also referencing BU’s response to sexual harassment, BU now has a track record of acknowledging issues that significantly impact its students in an article or maybe a speech to only do NOTHING about it. Please, I implore the school to act. Act or we will.

We know mental health stigma is going down

Actually, we know support for those taught and teaching that prejudice is diminishing, though that does not mean by any stretch of the imagination it is not still being taught. It continues to be taught (often resolutely) at Boston University. The above sentence is one manner in which it continues to be taught, Passive Reference. It is also actively taught. “Perceived stigma” is another interesting Passive Reference, directed prejudices are intended by their directors to be perceived. “perceived” stigma is an obfuscation of the process whereby it is perceived. It surprises me, that so many women, eschewing “the stigma” of rape, continue to declare “the stigma” of mental illnesses. Sometimes history does not inform us. A few years ago 5 students died by suicide at a Canadian college, blamed was “the stigma” of mental illnesses, not those conveying it. When a young man at U Penn died by suicide it prompted his sister to set up a now national organization protesting “the stigma” of mental illnesses, not those conveying it. National organizations abound conveying “the stigma” of mental illnesses to eagerly awaiting audiences. Publications abound, but to my knowledge not one single publication directly addresses how it is taught or who teaches it. Nor, to my knowledge is there a campus in the US, or any English speaking country, where someone is given guidance on how to address those directing it. Whom to approach. How to resolve it. [email protected] offers no such guidance. I invite each of you to return to 1972, when a small group of personally empowered women said, “Stop directing the term stigma at rape, you have done enough harm” and take that lesson to heart: We stopped.

And I invite [email protected] to take a role in bringing about that change.

Harold A Maio, retired mental health editor

Wow – so what is BU doing about this when we have pleaded with admin and offered so many ideas and solutions to helping here since September 2020?

The silence is deafening BU.

The Well Being Project is stagnate.

The Dean is silent.

The provost says students are happy based on some survey they did just before holidays when students knew they were going home.

The Director of Mental Health says appts for mental health are down – that’s the sign everything is fine?

We are hearing the opposite and many students have just lost their faith in support from BU as well as just returning home for LFA where they have a support system.

Where are the social in person safe activities outside and inside?

Where are the RAs and their weekly activities and support of their residents or are they just there to write students up?

Where are the self-care tips and resources offered daily to students?

Where in the daily MANDATORY self-check survey of their health – are any questions about their emotional well being including their mood, stress levels, sleep and appetite?

Where is the support for faculty who are seeing these issues and trying to reach out?

Where are the therapy dogs from pre-pandemic we asked for weekly or biweekly to come outside and offer unconditional emotional support during this tough time?

Where are some campus wide concerts or comedy relief concert paid for by BU – virtually or outside so students have anything to look forward to? If it’s down to money / the $70,000 Tuition or should cover some of it or funds from housing since many were not reimbursed when they returned home for support.

Where is any work with this amazing wise resource Dr. Lipson to take any of her guidance since last summer instead of just posting it here?

Is anyone listening to the isolation and pain of so many terriers? I have heard troubling stories for months since we began our BU Parent group that is NOT monitored by the Deans office unlike others. I have helped refer and counsel families worried if they speak up there might be some retaliation. There is no retaliation just a deaf ear to making any changes to improve morale and well being of our terriers during a pandemic. And then posting this article is the ultimate hutzpah when no one has listened to Dr.Lipson / your own shining star about these issues.

Why not shine as you have with COVID testing? What if this were your family member feeling isolated and disillusioned with their dreams at BU with no outreach from BU except an occasional ZOOM message.

BU can do so much better and be the example for the rest of the nation. Why test so stringently if you will not allow any safe activities except for favorites like sports teams and band members?

Terriers are ZOOMED OUT. Don’t wait for a suicide or more depression to appear in students. It’s almost too late to be proactive / but you can try and we ask that you try hard. Be an example for other colleges.

We are not giving up on being heard. We are parents who care and love BU and know it can do better.

A lot of good points made – I wanted to touch upon when you mentioned that appointments for mental health are apparently down. As a student actively seeking mental health resources, my experience is that it has been extremely difficult to even schedule any sort of mental health appointments or counseling; we are unable to make an appointment online or in-person anymore, and the only information we are given is a phone number to call (the Behavioral Medicine number). I find this frustrating as many of us need more than just a phone conversation to help – even a zoom meeting would be helpful, but why aren’t there zoom appointments for SHS like there are for almost every other service on campus (e.g., pre-professional advising, financial aid, etc.)? I’ve noticed that the loneliness and isolation is affecting not only me but my roommates as well, who have stronger support systems and more friends on campus than I do – we’ve all been lacking motivation to do any of our work and they’ve mentioned that they feel like they need a break (spring break canceled due to pandemic concerns). Even some of my professors seem burnt out – forgetting class, getting behind on their syllabus, etc. In my opinion, BU should be more proactive in giving students resources instead of making it difficult to find said resources. Lastly, I wanted to add that I understand a lot of services are probably very different now due to the pandemic, but a single “wellness week” and emails about it do not do much to actually help students – I find it comparable to “self care” where the self care is just drinking wine and putting on a skincare mask and pushing all your real problems aside.

I agree with those who are asking for BU to do more to support students. I’m a faculty member who is trying to do my best to support my students. I’m more than willing to give extensions, modify assignments, and lower my expectations this semester. I’m checking in on students who miss class to make sure they’re okay. I’m trying to cut as much material as I can while still meeting my course learning objectives. At the same time, I don’t think it’s fair to expect faculty to do everything when it comes to students’ wellbeing. I’ve been in meetings where faculty were asked (both implicitly and explicitly) to help students make friends and socialize during class. I know faculty who are doing this in their courses (and I applaud them for their efforts), but shouldn’t Res Life and other staff at BU be providing opportunities for students to safely socialize? Sure, it’s cold, but certainly BU can be creative and think of ways to encourage students to get out of their dorms and make friends. Faculty are struggling too, and BU’s administration can help us by helping our students.

This is an excellent article, and though not surprising, it is shocking that the BU administration has not done anything to remedy this mental health crises. This is a mental health pandemic happening and it should be as high of a priority for BU as the trying to control the virus. If BU doesn’t step up and come up with a plan to address this then our students will suffer for years to come. This should have happened months ago. You can’t have a healthy individual/society if you are only concerned with physical health. It has to be a holistic approach.

Nice article I hope all instructors read this article I am one of the students sometimes fell a depression and live in the anxiety that is effectives on my life and do not have the energy to do anything particularly during what we live now

First, I would like to focus on the positive and thank BU mental health staff for being there for my son when he was in urgent need of mental health support back in the Fall semester. My call was answered right away and my son was able to speak with a professional with in 15 minutes. I was very impressed and relieved. They were there when we needed them.

On the other hand, I’m hearing from my son and all of his friends that the academic culture of rigor for the sake of rigor, grade deflation and the purposeful weeding out of students from core classes rather than supporting and helping each student succeed, not only continues but has been increased during COVID. These students have a sense that professors are concerned about online cheating so have ramped the rigor to address this. Not sure if this is real or perceived and I’m sure this is not going on in all classes as I also heard examples of supportive professors, but this is definitely a theme I am hearing from students. This style of academics is known to be outdated and ineffective, yet it continues, even at a higher level, during a pandemic.

I’m hoping this feedback can serve helpful to administration.

THANK YOU!!!! As a college student, who has survived the past year with a 4.0, attending full-time to obtain my degree in IT. I am struggling for the first time. After technology issues that set me behind four days, I really thought my instructors would understand. One of my instructors couldn’t care less. The workload is beyond overwhelming, her curriculum seems almost cruel. I graduate next month and I feel like I am losing my mind. I already suffer from severe anxiety, so the level I’m at now is almost debilitating. I have been obtaining degrees since 1998, and familiar with online learning. I’ve never had issues. This morning I received an email from her reminding me of the due date, in all bold caps, followed by some !!!! … She made it clear she is not available on the weekend, but expects us to be flexible. So my dilemma is this, I am failing my coding class now, but I don’t feel that I should be financially responsible to pay for having to retake it, as well as have it impact my financial aid and scholarships I receive for my academic performance.

Hi. I’m a BU alumna, a college professor, and mom to 4 college-aged sons. WONDERING… Do students feel there is explicit and implicit prejudice against college students as “purveyors of COVID?” I think this adds to the discomfort or enjoyment of being a college student and part of a university community. Thoughts? Thanks!

I notice that the students like to complain on here. One thing that university researchers on mental health have a difficult time assessing is knowing the familial support system (or lack thereof) students come into university life with. Psychologists will affirm that this plays a huge role in the mental health of students, at any age. Just as elementary through high schools today are expected to be the emotional, parental, physical, educational, and social supporter of each student, so too are universities being given this sort of expectation. Don’t get me wrong…I believe in striving for mental health and making resources available on campuses. However, within the communities of students – whether their friends or family – we have to realize that the internal conversation around mental health for many cultures is either non-existent or looked down upon. We can sing mental health from the rooftops all day long and hope that students are listening…..and I hope they do.

ECT/Electroshock use has been on the rise last 5 years or so and not just used for depression nor as a last resort. No FDA testing ever done of devices used or the procedure itself. Increase risk for suicide following as many cannot find help for their repeated brain injuries after consenting to this. Lawsuits taking place in the US and England around these damages covered up. See site ectjustice to learn more. Please speak out on social media so others are made aware of the truth of this practice.

People shouldn’t hesitate to ask for psychological help. I think it’s one of the main problems why people struggle mentally. Maybe, it’s a matter of self-critique, and society says sometimes that we should be strong… But when someone gets in an emotional crisis, only a professional can help. And I also never see when students/educators judge their peers/colleagues if someone contacted mental health support. I looked through the list of different affordable mental health services across English-speaking countries – https://ivypanda.com/blog/mental-health-resources – I was shocked how many problems we can have, and how many professionals exist to help with them. Maybe, it may be helpful to others too. Let’s take care of ourselves.

I tried to find the source for “83 %” of college students say their performance was negatively affected by mental health. Did you just pull that number out of thin air? I tried to go through everything I could and could not find this number anywhere in any actual published writing.

Please see page six of the report, the pie chart listed under Academic Impairment.

I think you just made up certain elements of this article and they actually have 0 foundation whatsoever. It has led me down a rabbit hole of attempting to try to find the published support for some of the claims you make. Including the 83 % figure. If you’re going to write articles that will be heavily referenced (which this is, because other idiots went on to quote this article), you should at least get the facts straight.

Please see page 6 of the report, the pie chart listed under Academic Impairment: https://healthymindsnetwork.org/wp-content/uploads/2021/02/HMS-Fall-2020-National-Data-Report.pdf

That is a misrepresentation of the data, in my opinion. Including students who reported mental health impacting their academic performance 1-2 days out of the week is insufficient to be grouped in with 83% of students. The way it is presented in this article makes it seem much more drastic than that. It should say, “28% of students felt 1-2 days out of the week had been negatively impacted by their mental health in the past month..” and report the other percentages. Not combined into one group and twisted in a sensationalistic way. I was attempting to use this information for a research paper of my own and was sent down a rabbit hole trying to find a source. Other people have cited this article, and that is your responsibility as a researcher.

