“3 out of 4 College Students Say They’re Stressed”: Anxiety and Depression on College Campuses

Students take notes and nap in large lecture hall. | Photo Credit: Kevin Dooley, March 27, 2014 | Courtesy of Flickr

“They’re free at last, but it’s a double-edged sword,”

Jared is a 19-year-old undergraduate student studying Biology at a four-year university. Like many students, Jared had a hard time transitioning into his first year of college. As a first-generation college student, he couldn’t rely on his parents to guide his transition into independence. Though he lacked college-educated family members that would be able to give helpful advice, he’d spoken with enough high school counselors and college coordinators to know what he was getting himself into, or so he thought. Jared’s first semester of college proved to be a significant wake-up call. He realized very quickly that what worked for him in his high school classes was no longer working for him in college. As he tried to spend more time studying for his classes, Jared’s seemingly open and flexible schedule quickly filled as he juggled classes, studying, homework, and leisure time while working a part-time job on campus. Despite his efforts, Jared struggled to maintain his grades and quickly fell into a panic as he desperately tried to improve. His anxiety grew with each exam he took. Before long, he realized he could no longer rest. He couldn’t remember the last time he’d genuinely felt calm, much less happy. Days became weeks as time became a blur of assignments, exams, and deadlines. After an incredibly disheartening first semester and a second semester that wasn’t on track to be much better, Jared reluctantly decided to visit the student counseling center on campus.

Groups of students walk through courtyard on UCLA campus | Photo Credit: Janss Steps | November 10, 2004 | Courtesy of Flickr

Fraternities, sororities, parties, studying, midterms, finals, and essays. Staples of the college experience, these components are almost definitive of the college lifestyle. In recent years, however, stress and anxiety have joined the ranks of everyday college life. Many might read this statement and disregard it as common sense. After all, who isn’t stressed these days? In order to comprehend why this is an issue, it is important to understand the difference between stress and anxiety. Stress is a natural human emotion that occurs in response to external stimuli. For the sake of the college student in question, external stimuli may present themselves in the form of assignments, deadlines, and exams. As unpleasant as it may feel, stress is essential to a healthy lifestyle for the role it plays as a motivator.1 Similar to how a jolt of pain might force someone to remove their hand from a hot pan, a student is motivated by stress to complete their assignments and do well in their classes if for the sole purpose of not wanting to feel stressed. Therefore, one might argue that stress is essential to success, in moderation. In healthy individuals, stress comes and goes as a natural response to events in our lives, however significant. Being cut off on a daily commute results in stress in the form of frustration or anger that eventually subsides as the day progresses. For students, the stress that is felt while studying for an exam subsides and is replaced with relief and pride after discovering that they did well on the exam. For healthy individuals, stress is temporary.

In contrast, anxiety is a mental health disorder in which the feeling of stress does not subside. For a student with anxiety disorder, doing well does not mean they get to relax after an exam. They have only completed and done well on one exam, but they still have three more exams and the final exam to worry about. There is no time to relax. For a student with anxiety disorder, stress is not a temporary emotion but a permanent burden, a part of everyday life.2

In a study published in the Journal of Depression and Anxiety in 2018, over 67,000 college students from over 100 American college campuses were surveyed on stress, anxiety, and depression. Students were also asked directly if they’d had suicidal thoughts or made attempts to harm themselves. Within the study, a stressful life event was defined as anything that “could be defined as traumatic and difficult to handle, such as academic pressures, career issues, death of a family member or friend, family problems, intimate and other social relationships, finances, health problems of a family member or partner, personal appearance, personal health problems, and sleep difficulties.” According to the study, three out of every four college students reported at least one stressful life event within the past year, while twenty percent reported experiencing greater than five stressful life events within the same time frame. Of those surveyed, one in five students reported thoughts of suicide, while one in ten students actually attempted it, which is “more than double the national average for adults.” In another study conducted by Anxiety Disorders Association of America (ADAA), a survey of 83 U.S. schools selected from top national universities and liberal arts colleges found that “nearly all responding reported an increase in students needing and accessing student mental health services.”3

