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More College Students Struggling with Anxiety

As a college president, I always look forward to a new school year. The energy and excitement of the first day of classes is exhilarating. It’s thrilling to see bright young people, curious and eager, connect with stimulating professors and dedicated staff members. 

Yet the landscape of higher education is changing. While most students still thrive at college, a rising number are struggling with serious mental health problems. Counselors on college campuses report that levels of depression and anxiety have never been higher. Ten percent of the nation’s 13 million undergraduates have been diagnosed with depression, according to a poll conducted by the American College Health Association.

Student demand for mental health services has soared; college counseling centers have long waiting lists for appointments. Record numbers of freshmen are arriving on campus with extensive medications and therapeutic needs. Others bring with them eating disorders and histories of substance abuse.

What is causing this spike in psychological problems? Some of the factors have always been evident. College life confronts students with life-changing pressures that are especially acute their freshman year. Away from home for the first time, they are suddenly expected to manage their own time, diet, sleeping and study habits—and their own shifting moods. In addition, they often encounter new ideas and social temptations that lead them to question long-held assumptions or values. Understandably, some are overwhelmed by the changes.

Other factors affecting the mental health of students are of more recent origin. As the proportion of high school seniors choosing to attend college rises each year, college students are also more representative of society at large—and its problems. In addition, advances in diagnosis and treatment have enabled many more students who suffer from mental disorders to attend college. “We're seeing students who, 20 years ago, would not have shown up on a college campus,” reports Harold Pruett, director of UCLA's Student Psychological Services. “The current crop of medications—anti-depressants as well as anti-psychotics—are better, with fewer side-effects.” 

The fact that more college students today come from broken homes means that family concerns are often added to academic stress and social distractions. In addition, the ferocious competition to gain admission to top colleges leaves some students stressed out even before they step on campus. Once enrolled, many students pursue top grades with grim tenacity. Parental and societal pressures to perform well and secure a prestigious post-graduate job add to student anxieties. However much we encourage high-strung students to relax, many of them can’t. They are already workaholics, obsessively focused on preparing themselves for medical school, law school, or Wall Street.

The traumatic events of September 11 and the sputtering economy continue to aggravate mental stress and strain. More then ever, it seems, students feel caught in the clammy grip of an uncertain future, especially as they approach their senior year. 

What are colleges doing to respond to these tensions and disorders? Lots. Many universities are increasing their counseling center staffs and ensuring that everyone on campus is attentive to possible problems. Faculty and staff members, as well as students who serve as residence hall advisors, are encouraged to look for indications of student distress such as drastic mood changes, a dip in academic performance, missed classes, evidence of substance abuse, or traumatic changes in personal relationships. Some large universities, such as the University of South Carolina, offer courses designed to teach freshmen how to navigate a large campus and cope with the pressures of university life. Many small colleges like Furman provide weeklong orientation programs before classes begin to help first-year students become acclimated to campus life. The programs feature peer counseling and help the new students establish a support group before classes begin.

To be sure, learning to manage time demands, new academic and social demands, homesickness, peer pressures, and interpersonal relationships is part of the process of becoming an adult. Students need to learn to be independent. Yet colleges (and parents) have painfully come to realize that setting students free can cast some of them adrift. Students feeling overwhelmed or desperate should seek help. There are numerous possibilities for support: counseling centers, health centers, chaplains, residence life staff, student services staff, academic advisors, coaches, professors—all are willing to listen and help. 

We live in a more complex, fast-paced, high-tech world with more information, opportunities, and pressures than some students can process. As a consequence, it is more important than ever for children to develop a strong ethical and social foundation at home. At the same time, colleges must continue to provide a more supportive environment that encourages students to make responsible decisions and to seek assistance when needed. We cannot free students from every stress and strain, but we can better nurture and support them. A mind is a terrible thing to waste, especially a young one.

-- David Shi is a historian, writer and president of Furman University

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