Reading it because to help a friend with his assignment. He studies in FAST, Islamabad, Pakistan. If anyone of his class fellows are here, good luck to you

It is 3:12 in the morning and I just got off the phone with son. He called because he was riddled with anxiety and suffering with loneliness and a seeming inability to form meaningful connections. This is his first year at BU. He loves the University; However, in addition to the rigorous academic challenges, he is crushed by the seeming inability to form connections with others. This, on so many levels, surprises me. He is intelligent, interesting, friendly, handsome and well rounded. Upon my introduction to the University’s logistical layout, I was immediately aware that it not appear easily conducive to meeting people… As opposed to a smaller private college if you will. Clearly, BU had an obligation to address the many challenges brought about as a result of Covid. Understandable, but perhaps a bit extreme, ie: The students not being allowed to eat or congregate. Regardless, what I also observed is that there are few, if any, common rooms.. areas for students to hang out, play board games, ping pong, darts, tell jokes, b.s. and share common concerns. Or My point being, there should be multiple places (Besides sneaking into local clubs, or drinking Alone in your dorm) where kids can go..day or night. Organized events as well, aside from sports. As aforementioned, my son also found it very challenging and frustrating to contact a counselor through your service. When you do, the schedules are booked…… I have been heartbroken. Nonetheless, the consistent voice if encouragement. I want more from the school. I, like all others noted before me. More social emotional support. More access to social opportunities. More professors understanding and working with the challenges our children are struggling to navigate. In closing, it’s not just a BU crisis. I listen to very similar difficulties from many other University families…. PLEASE be more proactive. PLEASE care PLEASE help It is imperative and essential to a successful college experience and outcome. Thank you. And thank you all aforementioned

very very nice

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Home / Parenting, Kids & Teens / Depression in college students: How to help students manage their mental health

Depression in college students: How to help students manage their mental health

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Parents hope college will be a time for their kids to spread their wings and fly. Yet college students are now experiencing record high rates of depression and anxiety. During the 2022-2023 academic year, 41% of students reported experiencing symptoms of depression and 36% said they experienced anxiety, according to the latest Healthy Minds Study . Understandably, parents want to know what they can do to help their college age kids manage their mental health so depression doesn’t dock their wings.

Any single case of depression can have multiple causes involving a mix of biological, genetic or social factors. However, one common cause of depression in college students is the sheer scope of change that comes with moving on from the familiar world of home and high school, according to Paige I. Partain, M.D., a pediatrician at the Mayo Clinic Children’s Center in Rochester, Minnesota, with expertise in child and adolescent mental health.

In addition to changes in housing and social connections, going to college typically accelerates academic expectations. It also scrambles students’ sleep, diet and exercise patterns. For some college students — even those with no history of depression — having so many facets of their lives suddenly challenged and changed can create enough stress to trigger depression, says Dr. Partain

She adds, however, that it’s important “for parents and students alike to recognize that depression can be totally untriggered.” Sometimes students can be on top of their coursework, getting along with new friends and otherwise outwardly crushing college when they sense that their moods have dipped.

If students are baffled about why they’re feeling down, helping them understand that sometimes depression occurs without an identifiable cause is important. It can help relieve the added burden of wondering what’s wrong with them — or blaming themselves — for feeling depressed.

Says Dr. Partain, “I can’t express enough what a difference it makes when I’m talking to teenagers or young adults in their early twenties and I can explain that sometimes it just happens. It can be even more frustrating when you don’t know why depression happens. But I can see the relief in their eyes. They’re like, ‘Yes, you get it.’ To be able to just empathize and label the phenomena can be incredibly powerful.”

Spotting signs of depression in college students

Along with feeling sad and down, common signs of depression in college kids include:

Changes in appetite such as eating more or less than usual.
Sleep disturbances, such as insomnia or sleeping too much.
Losing in interest in favorite pastimes including playing sports, making art or hanging out with friends. “Isolation is a really key symptom, particularly for teens and young adults,” says Dr. Partain.

People often experience depression and anxiety at the same time , and college kids are no exception. Determining which one came first can be a “chicken or the egg” question, says Dr. Partain. But big shifts in a student’s mood and behavior may indicate underlying depression.

“If your kid is not one who tends to be anxious, and all of a sudden, there’s worry about everything, that might be an indicator of a problem with mood.” On the flip side, she says, if your kid is usually “a type-A go-getter, and normally a little more anxious, and all of a sudden the work isn’t getting done and grades are slipping, that can also be an indicator that there’s a problem with mood.”

Irritability is another common symptom of depression. “We think a lot about feeling sad or down, and that can certainly be the case for a teenager or a young adult. But there is good medical research to suggest that irritability might be an even better indicator of underlying mood problems,” says Dr. Partain. “It’s another textbook symptom to be aware of.”

What to say if your child seems depressed

Sometimes, parents who think their kids might be depressed are wary of butting into their business. Or they may keep quiet because they’re just not sure how to talk about depression. If parents ask Dr. Partain if they should try talking to their child’s friends or professors about their concerns, she advises them not to go around their child’s back.

Rather, Dr. Partain recommends that parents raise their concerns with their kids in a straightforward way. “As you’re trying to help children develop independence and capability — regardless of the dynamic that you have with your child — I advocate for talking with kids directly.”

To get a better sense of how children are feeling, Dr. Partain says it’s fine to initiate the conversation by text with a simple message like this: Just checking in to say I love you. How are you doing? I want to make sure you’re doing okay.

Let them know that you’re concerned and let them respond in their own time.

If your child shares feelings of being depressed or anxious, make it clear that you’re available to help in whatever way works. “You can ask, ‘Do you want my help, or is this something you want to take care of on your own?’ The biggest thing to avoid is invalidating language: ‘You’ll get over it.’ ‘Going to college is just hard,’ ” says Dr. Partain. “Parents might find a slightly different approach for every kid, but they should feel empowered to speak up because parents can play a powerful role in helping children understand what they’re experiencing.”

Help your college kid develop strategies to cope with depression

With college students experiencing depression or anxiety for the first time, parents can share self-care strategies that have been proved to ease symptoms of depression, including:

Exercising .
Connecting with friends.
Eating healthy foods.
Spending time in nature.
Getting adequate sleep, as young adults need between seven and nine hours a night
Finding a community on campus, whether it be with a group of fellow ultimate Frisbee fans or a religious or political organization.

If students are experiencing any kind of acute or prolonged dip in mood, their parents can also encourage them to seek treatment and help them navigate campus mental health resources. As students’ mental health becomes a central part of the conversation on college and university campuses, Dr. Partain says that more schools are preemptively providing students and parents with information about counseling and medical services.

“I encourage all parents to keep that information handy,” she says. “Even if you have a kid who’s done great and never had difficulty with mental health, it’s helpful to know about available resources, so if your child reaches the point of saying, ‘Mom, Dad, what do I do?’ you can help provide answers.”

Parents can also provide important support to students who have a history of depression, Dr. Partain says. If your child is taking an antidepressant, you can ask the healthcare professional to dispense the prescription in a 90-day supply, with refills that can be obtained at a pharmacy near campus.

As students in Dr. Partain’s care are preparing to transition to college, she has a conversation with them about their specific symptoms of depression. She also reviews the self-care strategies that have helped them feel better in the past. “Depression looks different for everyone, and it’s important for students to do the mental exercise of saying, What does it look like for me? Is it that I’m isolating myself? Is it that I’m less talkative? Is it that I’m more irritable? Is it that I don’t enjoy reading anymore?” says Dr. Partain.

The point of the conversation is to help students become more self-aware about what depression looks like for them, and spot early warning signs so they can act quickly to protect their emotional health. She encourages parents and children to have a version of this conversation together, too, and to develop a shared relapse prevention plan.

Then, if students begin to feel depression coming back while they’re away at college, their parents can reinforce whatever self-care strategies have helped get through rough patches before. For students already seeing therapists, noticing an uptick in symptoms can prompt them to reach out to ask for some extra sessions, with help from parents if needed.

“Almost all therapy providers have the ability to treat people who are in crisis or who feel like they’re significantly worsening. The same goes for healthcare professionals if students are on a medication. If I get a message from a college kid saying, ‘My mood is getting a lot worse,’ I’m going to get them seen within a week, and many other healthcare professionals will too,” says Dr. Partain.

Create a crisis plan

If students have had inpatient treatment or thoughts of suicide in any context in the past, it’s also critically important for them and their parents to have shared emergency safety plans. This can be activated if students ever becomes severely distressed again.

“Sometimes, depending on the family dynamic, the safety plan may not include having the child call the parent. The plan for the child may be calling Aunt Jane, or calling Grandma. But it’s really powerful for the parents to be able to reinforce that and say, ‘That’s OK. I want you to be safe,’ ” says Dr. Partain.

A common worry she hears from parents is that discussing suicide may make it more likely that their child will contemplate or attempt suicide. But, she says, there’s no data showing that talking about suicide makes people more likely to attempt it. In fact, it does the opposite : “Talking about it makes it easier for them to seek help in the moment. The way I phrase it to my patients is, ‘I’m really glad that you’re not having those kinds of thoughts. But I know things can change quickly, and this safety plan is just something we want to have in our back pocket.” Parents don’t have to hammer on the subject,” she adds, “but it’s an important conversation to have, and I wouldn’t avoid it.”

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Depression: Should I Talk about My Mental Illness in My Application?

Written by Mary Sue Youn on September 2nd, 2017

college admissions advice ,
college applications ,
First of all, know that you are not alone. According to recent studies by the Center for Collegiate Mental Health anxiety and depression are the most common mental illnesses seen by college counseling centers. In fact, there has been a 30% increase in counseling center utilization on campus over the last five years. Please know that many students struggle with similar issues and colleges are accustomed to these inquiries.
Don’t be afraid to talk about your struggles in your application. Students dealing with mental illness in high school have often demonstrated tremendous fortitude in overcoming their challenges and carrying on with their schooling. However, frequent absences or substantial dips in grades are noticed during an application review. As an admissions officer, I strongly preferred to hear the reasons behind these anomalies directly from the student, rather than their teacher or guidance counselor. In fact, our counseling center showed us that students who could openly talk about their mental illness and advocate for themselves and what they needed were much more likely to have positive outcomes in the college setting. I particularly advise students to write about their depression if there was a significant change in grades or time away from school while undergoing treatment. Contrary to popular belief, mental illness was not seen in the admission office as a reason to deny the student, but provided necessary context for the admission reader about that student’s high school experience.
Do realize that you are more than your mental illness—and your main essay should reflect that. The main personal statement of your application should be an expression of your unique personality and interests. Are you a scientist, a writer, an artist? Are you funny, do you love to debate, or are you a meticulous researcher? Your main essay should reflect the wonderful qualities that you bring to any college campus, not only your depression. A statement about your treatment for depression is usually most appropriate for the Additional Information section on the Common Application , or for a supplemental essay in a college’s own portion of the application. Keep the statement short (1-2 paragraphs at most), and focus on the coping skills you’ve developed from treatment that will serve you well in college.
Be aware of campus resources before you head off to college officially. Ask questions about counseling centers when you visit campus, or give them a call if you are unable to visit. Many campuses provide individual or group therapy on campus, while others refer students to work with therapists local to the area. Even if you are not currently experiencing depressive symptoms, it is important to know what’s available should your depression reoccur during the stresses of college life. The National Alliance for Mental Illness (NAMI) has a wonderful college guide resource to get you started .

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Addressing Depression in Your Personal Statement

college application essays
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Did you know 20% of teenagers experience depression before reaching adulthood? It is also during this time that college applicants have to answer the most intimate question in order to gain acceptance at their dream school. What defines you?

While it may feel extremely vulnerable to talk about your experience with depression, don’t let that immediately deter you from choosing it as your personal statement essay topic. Here are 5 examples that may help you approach the topic in an essay:

UC Irvine ‘17

Throughout the past few years, I have gone through depression. The inability to focus not only in school, but also in life, is something I have struggled to overcome. The majority of the time, I am able to successfully distinguish my emotions from my academics because of my overly organized tendencies. At other times, the feelings that come with depression are inevitable. Depression, for me, is hopelessness. My biggest struggle with depression is not being able to see the light at the end of the tunnel; therefore, this way of thinking has caused me to feel unmotivated, alone, and frightened. Because of this, I have spent endless nights contemplating my life till 4 or 5 in the morning, I have no motivation to wake up in the mornings, and I feel pain and grief on a daily basis. Keep reading.