In a brief discussion with an on-campus counselor, Jared was gently encouraged to open up about why he felt stressed and why he felt the need to seek help. As a child, Jared had been diagnosed with ADHD, but he had discontinued therapeutic treatment after his academic performance improved in middle school and high school. Though he never truly believed himself to be “smart,” Jared performed well above average and dramatically exceeded what was expected of him when he had received his diagnosis. Now in his first year of college, Jared felt compelled to meet the expectations set on him by his professors, family, friends, and especially himself. His academic performance since entering college had been incredibly disheartening and severely impacted his self-esteem as a student. He had entered his university on academic scholarship, the highest award offered by his school and the only one that would allow him to be able to afford its tuition. If he couldn’t improve, his scholarship would be in danger and he would no longer be able to afford tuition. With every exam he took he grew increasingly anxious. He could no longer rest or relax without feeling an incredible sense of guilt for wasting time that could be spent studying or working on assignments. Despite incessant efforts to improve, Jared saw little if any improvement in his grades and was quickly growing desperate. As much as he didn’t want to think about it, he began to wonder if his ADHD was beginning to affect his performance.

Students study in the Music Library during the Fall semester finals week at the University of Colorado Boulder. | Photo Credit: Casey A. Cass | Courtesy of University of Colorado

“Becoming so used to winning makes it all the harder to deal with losing.”

Though some would argue that modern college students have more advantages than previous generations, this by no means implies students today have it easy. Most if not all undergraduate students are quickly exposed to a new life of independence and responsibilities, many for the first time. Teenagers are suddenly thrust from the comfort of their homes into a completely new environment where they must now worry about new responsibilities such as managing finances and living on their own for the first time. Students must also learn to juggle student responsibilities including tuition costs, career choices, forming new relationships, assignments, exams, and finding and maintaining a job in the middle of it all. These new responsibilities place heavy burdens on new undergraduate students, particularly first-generation college students.4 Students must adapt to a completely new lifestyle while learning how to handle their newfound independence. In an interview conducted by ABC News, Alec L. Miller, chief of child and adolescent psychology at Albert Einstein College of Medicine described the challenges of new undergraduate students and the dangers they pose to their mental health. “The classic issue for many people starting out in college is separation from family. They’re free at last, but it’s a double-edged sword.”5

Other issues causing student stress may also lie in generational differences resulting from the parenting styles that new undergraduate students grew up with. Modern parenting relies on risk aversion, danger minimization, and protecting children from stress and anxiety. In an an article discussing the subject of stress in new undergraduate students, Sylvia Mathews Burwell wrote “Today’s incoming classes are a generation that received athletic trophies merely for participating. Becoming so used to winning makes it all the harder to deal with losing. It makes it harder to learn resiliency.” Students entering college today are from a generation of sheltered children that are seeing the real world for the very first time through an unfiltered lens. The result is a generation of students that struggle to cope with failure and disappointment.6

As the discussion with the counselor continued, Jared elaborated on why he was hesitant to seek help. Though he was vaguely aware that he was struggling with issues that were affecting his daily life, he also struggled with admitting to himself that there was something wrong, and so he created excuses for the state of his mental health. The way he saw it, he had no excuse to feel the way that he did. Everyone he knew was just as stressed as he was, what made him so special? Plenty of people also had much harder course work than Jared did, what gave him the right to feel stressed? The more thought he put into it, the more he became wrought with self-doubt. He’d also thought about whether his ADHD was affecting his performance in class, but he felt incredibly guilty for even considering the possibility. Jared’s performance in high school left him doubtful about his ADHD diagnosis as he was partially convinced that he had been misdiagnosed from the start. To even consider that a learning disability he might not even have was affecting his grades was, in Jared’s eyes, a despicable excuse for a lack of effort on his part. Blaming low grades on a learning disability he wasn’t sure he had would be an insult to those who actually struggle with such disabilities. Jared, however, felt he had no other choice. He didn’t want to admit that either he wasn’t working hard enough or he wasn’t smart enough for his major.

