Top 5 Mental Health Challenges Facing College Students and How to Get Help

If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline: 988 or 1-800-273-TALK (8255), available 24 hours a day, seven days a week. All calls are confidential, and anyone can use this service.

Mental health experts and researchers often use terms like “epidemic” and “crisis” to describe the mental health challenges many U.S. college students face these days.

In the Fall 2021 National College Health Assessment, about 30% of student respondents said anxiety negatively affected their academic performance. Furthermore, just over 1 in 5 students reported having been diagnosed with depression by a healthcare professional.

Mood disturbances represent just some of the mental health conditions many college students have. Other common challenges include suicide and suicidal ideation, eating disorders, and substance misuse.

This guide introduces the top five mental health challenges facing college students today, with advice on how to identify potential conditions and get support.

Depression is a mood disorder that involves persistent feelings of sadness, hopelessness, and loss of interest in previously enjoyable activities.

People going through a depressive episode may experience mood swings, sleep disturbances, appetite changes, and headaches and/or body pains with no apparent physical cause.

Symptoms of depression can vary depending on the person. The way one person exhibits signs of depression is not necessarily the same way symptoms may emerge in someone else.

According to the American Psychological Association, symptoms of depression can include:

Displaying some of these symptoms does not necessarily mean you’re depressed. However, if you begin to experience these symptoms with some regularity, you should consider seeking professional help.

If you think you may have depression, ask yourself the following questions:

If you answered yes to any of the above questions, consider making an appointment with your primary healthcare provider or with someone at your student health center for a mental health assessment.

The following organizations are dedicated to providing resources and assistance to those living with depression:

Most college students experience anxiety from time to time. However, mounting or ongoing feelings of worry, tension, and panic can interfere with day-to-day life. When your daily life is disrupted, anxiety becomes a medical condition that needs treatment.

Below are some of the most common types of anxiety disorders:

Symptoms of an anxiety disorder are often mistaken for everyday stress or written off as worrying too much.

Depending on how your body responds to increased levels of certain chemicals, panic attacks may be mistaken for a physical ailment, such as a heart attack or tension headache.

Common symptoms of anxiety can include:

If you suspect you may have an anxiety disorder, here are some questions to ask yourself:

If you answered yes to any of the above questions, consider visiting your primary healthcare provider or someone at your student health center for a mental health assessment.

The following organizations are excellent resources for students with anxiety disorders:

Suicidal ideation is defined as a pattern of thinking about or planning one’s own death by one’s own hand. Generally, mental health professionals consider overwhelming or highly detailed suicidal thoughts a mental health emergency.

Suicidal thoughts often stem from a preexisting mental health condition. Depression, which can cause distorted thinking, sometimes leads to suicidal thoughts. Feeling utterly overwhelmed and helpless due to anxiety can also result in suicidal thoughts.

If you’re thinking about ending your life, tell a friend or loved one. You should also contact your mental health center as soon as possible.

Remember that crisis services are available. Don’t hesitate to call the National Suicide Prevention Lifeline at 988 or 1-800-273-8255 if you’re experiencing peristent thoughts of suicide.

Suicide is a preventable tragedy. There are people out there who care and want to help you.

Many suicide prevention resources are available online and at campus health centers. Here are some organizations that specialize in mental health and suicide prevention:

Eating disorders cover a variety of conditions marked by major irregularities in eating habits and an intense preoccupation with one’s body image or shape. These disorders can involve both food deprivation and binge eating, which may be followed by purging.

Here are some examples of common eating disorders:

The signs and symptoms of eating disorders can vary significantly. Many depend on the mental state of the individual with the disorder.

However, there are several red flags that are common factors for anorexia, bulimia, and binging, such as the following:

Eating disorders can be life-threatening and contribute to serious health issues if not treated properly, such as kidney failure, heart problems, stunted growth, loss of menstruation, and failure of the reproductive system.

Worried you may have or be developing an eating disorder? Here are some questions to ask yourself:

If you answered yes to any of these questions, seek treatment. Eating disorders can become life-threatening, and it’s important you receive help as soon as possible.

If you need guidance to help a friend or yourself through an eating disorder, or if you want to understand more about eating disorders in general, these resources are a good place to start:

College students frequently use alcohol and recreational drugs, which can become problematic.

Substance misuse describes a tangible pattern of physical and/or psychological dependence on one or more substances. This condition typically entails strong cravings and indulgence in substance misuse, despite knowing the risks and harms of this behavior.

College students have also been found to misuse drugs like marijuana, ecstasy, cocaine, and prescription painkillers at high rates.

Many students who use alcohol and drugs in college do not develop an addiction. However, they can still feel the side effects of withdrawal or prolonged use of these substances.

Here are some of the most common symptoms of substance misuse:

If you’re experiencing one or more of these symptoms, you may be at risk of developing a substance use disorder. Genetics can contribute to your likelihood of developing an addiction, especially if your family has a history of alcohol or drug misuse.

Ask yourself the following questions if you think you may be exhibiting signs of substance misuse:

If you answered yes to any of these questions, make an appointment to see your healthcare provider right away. Substance misuse should be taken seriously and treated under the guidance of a professional.

The following resources can teach you more about the signs and causes of substance misuse, as well as how to get help for yourself or someone you know:

DISCLAIMER: The information provided on this website is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment; instead, all information, content, and materials available on this site are for general informational purposes only. Readers of this website should consult with their physician to obtain advice with respect to any medical condition or treatment.