Brittanybea

Uc berkeley ‘19.

On a warm August morning I sat shivering and shaking in the waiting room to my doctor’s office. I had my mother make the appointment but didn’t give her the reason; I’m not even sure I really knew the reason. I just knew something was wrong. The past five years had been all uphill - outwardly, at least. I was doing increasingly well in school, growing more independent, and had greater opportunities at my feet. Inwardly, however, was an entirely different story. Those five years felt like an upbeat movie I was watching while in my own personal prison. I was happy for the characters, even excited for their accomplishments. The problem was that my outward self was a character entirely distinct from the internal me. View full essay.

869749923096609FB

Williams college ‘19.

Perhaps the greatest blessing my parents have ever granted me was the move from our apartment in the Bronx to a two-family home in Queens, two blocks away from a public library. The library had all the boons my young heart could desire: bounties of books, air conditioning in the summer, and sweet solace from a dwelling teeming with the cries of an infant sister, a concept I couldn’t yet fathom. Read more.

When I was younger, people chided me for being pessimistic. It was my sincere belief that there were no rewards to be reaped from a life here on earth. I was bored, unhappy, and apathetic. War, injustice, environmental collapse, the mean thing X said to me the other day-it all made me see the world as a tumultuous and unpleasant place. Continue reading.

879216135461584FB

Dish soap, pepper, a toothpick, and an empty pie tin. The first materials I ever used to perform a simple experiment in grade school. Looking back that would be the moment I fell in love with science. I can still feel the excitement I felt as I watched as the pepper dart off to the edges of the pie tin as I touched the water with the end of a soap coated toothpick. Though I didn’t have to question how or why the reaction happened, I never stopped wondering. It was then that a passion for science ignited in me. It was a fire in my soul that could never die out. However, I couldn’t have been more wrong. As I grew older, the fire within me began to dim and in the year 2012, it became extinguished; the world as I knew it had ended. View full profile.

While this essay topic helped these students gain acceptances to UC Irvine , UC Berkeley , Williams , Vassar and NYU , it doesn’t mean it will work in the exact same way for you. Brainstorm and think carefully about what you want to write in your personal statement and how you want to share your own, unique story. For more inspiration, AdmitSee has a database of 60,000+ successful college applications files waiting for you!

About The Author

Frances was born in Hong Kong and received her bachelor’s degree from Georgetown University. She loves super sad drama television, cooking, and reading. Her favorite person on Earth isn’t actually a member of the AdmitSee team - it’s her dog Cooper.

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College Essay: Overcoming Social Anxiety

“William, you’re up first,” the teacher said excitedly.

I was instantly anxious when my ninth-grade English teacher announced I would be the first person presenting. As I walked to the front of the classroom, I was fidgeting and could feel my face turning red. My classmates’ eyes followed me, looking like they were planning something. I started by introducing the title of the poem I was going to recite. I included some hand gestures and facial expressions while reciting the poem to make it better and less awkward, but I was still stiff. I felt like I did a solid job of engaging the audience and helping them understand the poem. People started applauding for me because they didn’t expect me to be that good because I was a shy dude. I finished by making some personal connections to the poem I chose. I went back to my seat, my face feeling hot because of how red I was. A classmate who sat next to me told me I did an outstanding job. This compliment really made my day because I thought I did OK. This experience was the moment I realized I had some hope of overcoming my social anxiety. At the end of the presentation I felt like it wasn’t that bad, and I overcame something that was always with me throughout middle school. Now, it could change.

Social anxiety has especially affected me during middle school. I probably first realized I had social anxiety when I had to present in front of the class in seventh grade; I felt a little weird as soon as my classmates’ eyes were on me. In the middle of my presentation, I started crying because my teacher insisted I continue after pausing multiple times because of my nervousness. Since I refused to present in front of the class again, my grade was an automatic zero.

I finally overcame my social anxiety after joining a program called Minnesota Business Venture, which was recommended by the college counselors. I signed up for it because it was going to help me feel and live a little bit of that college experience at St. Thomas by staying in dorms and learning on campus for a whole week. This program helped with my social anxiety significantly because I was able to see new faces and meet really kind people. Being in an inclusive environment allowed me to express myself better, without being judged or teased. I realized I have had some friends in the past who made me feel like I was kinda worthless. But since my peers from the St.Thomas program helped me and complimented me on my work. I felt like I had worth and confidence in expressing myself.

I noticed how having this social anxiety and awkwardness had really taken a toll on me and prevented me from making friends and feeling comfortable talking. I feel confident now that I’m opening up more. When it’s time to start college, I will be facing many obstacles, but I feel like I just took my biggest obstacle away. Joining a new university will help me start fresh. As I’m becoming friends with the right people, I will be able to feel more comfortable because I know I am able to socialize with strangers.

Through this program, an experience of meeting new people, I felt relieved and free. I interacted with random people and made new friends. Now, when I am connecting and collaborating with my classmates, teachers and relatives I am confident, feeling like I’m a new and improved person. What I learned is how putting yourself out there not only reduces your shyness; everyone can go far if they push themselves out of their comfort zone.

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a nonprofit program of the College of Arts and Sciences at the University of St. Thomas, uses the principles of strong writing and reporting to help diverse Minnesota youth tell the stories of their lives and communities.

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Kennesaw State’s mental health initiatives aim to combat national trends

KENNESAW, Ga. | Apr 10, 2024

On his own for the first time and with endless hours of practice trying to keep up with his peers, Winograd soon found himself suffering overwhelming stress and pressure to do well at one of the nation’s top music schools.

Soon, feelings of isolation and fear of failure left Winograd feeling he could no longer function or take care of himself. He tried drugs and alcohol to cope. But stress, anxiety and depression continued to push him closer to the edge. So, Winograd began planning to take his own life.

“The weight of all of that drove me to this dark place so quickly,” he said. “I felt like no one could help me, and I had nothing.”

Winograd’s story illustrates a familiar and troubling trend on college campuses across the country.

By nearly every metric, the mental health of college students is worsening. And while today’s students are more likely than previous generations to reach out for help, more than half say they haven’t. Meanwhile, surveys by college health organizations show some of the highest rates of anxiety, depression and suicidal thoughts ever recorded.

College students face unique challenges

Over the past 20 years, national data shows an alarming increase in mental health concerns among adolescents and young adults, including suicide rates that have climbed 30 percent.

In the latest Healthy Minds Survey , an annual web-based study of mental health and related issues among undergraduate and graduate students, survey responses from 76,000 students across 135 campuses during the 2022-23 academic year revealed some of the highest rates of mental health concerns in the survey’s history. The survey found that nearly two-thirds of college students meet the criteria for at least one mental health problem, up almost 40 percent since 2013.

Forty-one percent of respondents showed symptoms of moderate or major depression, 36 percent reported a possible anxiety disorder, and 14 percent said they had considered suicide in the past year. The previous year’s survey found equally concerning results.

Similarly, in a spring 2023 American College Health Association survey of more than 78,000 students at 125 institutions, 1 in 5 respondents (21.2%) reported severe psychological distress.

KSU-specific data from ACHA surveys in 2022 , the latest available, show 23.3 percent of the 2,632 respondents reported psychological distress. Nearly a third reported having a diagnosed anxiety disorder, 26 percent said they had depression, and 32 percent reported behaviors or thoughts that increased their risk of suicide.

Psychiatrist Ryan S. Patel, ACHA board member and chair of the association’s Mental Health Section, has spent the past decade researching collegiate mental health and treating students at Ohio State University’s Office of Student Life, Counseling and Consultation Service. He also authored a holistic guide for college students who struggle with common mental health issues, “Mental health for college students.”

Patel said no two students’ mental health concerns, combination of contributing factors or situations are identical, but the current generation of college students share some historical experiences that can help to explain worsening national trends.

He said college students today were children during the Great Recession and have come to understand the importance of high-demand careers that can give a sense of security. Couple that with the ever-rising academic rigor and financial burden of higher education, as well as a lack of developed life skills compared with previous generations, and you’ve got a recipe for mental health disaster.

“It kind of sets you up mentally to think, ‘Am I not good enough?’” Patel said. “There’s this pressure to perform and a desire for perfectionism among this group that can be damaging to their self-image.”

Meeting students where they are

Instead of ending his life, Winograd was admitted to a hospital and received the help he needed. Now he is a Master of Social Work and Master of Business Administration student at KSU whose ambition is to improve the lives of those struggling with their own mental health.

“I want to show people that there are resources right here at KSU that are here to help and that can be accessed with ease,” he said. “And I want to help KSU continue to improve on its existing resources and trainings.”

Programs, training and events educating students, skill-building workshops, support groups focused on high-risk needs or underrepresented groups and a resource awareness campaign are driving KSU’s efforts to respond to the growing mental health needs of students.

In his undergraduate experience, KSU senior Anthony Harrison said he and many of his peers can relate to the national trends.

Like Winograd, Harrison, a sociology major, moved far from his family and friends in New York City to attend KSU. Harrison said expectations of him were already high as a member of the University’s track and field team, but he’s also the first in his family to graduate from high school and the first to go to college.

“Even though everyone tells me how proud they are of me, I wish they could relate to my experience and offer me some guidance. On top of that, there’s the pressure of being an athlete and pressures from college life in general, and they just multiply,” he said. “There are times that, in my mind, I could be feeling like I’m failing, but all I hear from the people around me is how much I’m doing for myself and how far I’m going. But it can seem to me that I’m never where I need to be.”

The stress of screen time

This constant drive to “do better” and “be perfect” is common among college-aged people and exacerbated by another factor unique to them, Patel said: social media.

Young adults are the first generation to have grown up with a smartphone in their hands and social media feeding a constant stream of opportunities for comparison and conflict, Patel said. And the rapid shift of life online during Covid meant students were suddenly spending more time on their screens than ever before.

Students’ lifestyles went from balancing personal interactions – walking around campus, seeing friends in classes and socializing at events – with streaming or social media use to unwind at the end of the day. When Covid hit, students interacted and attended classes online and still wanted to unwind the same way as before, adding hours to the consumption of overwhelming amounts of information from all over the world at once, Patel said. Also important to note, he said, is that technology and social media are not inherently bad, but many users lack healthy use skills.

“The mental breaks are not as restorative, because you’re engaging that same part of your brain,” he said. “That can affect stress levels, because what you’re used to doing as a mental break is not effective. It’s no longer a break.”

Harrison agreed. It can be exhausting to carry the weight of academics, athletics and social life and then spend hours staring at a screen barraging you with traumatizing and divisive content or unrealistic and often misleading snapshots of others’ success.

“There’s a quote that’s really special to me: ‘Comparison is the thief of joy,’” Harrison said. “So much of social media is creating these stereotypes, appearances and boxes that people are constantly trying to fit into, and if somebody can’t fit into them, they’re left feeling like they don’t belong or they don’t live up to some standard.”

And it appears Harrison’s KSU peers tend to relate with his experience. In the 2022 ACHA survey, 63 percent of KSU students who reported that they worried about their personal appearance also said it caused moderate or severe distress, and the overwhelming majority of KSU students who reported having academic challenges said those challenges were causing them moderate or severe distress. Likewise, nearly half of the students who reported experiencing general anxiety indicated that it negatively affected their ability to perform academically.

In KSU Counseling and Psychological Services data collected in the 2022-23 academic year, student participants showed higher than national average rates of depression, general anxiety, social anxiety and overall distress.

But those metrics are not all bad news, said Patel. As mental health concerns have risen, so too have resources available to help and students’ willingness to use them. National data from 2023 shows about 40 percent of college students have used a campus mental health resource, compared to about 20 percent historically, Patel said. And despite KSU’s higher-than-average rates of distress markers, KSU CPS leaders say students are improving with help at the same rates as their peers across the country.

As Student Government Association vice president and a member of the Student Athlete Advisory Council, Harrison has enlisted Winograd’s help to look for ways to expand KSU mental health resources and meet students where they are. Meanwhile Wellbeing@KSU , the department tasked with campus mental health programs, has launched new programs and campaigns aimed at leading the charge when it comes to creating a “campus of care.”

At KSU, ‘You Matter’

Most recently, KSU launched its “You Matter” suicide prevention and mental health program, aiming to teach the KSU campus communities to recognize when students may be struggling and to direct them to Wellbeing@KSU resources, led by CPS and Health Promotion and Wellness, for assistance.

The CPS program includes events and permanent signs in high-traffic areas on both KSU campuses, encouraging discussion of stressors and pressures of daily life, teaching students to recognize the signs of suicidal thoughts and depression among their peers and directing students to resources that can help.

White said the goal is to make You Matter events relatable to students. Discussions and games encourage peer interaction and capitalize on social media or popular culture trends that students are familiar with.

“We want students to know that they can connect with people without feeling like a burden,” White said. “We are interested in engaging the entire KSU community in becoming a campus of care and making sure students know there are people all over campus – faculty, staff and peers – who want to support them and that they don’t have to be afraid or ashamed to reach out.”

White said her department offers targeted support groups for students who could be more at-risk or who may be experiencing issues, like grief or loss.

“A large part of what keeps students in school and mentally healthy is finding a sense of belonging, so KSU’s ability to get students connected with a group where members help each other through common struggles is very important,” White said.

The support groups offered by CPS and HPW include Neurodivergent and Friends, Body Positivity, Grief, LGBT Support, Black Women Support, Latinx Support, and Anxiety Toolbox and help to build identity and a sense of belonging while the workshops provided focus on daily living and social skills, coping mechanisms, problem solving and crisis intervention. These University mental health initiatives also work closely with other Wellbeing@KSU departments, like Campus Awareness, Resource & Empowerment (CARE) Services for food and housing insecurity, or the Center for Young Adult Addiction and Recovery (CYAAR) , Sports and Recreation and Student Health Services .

In January 2024, CPS also launched its peer counselor program, in which students are trained to recognize the signs of suicide risk and to direct students to the help they need. The goal of the program is to provide peer to peer support with common challenges like stress, loneliness and life transitions.

Additionally, mental health trainings offered both digitally and in-person to students, faculty and staff include Kognito At-Risk Mental Health Training, Question Persuade Refer Suicide Prevention Training and Mental Health First Aid.

White said the offerings by HPW strive to educate faculty and staff on how they can help make students aware of campus resources; for example, by placing information about those resources in syllabi or signs at unrelated events.

“We want to get everyone possible involved in creating environments that put mental health first,” White said.

‘It takes all of us’

The wide array of awareness campaigns, self-help resources, social events and life skill workshops is key to ensuring that students have access to the best resources possible to support their mental health needs, said Patel. But, he added, equally as important is the endeavor to involve as many stakeholders as possible in creating a mentally healthy student body.

“Everybody can do something to positively affect mental health in the campus environment – faculty, staff, administration, college health professionals, alumni, parents and students themselves,” Patel said. “When we start thinking like that, the whole culture changes, and it becomes a culture of care and support and community. That is the future that we want to look toward, and it takes all of us.”

Looking back on his own college experience, Winograd said he wished he’d been more aware of the resources that were available to him. While he can’t change the past, he knows that raising awareness for KSU’s support services will mean fewer students feel alone.

“We’re all working hard to assess student barriers to care, how we can break down those barriers and how we can get the word about these resources to more students,” he said. “We want to encompass all 45,000 students in the care that our programs and services provide.”

Since seeking counseling through campus resources and realizing that his mental health must be a priority to get the most out of other areas of his life, Harrison said he’s become a spokesperson in his KSU circles.

“Taking time to take care of yourself helps a lot and goes a long way. Your mental and physical health go hand in hand, so pay attention to those times you don’t feel right,” Harrison said. “Find ways to make sure you’re nourished. The resources are all around us here, and there are plenty of people who care.”

This article is also published in the current issue of Summit Magazine .

- Thomas Hartwell

Illustration and graphics by Evan Alley

Anxious Parents Are the Ones Who Need Help

An illustration of a college campus where parents look distressed about their children while the children seem fine.

By Mathilde Ross

Dr. Ross is a senior staff psychiatrist at Boston University Health Services.

This month, across the country, a new cohort of students is being accepted into colleges. And if recent trends continue, the start of the school year will kick off another record-breaking season for anxiety on campus.

I’m talking about the parents. The kids are mostly fine.

Let me explain. Most emotions, even unpleasant ones, are normal. But the word is out about increasing rates of mental health problems on campus, and that’s got parents worrying. Fair enough. The statistics are startling — in 2022, nearly 14 percent of 18-to-25-year-olds reported having serious thoughts about suicide.

But parents are allowing their anxiety to take over, and it’s not helping anyone, least of all their children. If a child calls home too much, there must be a crisis! And if a child calls too little, there must be a crisis! Either way, the panicked parent picks up the phone and calls the college counseling center to talk to someone like me.

I am a psychiatrist who has worked at a major university’s mental health clinic for 16 years. Much of next year’s freshman class was born the year before I started working here. Technically, my job is to keep my door open and help students through crises, big and small. But I have also developed a comprehensive approach to the assessment and treatment of anxious parents.

The typical call from a parent begins like this: “I think my son/daughter is suffering from anxiety.” My typical reply is: “Anxiety in this setting is usually normal, because major life transitions like living away from home for the first time are commonly associated with elevated anxiety.” Parents used to be satisfied with this kind of answer, thanked me, hung up, called their children and encouraged them to think long-term: “This too shall pass.” And most everyone carried on.

But these days this kind of thinking just convinces parents that I don’t know what I’m talking about. In the circular logic of mental health awareness, a clinician’s reassurance that situational anxiety is most likely normal and time-limited leads a parent to believe that the clinician may be missing a serious mental health condition.

Today’s parents are suffering from anxiety about anxiety, which is actually much more serious than anxiety. It’s self-fulfilling and not easily soothed by logic or evidence, such as the knowledge that most everyone adjusts to college just fine.

Anxiety about anxiety has gotten so bad that some parents actually worry if their student isn’t anxious. This puts a lot of pressure on unanxious students — it creates anxiety about anxiety about anxiety. (This happens all the time. Well-meaning parents tell their kid to make an appointment with our office to make sure their adjustment to college is going OK.) If the student says she’s fine, the parents worry that she isn’t being forthright. This is the conundrum of anxiety about anxiety — there’s really no easy way to combat it.

But I do have some advice for parents. The first thing I’d like to say, and I mean it in the kindest possible way, is: Get a grip.

As for your kids, I would like to help you with some age-appropriate remedies. If your child calls during the first weeks of college feeling anxious, consider saying any of the following: You’ll get through this; this is normal; we’ll laugh about this phone call at Thanksgiving. Or, say anything that was helpful to you the last time you started something new. Alternatively, you could say nothing. Just listening really helps. It’s the entire basis of my profession.

If the anxiety is connected to academic performance — for instance, if your child is having difficulty following the professor and thinks everyone in class is smarter — consider saying, “Do the reading.” Several times a semester, a student I’ve counseled tells me he or she discovered the secret to college: Show up for class prepared! This is often whispered rather sheepishly, even though my office is private.

Anxiety about oral presentations is also quite common. You know what I tell students? “Rehearse your speech.” Parents, you can say things like this, too. Practice it: “Son, you wouldn’t believe how helpful practice is.”

I can prepare you for advanced topics, too. Let’s say your child is exhausted and having trouble waking up for class; he thinks he has a medical problem or maybe a sleep disorder. Consider telling him to go to bed earlier. Common sense is still allowed.

What if a roommate is too loud or too quiet, too messy or too neat? Advise your kid to talk to the roommate, to take the conversation to the problem’s source.

If your child is worrying about something more serious, like failing out of college: This is quite common in the first few weeks on campus. Truth be told, failing all of one’s classes and being expelled as a result, all within the first semester, is essentially impossible and is particularly rare among those students who are worrying about it. The administrative process simply doesn’t happen that fast. Besides, you haven’t paid enough tuition yet.

I’m making my job sound easy, and it’s not. I’m making kids sound simple, and they’re not. They are my life’s work. Some kids walk through my door in serious pain. But most don’t. Most just need a responsible adult to show them the way. And most of what I do can be handled by any adult who has been through a thing or two, which is to say, any parent.

I worry that the current obsession with mental health awareness is disempowering parents from helping their adult children handle ordinary things. People are increasingly fearful that any normal emotion is a sign of something serious. But if you send your adult children to a mental health professional at the first sign of distress, you deprive yourself of the opportunity to strengthen your relationship with them. This is the beginning of their adult relationship with you. Show them the way.

The transition to college is full of excitement and its cousin, anxiety. I enjoy shepherding young people through this rite of passage. Parents should try enjoying it, too.

Mathilde Ross is a senior staff psychiatrist at Boston University Health Services.

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AIMS Public Health
v.8(1); 2021

Risk factors associated with stress, anxiety, and depression among university undergraduate students

Mohammad mofatteh.

1 Lincoln College, University of Oxford, Turl Street, Oxford OX1 3DR, United Kingdom

2 Merton College, University of Oxford, Merton Street, Oxford OX1 4DJ, United Kingdom

3 Sir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford OX1 3RE, United Kingdom

It is well-known that prevalence of stress, anxiety, and depression is high among university undergraduate students in developed and developing countries. Students entering university are from different socioeconomic background, which can bring a variety of mental health risk factors. The aim of this review was to investigate present literatures to identify risk factors associated with stress, anxiety, and depression among university undergraduate students in developed and developing countries. I identified and critically evaluated forty-one articles about risk factors associated with mental health of undergraduate university students in developed and developing countries from 2000 to 2020 according to the inclusion criteria. Selected papers were analyzed for risk factor themes. Six different themes of risk factors were identified: psychological, academic, biological, lifestyle, social and financial. Different risk factor groups can have different degree of impact on students' stress, anxiety, and depression. Each theme of risk factor was further divided into multiple subthemes. Risk factors associated with stress, depression and anxiety among university students should be identified early in university to provide them with additional mental health support and prevent exacerbation of risk factors.

1. Introduction

Mental health is one of the most significant determinants of life quality and satisfaction. Poor mental health is a complex and common psychological problem among university undergraduate students in developed and developing countries [1] . Different psychological and psychiatric studies conducted in multiple developed and developing countries across the past decades have shown that prevalence of stress, anxiety, and depression (SAD) is higher among university students compared with the general population [2] – [4] . It is well established that as a multi-factorial problem, SAD cause personal, health, societal, and occupational issues [5] which can directly influence and be influenced by the quality of life. The level of stress cited in self-reported examinations and surveys is inversely correlated with life quality and well-being [6] .

Untreated poor mental health can cause distress among students and, hence, negatively influence their quality of lives and academic performance, including, but not limited to, lower academic integrity, alcohol and substance abuse as well as a reduced empathetic behaviour, relationship instability, lack of self-confidence, and suicidal thoughts [7] – [9] .

A 21-item self-evaluating questionnaire, Beck Depression Inventory (BDI), is the most common tool used for diagnoses of depression [10] . A BDI-based survey in five developed countries in Europe (European Outcome of Depression International Network-ODIN in the United Kingdom, Netherlands, Greece, Norway, and Spain) concluded that overall 8.6% (95% CI, 7.95–10.37) of the resident population are dealing with depression [11] . Similar studies confirmed that about 8% of the population in developed and developing countries suffer from depression [12] . Data from systematic review studies revealed that this depression rate is much higher among university students and around one third of all students in the majority of the developed countries have some degree of SAD disorders; and depression prevalence has been increasing in academic environments over the past few decades [3] .

Despite all the efforts to increase awareness and tackle mental health problems among university students, there is still an increasing number of depression and suicide among students [13] , indicating a lack of effectiveness of the measures adopted. In addition to an increase in the prevalence of mental health issues, comparing students and non-college-attending peers demonstrated that the severity of psychological disorders that students receive treatment for has also increased [14] . For example, the rate of suicide among adolescents has increased significantly over the past few decades [15] . In fact, suicide as a result of untreated mental health is the second cause of death among American college students [16] , emphasizing the importance of identifying and treating risk factors associated with SAD.

SAD can be manifested in different forms; however, some common overt symptoms include loss of appetite, sleep disturbance, lack of concentration, apathy (lack of enthusiasm and concern), and poor hygiene. Studying SAD is particularly important among university students who are future representatives and leaders of a country. Furthermore, most undergraduate students enter university at an early age; and dealing with SAD early in life can have long-term negative consequences on the mental and social life of students [3] . For example, a longitudinal study in New Zealand over 25 years demonstrated that depression among people aged 16–21 could increase their unemployment and welfare-dependence in long-term [17] .

A better understanding of SAD among students in developed and developing countries not only helps governments, universities, families, and healthcare agencies to identify risk factors associated with mental health problems in order to minimise such risk factors, but also provides them with an opportunity to study how these factors have been changing in the academia.

This review aims to provide an updated understanding of risk factors associated with SAD among post-secondary undergraduate and college students in developed and developing countries by using existing literature resources available to answer the following question:

“Aetiology of depression and anxiety: What are risk factors associated with stress, anxiety and depression among university and college undergraduate students studying in developed and developing countries?”

It is worth mentioning that this review focuses on SAD risk factors of university students in developed and developed countries, and does not cover underdeveloped countries which can have their own niche problems (such as poverty). However, this review takes into account international students who migrate from underdeveloped countries to developed and developing countries to pursue their education.

2.1. Aims and objectives

The aims of this review were to identifying principal themes associated with depression and anxiety risk factors among university undergraduate students. The objectives of this review are to design a rigorous searching methodology approach by using appropriate inclusion and exclusion criteria, to conduct literature searches of publicly available databases using the designed methodology approach, to investigated collected literature resources to identify risk factors associated with the depression and anxiety which have not changed, and to identify principal themes associated with SAD risk factors among university undergraduate students.

2.2. Designed approach for literature review

A narrative review based on a comprehensive and replicable search strategy is used in this review. This approach is justified and preferred, over other approaches such as primary data gathering, because of the timescale of the research (2000 to 2020-temporal reasons), and extent of the research (developed and developing countries-spatial reasons).

2.3. Criteria for inclusion and exclusion of articles

Inclusion and exclusion criteria for articles and academic writings used in this review are as follows:

2.3.1. Date

2000 to 2020 are included Academic writings which are published between in this review. Initially, during a pilot search, search strategies covered 1990 to 2020. However, the majority of the search results (more than 80% of the search results and more than 88% of applicable search results) were from 2000 to 2020, which indicates the importance of mental health issue and increased awareness over the past two decades. Therefore, for the final search, papers from 2000 to 2020 were included.

2.3.2. Study design

Literatures included in this narrative review were primary research articles, review articles, systematic reviews, mini-reviews, opinion pieces, correspondence, clinical trials, and cases reports published in peer reviewed journals.

2.3.3. Country

The narrative review was limited to developed and developing countries definition by the United Nations Department of Economic and Social Affairs [18] . Abstract and method sections of search results were screened to check the country of research.

2.3.4. Language

Peer-reviewed articles published in English were only included in this narrative review.

2.3.5. The explanation for papers exclusion

The main reason for papers excluded from consideration after search results was that they focused on intervention and therapies associated with SAD. Other reasons for exclusion was that studies were conducted on a mixture of undergraduate and graduate students or focused solely only graduate students. Studies which focused on other types of mental disorders such as eating disorders but did not focus on SAD were excluded too. The conducted search did not exclude any gender or specific age category.

2.4. Strategies used for search and limitations

In this review, a robust and replicable search strategy was designed to identify appropriate articles by searching PubMed, MEDLINE via Ovid, and JSTOR electronic databases. These databases were selected because they encompass biopsychosocial papers published on SAD. The date chosen for this search was for articles published between 2000 to 2020 which covers the past two decades. Once key articles were identified, a search for citation of those papers was conducted, and the bibliography of those papers were further screened to identify potential articles which can be relevant.

2.5. Search terminologies used

To conduct searches in databases mentioned above, the following search terms were used: students stress, anxiety, depression risk factors, university stress, anxiety, depression risk factors, student mental health developed and developing countries, students stress, anxiety and depression developed and developing countries. The operation AND was used to connect stress, anxiety, depression, mental health, developed, developing, countries, students. The search for each term was conducted in all fields (title, abstract, full text, etc.).

2.6. Screening, selecting search results, and data extraction

The search results were exported into separate Excel and EndNote X8 files. Titles and abstracts from all articles were screened to determine their relevance to the topic of this review. Potentially relevant articles were fully read to establish their relevance. Each paper which was included according to the inclusion criteria described above was read fully. A word file was created to identify themes associated with SAD risk factors which is included in the Results. An initial search resulted in 1305 articles. The title and abstract of individual papers were read for relevance, resulting in 60 papers which were relevant for the research question asked in this review. All 60 papers were read completely, and from those, 19 were excluded based on the criteria mentioned before. Therefore, the total number of papers for consideration was 41. A flowchart explaining the procedure for identification, screening, eligibility, and inclusion of papers is shown in Figure 1 .

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Figure 2 provides a quantitative summary of the papers included in this narrative review. In terms of the distribution of the countries where the research was conducted, included papers were mainly articles which carried out studies in the USA (n = 17), followed by China and Canada (each n = 5), UK (n = 4), Japan (n = 3), Germany and Australia (each n = 2), South Korea, Hungary, Switzerland (each n =1) ( Figure 2A ). As for article types included in this review, original research articles, including quantitative and qualitative studies, which relied on obtaining data including cross-sectional studies, interviews, case-control studies, surveys, and questionnaire, were the highest (n = 37) followed by meta-analysis, literature and systematic reviews ( Figure 2B ). Another interesting observation was that although the search was carried out from 2000–2020, most papers were concentrated in the period from 2016 to 2020 ( Figure 2C ). This can be due to the reason that mental health is becoming more important over the past few years. Alternatively, a higher number of papers included from 2016 onward can be due to unintended selection bias. The smallest study covered in this narrative review was conducted on 19 students and the largest one on 153,635 students, adding up to 236,104 students, who were included in articles covered in this narrative review in total. Most studies on mental health, anxiety, and depression use standardised approaches such as patient-filled general health questionnaires, Pearling coping questionnaire, internally regulated surveys, BDI, DSM-IV symptomology, and general anxiety and burnout scales such as Maslach Burnout Inventory.

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3.1. Literature search results

Following the search protocol shown in Figure 3 , a list of included papers identified which can be found in the Table 1 .

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3.2. Prevalence of mental health disorders in students

Literature showed that mental health problems are common phenomenon among students with a higher prevalence compared to the general public. For example, surveying more than 2800 students in five American large public universities demonstrated that more than half of them experienced anxiety and depression in their last year of studies [19] . Similarly, a survey of Coventry University undergraduate students in the UK showed that more than one-third of them had experienced mental health issues such as anxiety and depression over the past one year since they were surveyed [20] . In agreements with these results, Maser et al. [21] found that prevalence of mental health disorders including anxiety and depression was higher among medical students compared to the general non-student population of the same age. These studies demonstrated that the prevalence of SAD among students has remained higher than the average population over the past two decades.

SAD are not only prevalent among students, but also persistent. By conducting a follow-up survey study of students over two years, Zivin et al. [19] demonstrated that more than half of students retain their higher levels of anxiety and depression over time. This can be due to a lack of SAD treatment or persistence of existing risk factors over time.

3.3. Risk factors associated with stress, anxiety, and depression

SAD are multifactorial, complex psychological issues which can have underlying biopsychosocial reasons. Multiple risk factors which affect the formation of SAD among undergraduate university students in developed and developing countries were identified in this review. These factors can be categorized into multiple themes including psychological, academic, biological, lifestyle, social and financial. A summary of risk factors and their associated publications are shown in Table 2 .

3.3.1. Psychological factors

Self-esteem, self-confidence, personality types, and loneliness can be associated with SAD among university students. Students who have a lower level of self-esteem are more susceptible to develop anxiety and depression [22] . Also, students with high neuroticism and low extraversion in five-factor personality inventory [23] are more likely to develop SAD during university years [24] . Other psychological factors such as feeling of loneliness plays important roles in increasing SAD risk factors [24] . Moving away from family and beginning an independent life can pose challenges for fresher students such as loneliness until they adjust to university life and expand their social network. Indeed, Kawase et al. [24] showed that students who live in other cities than their hometown for studying purposes are more likely to develop anxiety and depression.

Some students enter the university with underlying mental conditions, which can become exacerbated as they transition into the independent life at university. While depression is higher among university and college students compared to the general public, students with a history of mental health problems, such as post-traumatic stress disorder (PTSD), are more prone to development of anxiety and depression during their university lives compared to students who did not have such experience before starting their degrees [25] . Furthermore, exposure to violence in childhood either at the household or the community correlates with SAD formation later in life and at University [26] . Therefore, low self-esteem and self-confidence, having an underlying mental health condition before beginning the university, personality type (high neuroticism and low extravasation), and loneliness can increase the probability of SAD formation in students.

3.3.2. Academic factors

Multiple university-related academic stressors can lead to SAD among students. One of these factors which was strongly present in many studies evaluated in this review was the subject of the degree. Medical, nursing, and health-related students have a higher prevalence of depression and anxiety compared to their non-medical peers [24] , [27] – [28] . Medical and nursing students who have both theoretical duties and patient-related work usually have the highest level of workload among university students, consequently deal more with anxiety and depression [27] , [29] . In addition, students who major in psychology and philosophy, similar to nursing and medical students, are more likely to develop depression during their studies compared to others [24] . These studies did not identify whether students who have underlying mental health conditions are more likely to choose certain subjects such as philosophy, psychology, or subjects which lead to caring roles such as nursing and medicine. Because of the nature of their work, medical and nursing students who deal with people's health can experience depression and anxiety as a result of fears of making mistakes which can result in harming patients [27] . Students with practical components in their degree are required to travel to unfamiliar places for fieldwork and work experience which can add to their stress and anxiety [27] .

Also, some prospective students, especially those who study nursing and medicine, usually do not have a clear understanding of the curriculum and workload associated with the subject before entering the university, therefore, they can face a state of disillusionment once they begin their studies at university [27] – [29] . It is worth mentioning that not all studies found a significant correlation between the subject of study and SAD development [30] . This can be explained by differences in sample type and size which results in variations existing in the amount of workload and curriculum in similar subjects taught in various universities in different countries.

Studying a higher degree can be a challenging task which requires mental effort. Mastery of the subject can negatively correlate with self-esteem, anxiety, and depression among university students with students who have a mastery of subject demonstrating a lower level of stress and anxiety [31] . Also, students who study in a non-native language report the highest level of anxiety and depression during their freshman years, and their stress levels decrease during the subsequent study years [32] . This can be explained by the fact that students who are studying in a foreign language usually are those who have migrated abroad, therefore, require some time to adjust to their new lives. Different studies showed that the level of anxiety and depression among both international and home students could correlate with the year of study with fresher students who enter the university and students at the final year of their studies experience the greatest amount of anxiety and depression with different risk factors [22] , [32] . While fresher students experience SAD because of challenges in adjustments to university life, past negative family experience, social isolation and not having many friends, final year students report uncertainty about their future, prospective employment, university debt repayment and adjusting to the life after university as major risk factors for their SAD [22] , [32] . Therefore, a shift in SAD risk factors themes are observed as students make a progress in their degrees.

Students spend a significant portion of their time at university being engaged with their academic activities, and unpleasant academic outcomes can influence their mental health. Receiving lower grades during the time of studies can negatively influence students' mental health, causing them to develop SAD [33] , [34] . Academic performance during undergraduate studies can determine the degree classification, which can, subsequently, influence students' opportunities such as employment success rate or access to postgraduate courses [27] . Conversely, both the number of students with mental health problem symptoms and the severity of students' SAD increase during exam time [35] , reflecting a direct relationship between academic pressure and students' mental health states. However, the causal relationship is not well-established; it is possible that depression and associated problems such as temporary memory loss and lack of concentration [36] are reasons for poor academic grades or inversely, students feel stressed leading to depression because of their poor performance in their exams. A mutual relationship can exist between grades and mental health, as having a poor mental health can reciprocally cause students to get lower grades [34] , leading to a vicious cycle of mental health and academic performance. Interestingly, students' sense of social belonging and coherence to the university community was reduced during exam periods [35] . This can be explained by the reduced participation rate of students in university social activities and clubs as well as an increased sense of competition with their peers. Furthermore, students interact directly and indirectly with teachers, lecturers, tutors, and other staff; therefore, the relationship between students and academic staff can influence students' mental health. A negative and abusive relationship with teachers and mentors can be another factor causing SAD among undergraduate students [27] .

On the other hand, being a part-time student is a protective factor for anxiety and depression, and part-time students have better mental health compared to students with full-time status [34] . This can be explained by financial securities which have a source of income can bring or because part-time students are usually older than full-time students [34] , and therefore, more emotionally stable. In conclusion, risk factors increasing SAD among university students include high workload pressure, fear of poor performance in exams and assessments, wrong expectations from the course and university, insufficient mastery in the subject, year of study, and a negative relationship with academic staff.

3.3.3. Biological factors

Mental health can be influenced by ones' physical health. Presence of an underlying health condition or a chronic disease before entering the university can be a predictor of having SAD during university years [31] , [33] . Students with physical and mental disabilities can be in a more disadvantaged position and do not fully participate in university life leading to SAD formation [33] .

An association between gender and depressive disorders have been observed in several studies [21] , [27] , [34] , [37] . Female students had a higher prevalence of SAD compared to male students. Interestingly, while female students demonstrated a higher level of SAD, the dropout rate of female students with a mental health problem from university was lower compared to their male counterparts [33] . On the other hand, while females are at a higher risk of developing depressive disorders, males with depressive disorders are less willing to seek professional help and ask for support due to the stigma attached to mental health [38] , causing exacerbation of their problem over time [20] .

Age can be another factor related to SAD. Younger students report a higher level of SAD compared to older students [34] , [37] . However, other meta-analysis studies did not find a significant correlation between students' age and their mental health which can be due to sampling differences [39] . Some studies showed that while older undergraduate students have a higher determination to do well in the university [40] , those who have family commitments are more prone to develop SAD during their degrees [27] . These discrepancies in findings can be explained by different sample sizes and types of studies which can be influenced by various confounding factors such as nationality, country of study, degree of studies, gender, and socioeconomic status. Similarly, a lack of correlation between depression prevalence and year of study is observed as some studies have reported a higher prevalence among earlier years of studies, while others have shown a higher prevalence among students as they move closer to the end of their studies [41] . These differences can be explained by different causes of depression in a different age; for example, while depression in younger adults can be due to changes in their environment and difficulties in adapting to a new life, older adults can have depression symptoms because of a lack of certainty for their future and employment. Nevertheless, differences exist between SAD risk factors associated with young and older students. Overall, biological risk factors affecting SAD include age of students, gender, and underlying physical conditions before entering the university.

3.3.4. Lifestyle factors

Moving away from families and beginning a new life requires flexibility and adaptation to adjust to a new lifestyle. As most undergraduate students leave their family environment and enter a new life with their peers, friends, and classmates, their behaviour and lifestyle change too. Multiple lifestyle factors such as alcohol consumption, tobacco smoking, dietary habits, exercise, and drug abuse can affect SAD. Alcohol consumption is high among students with SAD [28] ; a causal relationship was not been established in this study though.

Tobacco smoking is another risk factor associated with SAD which is common among students, especially students who study in Eastern developed and developing countries such as China, Japan and South Korea [24] , [42] . Most students, especially male students, smoke because of social bonding and the rate of social smoking is directly correlated with SAD [24] , [42] . Social smokers are less willing to quit smoking, and more likely to persist in their habit, resulting in long term negative physical and psychological health consequences [42] . Illegal substance abuse can be another factor important in SAD among young people [43] . Academic-related stress and social environment in university dormitories and student accommodations can encourage students to use illegal drugs, smoke tobacco and consume alcohol excessively as a coping mechanism, resulting in SAD [44] . Interestingly, students who perceived they had support from the university were feeling less stressed and were less at the risk of substance abuse [45] , indicating the important role of social support in preventing and alleviating depression symptoms. This is of particular importance as a new social habit and behaviour adapted early during life can last for a long time. Furthermore, students who do not have a healthy lifestyle can feel guilt, which can worsen their SAD condition [46] . Interestingly, Rosenthal et al. [47] showed that negative behaviours resulting from alcohol consumption such as missing the next day class, careless behaviour and self-harm, verbal argument or physical fight, being involved in unwanted sexual behaviour, and personal regret and shame could be the main reasons for depression associated with drinking alcohol, rather than the amount of alcohol consumed.

In contrast, a moderate to vigorous level of physical activity can be a protective factor against developing SAD during university life [37] , [48] . Students who have a perception of having inadequate time during their studies do not spend enough time for exercise and can develop SAD symptoms [27] .

Another lifestyle-related risk fact associated with SAD is sleep. Many young people do not receive sufficient sleep, and sleep deprivation is a serious risk factor for low mood and depression [28] , [47] . Self-reported high level of stress and sleep deprivation is common among American students [31] , [49] . Insufficient sleep can act as a vicious cycle- academic stress can cause sleep deprivation, and insufficient sleep can cause stress due to poor academic performance since both sleep quality and quantity is associated with academic performance [28] . Overall, poor sleeping habit is associated with a decreased learning ability, increase in anxiety and stress, leading to depression.

Different negative lifestyle behaviours such as tobacco smoking, excessive alcohol consumption, unhealthy diet, lack of adequate physical activity, and insufficient sleep can increase the risk of SAD formation among university students.

3.3.5. Social factors

Having a supportive social network can influence students' social and emotional wellbeing, and subsequently lower their probability of having anxiety and depression in university [27] , [37] , [50] . The quality of relationship with family and friends is important in developing SAD. Having a well-established and supportive relationship with family members can be a protective factor against SAD development, which, in turn, can affect the sense of students' fulfilment from their university life [27] . The frequency of family visits during university years negatively correlates with SAD development [33] . Family visits can be more challenging for international students who live far away from their families, therefore adding to existing problems of international students who live and study abroad.

In contrast, having a negative relationship with family members, especially parents, can cause SAD formation among students in university [51] . Similarly, having a strict family who posed restrictions on behaviours and activities during childhood can be a predictor of developing SAD during university years [51] .

Also, it is shown that being in a committed relationship has a beneficial protective factor against developing depressive symptoms in female, but not male, students [52] . Interestingly, both male and female students who were in committed relationships reported a lower alcohol consumption compared to their peers who were not in committed relationships [52] .

Involvement in social events such as participating in sporting events and engaging in club activities can be a protective factor for mental health [32] , [37] . Assessing preclinical medical students' social, mental, and psychological wellbeing showed that while first year students demonstrate a decrease in their mental wellbeing during the academic year, they have an increase in their social wellbeing and social integration [53] . This can be explained by the time period required for fresher students who enter the university to adjust to the social environment, make new friends, and integrate into the social life of the university.

Access to social support from university is another factor which is negatively correlated with developing anxiety and depression [31] . It is worth mentioning that different universities provide different degrees of social support for students which can reflect on different anxiety and depression observed among students of different universities.

Importantly, sexual victimization during university life can be a predictor of depression. By surveying female Canadian undergraduate students, McDougall et al. [54] found that students who were sexually victimized and had non-consensual sex were at a higher chance of developing depression following their experience, emphasizing the importance of safeguarding mechanism for students at university campuses.

While the internet and social media can be great tools for maintaining a social relationship with classmates, pre-university friends and family members, it can have negative mental health effects. Excessive usage of social media and the internet during freshman year can be a predictor of developing SAD during the following years [55] . Students who have a higher dependence on the social media report a higher feeling of loneliness, which can result in SAD [56] . Students with internet addiction and excessive usage of social media are usually in first year of their degrees [55] , [56] which can reflect a lack of adjustment to university life and forming a social network. Also, students who use social media more often have a lower level of self-esteem and prefer to recreate their sense of self [56] , indicating an intertwined relationship between biopsychosocial factors in developing SAD among students.

Demographic status, ethnic and sexual minority groups including international Asian students, black and bisexual students were at an elevated risk of depression and suicidal behaviour [16] , [50] . The frequency of mental health is usually more common among ethnic minorities. For example, Turner et al. [20] showed that ethnic minority students report a higher level of anxiety and depression compared to their white peers; however, they do not ask for help as much. Other studies supported these findings by showing that students from ethnic and religious minorities, regardless of their country of origin and country in which they study, have a higher prevalence of anxiety and depression compared to their peers [50] . Also, students' expectations from university can be different among ethnic minorities students, and most of them do not have a sufficient understanding of the services that university can provide for them [40] .

Therefore, lack of support from family and university, adverse relationships with family, lack of engagement in social activities, sexual victimization, excessive social media usage, belonging to ethnic and religious minority groups, and stigma associated with the mental health are among risk factors for SAD in university students.

3.3.6. Economic factors

Students' family economic status can influence their mental health. A low family income and experiencing poverty can be predictors of SAD development during university years [22] , [50] , [57] , [58] . A higher family income can even ameliorate negative psychological experiences during childhood, which can have long-term negative consequences on the mental health of students once they enter university [57] . Also, experiencing poverty during childhood can have negative long-term consequences on adults, leading to SAD development during university life [58] .

Some students take up part-time job to partially fund their studies. Vaughn et al. [59] showed that relationship of employed students with their colleagues in the workplace could affect students' mental health; and those students who had a poor relationship with their colleagues had worse mental health. However, it is worth mentioning that a causal relationship was not established. It can be possible that students who have poor mental health cannot get along with their co-workers, resulting in an adverse working relationship.

Because of paying higher tuition fees and less access to scholarships and bursaries available, international students can have more financial problems, causing a higher degree of anxiety and depression compared to home students [60] .

Lack of adequate financial support, low family income and poverty during childhood are risk factors of SAD in students of undergraduate courses in developed and developing countries.

3.4. Stigma associated with mental health

While efforts have been put to reduce the stigma associated with receiving help for mental health problems, this still remains a challenge. For example, more than half of students who had SAD did not receive any help or treatment for their condition because of the stigma associated with mental health [19] , [61] . This is not related to the awareness of the availability of mental health resources which was ruled out by authors, as most of the students who did not receive any help for their mental health problem were aware of available help and support to them [19] .

Furthermore, the social stigma associated with receiving help for mental health problems was significantly associated with suicidal behaviour, acting as a preventive barrier to seek help (planning and attempt) [16] . Among students, those with a history of mental health problem such as veterans with PTSD are less likely to seek for help compared to non-veteran students [25] , making them more susceptible to struggling with untreated mental health.

4. Discussion

This review tried to identify and summarise risk factors associated with SAD in undergraduate students studying in developed and developing countries. The prevalence of SAD is high among undergraduate university students who study in developed and developing countries. Untreated SAD can lead to eating disorders, self-harm, suicide, social problems [28] . Similar to a complex society, differences exist among students leading to complicated risk factors causing SAD. Because different themes influencing SAD has been investigated as a distinct body of research by different literature, a concept map is created to demonstrate the relationship between various risk factors contributing to the development of SAD in undergraduate students in developed and developing countries. Figure 3 bridges risk factors concepts between different literature. For most students, entering university is a new step in their lives which is associated with certain challenges such as moving into independent accommodation, social identity, financial management, making decisions, and forming a social network. Different students have different needs depending on the stage of their degree, which needs to be fulfilled. For example, coping with a new university life style can be a challenging task for students who enter the university. This becomes more significant for students moving abroad for their studying who need to adapt to a new lifestyle, speak in a different language, and live away from their families. In agreement with this, different levels of anxiety and depression with different risk factors are observed among students as they progress in their degrees. On the other hand, students who are finishing their degrees can have SAD because of uncertainties about their future.

Students learn different modules in different degrees and have different abilities. Mastery of the subject can be a factor affecting students' sense of self-esteem, influencing their anxiety level and developing depressive symptoms. This partially can explain changes in risk factors observed as students' progress in their degrees. Final year students who adjust to the university environment and develop mastery in their subject can deal with academic pressure better compared to freshers who transform from secondary school life to university lifestyle.

Students can come with a varied and challenging background such as those who experienced household and domestic violence, sexual abuse, and child poverty which can make them susceptible to developing anxiety and depression once academic pressure is mounted. As universities are diverse environment which enrol students from different socioeconomic background and different cultures, universities need to identify risk factors for different students and have robust plans to tackle them to provide a fostering environment for future leaders of the society. Therefore, early mental health screening can help to identify those students who are at risk to provide them with special and additional mental health support. Students not only should be screened for their mental health state as they enter university, but also regular follow up check-ups should be conducted to monitor their conditions as they progress in their degrees to detect early signs of SAD.

University and academic staff can play a significant role in either exaggerating or ameliorating risk factors associated with anxiety and depression. While teachers and mentors can support students to cope with SAD, they can be a source of problem too by discriminating, bullying, and hampering students' progress.

Managing finance and expenses can be a challenging task for students who are stepping into an independent lifestyle and need to pay for their tuitions in addition to their maintenance fees. While some students have access to private funding, bursaries, and scholarships, other students receive loans which they need to pay back or have part-time jobs to meet their expenses. Students who work need to have a work-life balance and the time spent in their jobs can affect the quality of their education.

Fresher students try to establish their social network and might feel isolated, which can push them to excessive usage of social media to fill their social gap. While internet addiction and excessive usage of social media can have a negative impact on students' mental health, technology, such as mobile phone applications can be used in universities campuses to promote a healthier lifestyle and reducing risk factors among students. For example, many students refuse to receive face-to-face mental health counselling support during their anxiety and depression due to stigma associated with disclosure of mental health issues. Providing students with anonymized counselling services through mobile phone applications can be one way of delivering help to students at universities.

With the advent of social media platforms such as Facebook, Twitter, Instagram, TikTok, etc., more and more students rely on such networks for socialisation. While the internet and online platforms can have beneficial consequences for students, such as rapid access to a variety of online learning resources and keeping in contact with friends and families, excessive usage of social media and internet can have negative consequences on students' academic performance. A poor mental health state at the beginning of university life is a predictor of internet addiction later during the degree. Heavy reliance on the internet can be a coping mechanism for students with anxiety and depression to overcome their mental health problems.

As governments and educational bodies in developed and developing countries are emphasising recruitment of ethnic minority students to university to increase the range of equality and diversity among students, it is important to consider the mental health of those students in the university as well. Students in minority groups such as black, international Chinese and bisexual student report a higher level of anxiety and depression compared to other non-minority group students. This can be due to either pre-existing conditions which student experience before entering the university, and can be exacerbated during the university, or can be because of problems which can develop during university life.

Also, more mental health support is available in universities as the number of university students is increasing, and there is a better understanding of the importance of mental health in academia; however, the stigma associated with mental health has not changed proportionately.

While research and understanding of mental health have changed significantly over the past two decades and many more articles are present, risk factors associated with SAD remain unchanged.

One caveat with studies of mental health among student is that most studies have been conducted among medical and nursing students and neglected non-medical students. One potential explanation for the tendency to conduct depression surveys among medical students is the higher response rate as medical students are more willing to fill out the questionnaires and surveys. It is understandable that students studying medical subjects, who directly interact with the public and treating them once they enter the healthcare profession should have a reasonably sound mental health to be able to conduct their duties, but it does not justify neglecting the mental health of other students. Therefore, more research on mental health and risk factors associated with SAD of non-medical students is required in the future.

Another caveat with most mental health studies is that they are based on self-reports and surveys. Different people can have different perception and understanding of mental health and anxiety, and many confounding factors can influence the response of participants in the time of participation. Furthermore, students with severe mental health conditions are less likely to participate in any activity including surveys and questionnaires, leading to a non-response bias.

Another area which requires improvement in future studies of mental health is the categorisation of different types of depression and their severity. Depression and anxiety are a spectrum which can comprise of minor and major symptoms; however, most studies did not specify the scale of depression in their findings. Furthermore, while various risk factors were identified, a causal relationship between mental health and behaviours were not established.

While counselling services provided by universities in Western countries such as the UK and USA have increased over the past few years [62] , it is still not clear how effective such services are; therefore, more research is required to assess the effectiveness of counselling services at universities.

Therefore, a better understanding of the aetiology, associated factors is required for an effective intervention to reduce the disease incidence and prevalence among students in the population and providing them with a fostering environment to achieve their potential.

University undergraduate students are at a higher risk of developing SAD in developed and developing countries. Promoting the mental health of students is an important issue which should be addressed in the education and healthcare systems of developed and developing countries. Since students entering university are from different socioeconomic background, screening should be carried out early as students.

A personalized approach is required to assess mental health of different students. In addition, a majority of mental health risk factors can be related to the academic environment. A personalised, student-centred approach to include needs and requirements of different students from different background can help students to foster their talent to reach their full potential. Furthermore, more training should be provided for teaching and university staff to help students identify risk factors, and provide appropriate treatment.

5. Conclusion

Despite all the efforts over the past two decades to destigmatise mental health, the stigma associated with mental health is still a significant barrier for students, especially male students and students from ethnic and religious minorities to seek help for SAD treatment. Universities need to continue to destigmatise mental health in university campuses to enable students to receive more in campus support by providing designated time for positive metal health activities such as group exercise, physical activities, and counselling services. There is no shortage of athletic and group activities in form of clubs and social classes in most universities in developed and developing countries; however, more incentives such as athletic bursaries and prizes should be provided to students to encourage their participation in such activities which can act as protective factors against SAD development. Therefore, universities need to allocate more resources for sporting and social activities which can impact the mental health of students. Furthermore, an increase in mental health problems in universities has created a huge burden on university counselling services to meet the demands of students. More novel approaches, such as online counselling services can help universities to meet those increased demands.

Students in different years of studies deal with different risk factors from the time that they enter the university until they graduate, therefore, different coping strategies are required for students at different levels. Universities should be aware of these risk factors and implement measures to minimise those factors while providing mental health treatments to students.

Future studies are required to investigate long-term effects of experiencing SAD on students. A longitudinal study with a large randomly recruited sample size (different age, sex, degree of study, – socioeconomic status, etc.) is required to address how students' mental health change from entering the university until they graduate. Also, more extended follow up studies can be included to address the effect of depression and poor mental health on people's lives after they graduate from the university.

Abbreviations

Conflict of interest: All authors declare no conflicts of interest in this paper.

22 Subtle Ways Anxiety and Depression Affect Your Daily Life

S ometimes when you live with anxiety and depression, it’s not just one big thing, but the accumulation of “little” things, that can make everyday life challenging. While these things may seem “subtle” to the outside world, they’re often huge for the person dealing with them. Just because others can’t see the effects doesn’t make them any less real.

To find out how these little things add up, we asked people in our mental health community to share how anxiety and depression affect their daily life.

Here’s what they had to say:

1. “My body hurts, and the aches can’t be cured with exercise or a healthy diet. It’s a pain in the soul that affects the body. It’s hard for people to understand if they haven’t felt it themselves.” — Starr P.

2. “Depression makes me want to lay in bed all day, but anxiety makes me think that if I do that, I’ll miss something, something bad will happen or I’ll fall behind in work or class.” — Cailey C.

3. “Absolutely everything I do is a fight. Even the most simple daily tasks. It’s like two opposites fist fighting in my brain. But I’m the one who gets hurt and depression and anxiety keep going strong.” — Merica M.

4 . “Depression makes me want to leave work early. Anxiety tells me if I do I’ll be fired. So I end up spending my days at work being super unproductive. Then depression starts to wonder if getting fired even matters and anxiety is convinced I’ll be fired anyway since I haven’t gotten a lot done.” — Megan R.

5. “Anxiety is the stream of thoughts that can’t stop, even if you tell yourself to calm down. Anxiety is being nervous for something and you have no idea why. Depression, though… depression is the drowning in those streams of thoughts. It’s the darkness that pulls you in and makes you believe you’re nothing. Unworthy. Depression is the monster that wants to win.” — David S.

6. “Depression makes me so tired 24/7, but the anxiety keeps my brain awake which keeps me awake 24/7. I almost never sleep more than two to three hours a night.” — Suewanda B.

7. “Depression makes me have no motivation to do anything. Anxiety convinces me I’m a terrible person for not doing anything and that I have a million things I should be doing instead of laying in bed all day — and the fact I’m not doing them means I’m going to fall behind and fail at life.” — Zoe S.

8. “Instead of looking people in the face I watch the ground because I am afraid they will speak to me if we have eye contact. I am afraid I won’t know what to say back.” — Vicki V.

9. “Anxiety makes me question everything: is my boyfriend going to get sick of me? Am I smart enough for grad school? Am doing enough at work? Am I good enough? The depression makes me feel like all the negative thoughts my anxiety brings up must be true: I’m am a complete failure. I’m stupid, worthless, a burden and deserve the bad things that have happened to me. It makes me feel hopeless.” — Martine E.

10. “Some days I just don’t’ know which way is up. I don’t know where to focus because my depression pulls me one way and my anxiety another.” — Mandy L.

11. “Depression makes me not want to go to school, but my anxiety makes me freak out if I miss school. Anxiety keeps me up at night , but my depression makes me so tired. I am constantly fighting myself. It is completely exhausting.” — Jordan R.

12. “I feel like I have to create a carefully curated version of myself to cover both my anxiety and depression. When they are both in full swing, I can feel the mask slip because I can no longer perfectly portray the happy, centered version of myself people have come to expect. It’s challenging because although people routinely come to me to seek that steady, level-headed person I portray from 8-6 each day, no one sees me, and when they do see the mask slip even a little, they rebuff me. It’s incredibly lonely to feel like I can’t breath, but I have to portray calm assurance to feel like I can barely drag myself through work I typically love and know no one really sees me.” — Charity L.

13. “When my anxiety gets going and my brain jumps into overdrive thinking about the million things that need my attention, that’s when the depression shows up and says, ‘Let’s not do any of that.’” — Julia A.

14. “Often my depression is a symptom of my anxiety. I do things that are fueled by my anxiety and then afterward will beat myself up over my decision and end up in a very low spot for the rest of the day. It’s like I’m either in a state of anxiety or a state of depression. When I’m in both it’s like a hurricane.” — Kira M.

15. “They contradict each other and affect me as a student especially. Sometimes I will have no motivation to do an assignment, but yet it makes me anxious turning it in late or not doing it and receiving a bad grade.” — Joanna M.

16. “Anxiety stops me from having good relationships with people caused by repeating thoughts that they hate me, they’ll leave me, etc. Depression is not caring about anything, and both are hell. I care, but I don’t care at all. This all stops me from moving forward with anything because it feels useless.” — Amber W.

17. “The anxiety makes me worry that the reason a person isn’t replying is because they’re ignoring me on purpose or that they have better things to do. The depression tells me I’m not worth their time, and I should just leave them alone instead of bothering them.” — Randi B.

18. “When the doorbell rings and the tainted mix of anxiety and depression takes you to ‘it’s the police, something dreadful has happened,’ but you can’t bring yourself to stand up and find out.” — Heather B.

19. “I have constant arguments with myself. I know that it is good for me to speak to people and have company, but my depression means I have no motivation to go out, and my anxiety tells me that even if I did speak to anyone, I’d only bore them and keep them from something more enjoyable.: — Jenny B.

20. “Going to grocery store seems like the hardest most terrifying experience. You question your hair, your clothes, your walk, the drive, the walking down the aisles. It’s scarier than climbing Everest. I just resign myself to order in.” — Ana E.

21. “Anxiety means I always have to have an ‘escape route.’ I sit close to the door, or at the end of the row in theaters.” — Gordon M.

22. “It may look subtle to be people on the outside, but on the inside to us these subtle effects can be distressing. Not wanting to get up out of bed, not having the energy to shower, some of us either don’t feel like eating or eating becomes a big comfort. Socializing is a huge effort, it can drain every last bit out of you, and when you finally sit down the thoughts then start. I would not say there is any subtle way to explain it — there’s just silent to those around, and that is the short of it.” — Shona-Lee G.

A young man is wearing a hooded top and is looking down. Text reads: 22 subtle ways anxiety and depression affect your daily life.

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Essay about Anxiety and Stress
College essay: Depression college essay
📌 Essay Sample on How Social Media Has Increased Depression and Anxiety
College Students’ Stress, Anxiety & Depression Essay Example
(PDF) Exploring Depression & Anxiety among College Going Students
(PDF) Depression, anxiety, and stress among college students in Jordan

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How I Think You Should Leave Deconstructs Anxiety
OVERCOMING ANXIETY AND DEPRESSION: What you need to know about anxietydepression,treatments sunshine

COMMENTS

Anxiety Disorders and Depression Essay (Critical Writing)
Anxiety disorders are normally brained reactions to stress as they alert a person of impending danger. Most people feel sad and low due to disappointments. Feelings normally overwhelm a person leading to depression, especially during sad moments such as losing a loved one or divorce. When people are depressed, they engage in reckless behaviors ...
Should you discuss mental health issues in your college essay?
Yes, of course, but they are rare. In all the time I did college admissions work, I had exactly one student successfully discuss anxiety in an essay. It was, however, introduced in the context of a family tragedy that had profoundly shaped the student's life; given that background, the discussion seemed natural and matter of fact rather than ...
The Prevalence of Depression, Anxiety and Stress and Their Associated
College students are at risk of experiencing stress, anxiety and depression, which cause psychological distress and may impact on their academic performance . Worldwide, it is estimated that 12-50% of college students present at least one diagnostic criterion for one or more mental disorders [ 14 ].
Why Is Anxiety and Depression in College Students So High?
The distress that comes with anxiety and depression can impact many aspects of a student's life. Research from 2021 revealed that untreated mental health is linked to alcohol and substance ...
Depression and anxiety among college students: Understanding the impact
Abstract. Objective: Psychiatric disorders, such as depression and anxiety, can hinder academic performance among college-age individuals.Participants: Mental health among college students is a growing public health concern, with some scholars describing collegiate mental health as a crisis (Chen et al., Psychiatr Serv. 2019;70(6):442-449).Methods: This study analyzes data from four annual ...
Anxiety in college: What we know and how to cope
A recent study demonstrated that psychological distress among college students — that is, their levels of anxiety, depression, and stress — rises steadily during the first semester of college and remains elevated throughout the second semester. This suggests that the first year of college is an especially high-risk time for the onset or ...
Anxiety and Depression in College Students
Anxiety and depression are the top reasons that college students seek counseling. Many of us think of college as a wondrous time of new experiences and great freedom to explore new ideas and find ...
Why Is Depression in College Students on the Rise?
Depression can take a toll on many aspects of a young person's life, including academic performance, social life, and physical health. It can also increase their risk of substance abuse and co-occurring mental health conditions. For this reason, it is crucial to recognize the signs of depression in college students and provide tools, resources ...
Depression and Anxiety in College Students: A True Epidemic?
At a time when mental health experts, advocacy groups and public health organizations describe the incidence of anxiety and depression among college students and college-age young adults as an epidemic¹, it's worth pointing out that many common disorders including depression, anxiety, schizophrenia, mood disorders, and personality disorders emerge during young adulthood.²In a review of the ...
How to Handle Stress and Anxiety in College
Draft that frightening paper. Do it! Experience matters. Not only will accomplishing the anxiety-provoking task literally end that anticipatory stress, but it will also tell your brain that you ...
My Struggle with Anxiety and Depression
Anxiety and depression are prevalent mental health disorders that can significantly impact college students' well-being and academic success. My personal experience with these disorders has highlighted the challenges and obstacles that come with managing anxiety and depression in a college setting. By acknowledging the pervasive nature of these disorders and addressing the contributing factors ...
Stress, Anxiety, and Depression Among Undergraduate Students during the
COVID-19 and Student Mental Health. Empirical studies reported a high prevalence of college mental health issues during the early phase of COVID-19 around the world (Cao et al., 2020; Chang et al., 2020; Liu et al., 2020, Rajkumar, 2020; Saddik et al., 2020).In the U.S. a few, but a growing number of empirical surveys and studies were conducted to assess college students' mental health ...
1 in 5 college students have anxiety or depression. Here's why
In recent years, however, depression and anxiety have afflicted college students at alarming rates. As noted in the latest Center for Collegiate Mental Health report, anxiety and depression are ...
Depression, Anxiety, Loneliness Are Peaking in College Students
February 17, 2021. 25. Kat J. McAlpine. A survey by a Boston University researcher of nearly 33,000 college students across the country reveals the prevalence of depression and anxiety in young people continues to increase, now reaching its highest levels, a sign of the mounting stress factors due to the coronavirus pandemic, political unrest ...
Family and Academic Stress and Their Impact on Students' Depression
While the transition to adulthood is a high-risk period for depression in general , young people starting college may face extra social and intellectual challenges that increase their risk of melancholy, anxiety, and stress . Students' high rates of depression, anxiety, and stress have serious consequences.
Depression in college students: How to help students manage their
Parents hope college will be a time for their kids to spread their wings and fly. Yet college students are now experiencing record high rates of depression and anxiety. During the 2022-2023 academic year, 41% of students reported experiencing symptoms of depression and 36% said they experienced anxiety, according to the latest Healthy Minds ...
Depression: Should I Talk about My Mental Illness in My Application?
According to recent studies by the Center for Collegiate Mental Health anxiety and depression are the most common mental illnesses seen by college counseling centers. In fact, there has been a 30% increase in counseling center utilization on campus over the last five years. ... or for a supplemental essay in a college's own portion of the ...
Depression and Anxiety Essay
Depression is a mood-affective disorder that causes a persistent feeling of sadness, loneliness, and starting loss of interest in things. A major depressive disorder or clinical depression is that which affects feeling, thinking, and behavior and can lead to a variety of emotional and physical problems. Depression causes feelings of sadness and ...
Stress, Anxiety and Depression among College Students
Summary. Stress, anxiety and depression is quite widespread in the student's community. This is due to various facts such as academic pressure, personal relationships, environmental changes etc. It was found that the quantity of students suffering from the psychological disorders was varying between 2% to 50%.
Addressing Depression in Your Personal Statement
At other times, the feelings that come with depression are inevitable. Depression, for me, is hopelessness. My biggest struggle with depression is not being able to see the light at the end of the tunnel; therefore, this way of thinking has caused me to feel unmotivated, alone, and frightened. Because of this, I have spent endless nights ...
College Essay: Overcoming Social Anxiety
College Essay: Overcoming Social Anxiety. "William, you're up first," the teacher said excitedly. I was instantly anxious when my ninth-grade English teacher announced I would be the first person presenting. As I walked to the front of the classroom, I was fidgeting and could feel my face turning red.
Kennesaw State's mental health initiatives aim to combat national
The survey found that nearly two-thirds of college students meet the criteria for at least one mental health problem, up almost 40 percent since 2013. Forty-one percent of respondents showed symptoms of moderate or major depression, 36 percent reported a possible anxiety disorder, and 14 percent said they had considered suicide in the past year.
Teens are spending nearly 5 hours daily on social media. Here are the
41%. Percentage of teens with the highest social media use who rate their overall mental health as poor or very poor, compared with 23% of those with the lowest use. For example, 10% of the highest use group expressed suicidal intent or self-harm in the past 12 months compared with 5% of the lowest use group, and 17% of the highest users expressed poor body image compared with 6% of the lowest ...
Opinion
Fair enough. The statistics are startling — in 2022, nearly 14 percent of 18- to 25-year-olds reported having serious thoughts about suicide. But parents are allowing their anxiety to take over ...
Risk factors associated with stress, anxiety, and depression among
1. Introduction. Mental health is one of the most significant determinants of life quality and satisfaction. Poor mental health is a complex and common psychological problem among university undergraduate students in developed and developing countries .Different psychological and psychiatric studies conducted in multiple developed and developing countries across the past decades have shown ...
22 Subtle Ways Anxiety and Depression Affect Your Daily Life
6. "Depression makes me so tired 24/7, but the anxiety keeps my brain awake which keeps me awake 24/7. I almost never sleep more than two to three hours a night." — Suewanda B. 7 ...
Brain stimulation treatment may improve depression, anxiety in older
"Depression and anxiety can impact our overall mental health, cognitive function and ability to function independently as we age," said the study's senior author Adam Woods, Ph.D., the associate dean for research and a professor of clinical and health psychology at the UF College of Public Health and Health Professions and co-director of ...
Anxiety, depression may accelerate heart disease risk ...
ATLANTA — Younger women with a diagnosis of anxiety or depression are at markedly higher risk for developing conditions that increase CVD risk, such as hypertension, hyperlipidemia and diabetes ...
Brain stimulation treatment may improve depression, anxiety in older
The findings, published in the journal Brain Stimulation, suggest the treatment, known as transcranial direct current stimulation, or tDCS, holds promise as a noninvasive, drug-free option to treat depression and anxiety symptoms, which affect 1 in 4 older adults. "Depression and anxiety can impact our overall mental health, cognitive ...