What begins as a simple instance of anxiety after a disappointing exam score can quickly spiral into a mess of self-doubt, stress, and even depression if not dealt with properly. A university campus creates the perfect atmosphere for mental health disorders to develop, especially for students at an age where such disorders are prone to manifest themselves. Most majors are very competitive. Students compete with one another for scholarships, internships, job opportunities, and post-graduate applications to law and medical schools. As a result of this competition, students will often measure their performance by comparing themselves to their peers, which can result in significant damage to confidence and self-esteem. Unfortunately, the availability of resources to assist when mental health issues arise is sometimes not enough to help those in need. In a study conducted by UCLA, less than 40% of surveyed students admitted that they would consider utilizing counseling services for issues dealing with stress and anxiety. Already an alarming statistic, researchers conducting the study emphasized that the findings could be much worse than reported, as stigmas surrounding mental health may have caused respondents to under-report their issues.7

Therapy dogs in Alumni Hall of University of the Fraser Valley in British Columbia, Canada. | Photo Credit: Unknown | February 21, 2017 | Courtesy of Flickr

In response to the challenges raised by growing mental health concerns and the stigmas surrounding them, universities across the country have set different programs in place to address the issues by “normalizing the college experience and the stressors involved” as well as providing outlets for students to relieve stress.8 One of these programs involves Animal Assisted Intervention (AAI), in which animals such as therapy dogs are brought onto college campuses. Research studying the use of  animal-assisted therapy found programs involving therapy dogs to greatly reduce perceived levels of anxiety and loneliness while also increasing student perception of social support on campus.9 In addition to reported benefits, activities in which therapy dogs are brought onto college campuses create healthy opportunities for students to socialize with one another.

Alternative strategies involve a focus on prevention and detection. One proposed method of preventing excessive stress is to introduce courses designed to facilitate entrance into college life. Detection involves developing ways of detecting problems as they emerge, such as creating programs that detect when a student doesn’t download an assignment or isn’t showing up to classes. Of course, incorporating such programs can be causes for concern in themselves if done improperly. When discussing mental-health seminars with students, President of American University and former U.S. Secretary of Health and Human Services Sylvia Mathew Burwells recalled being met with concern over the subject, with one student begging “Please don’t add anything to my already busy schedule that’ll further stress me out!” The goal, then, is designing convenient activities and seminars to raise awareness of stress and teach students about stress management techniques and encouraging students to attend without having to be forced or further overwhelmed.10

Another effective method of stress prevention is to build a sense of community on college campuses. Feeling a sense of community allows students access to support networks in addition to preventing feelings of loneliness and depression while also providing students with outlets to let others know of the challenges they are facing. This can be achieved by encouraging student involvement in campus activities and organizations such as fraternities, sororities, and other clubs on campus.11


After listening to Jared speak about his issues, his counselor began offering words of advice and encouragement, beginning first by commending his decision to seek help for his problems. For the remainder of their discussion, they would discuss stress management techniques as well as the importance of maintaining a healthy mindset. As his counselor explained, letting oneself fall victim to the effects of stress can have severe negative effects on academic performance, leading to lower grades and even more stress, creating a feedback loop that can become difficult to escape. With his counselor’s help, Jared created a plan for himself to minimize future stress and properly cope with any new challenges should they arise. Though their meeting was brief, Jared was incredibly grateful to have someone to open up to, and was glad to have sought help for himself before he left things get any worse.


RESOURCES at St. Mary’s University

If you’re struggling with stress, anxiety, or feeling depressed, please reach out to the Student Counseling Center. All students can utilize these resources.

  • During Business Hours: 210-436-6706
  • 24-hour Crisis Response Line: 210-825-3622

Other Campus Resources:

Students can also contact:

  • the Dean of Students Office at 210-436-3331 or deanofstudents@stmarytx.edu.
  • Campus Police – Non Emergency Number: 210-436-3472
  • Emergency Campus Police Number: 210-431-1911

Additional Campus Resources for Mental, Spiritual, and Physical Wellbeing.

  • University Ministries, Wayne Romo, 210.436.3538, wromo@stmarytx.edu
  • Prayer requests, Father Tim Eden, University Center 230A, 210.436.3786, teden@stmarytx.edu
  • Disability Support Services, Center for Life Directions 114 (Student Counseling Ctr. entrance), 210.436.3135
  • Learning Assistance Center, Blume Library third floor, 210.436.3203 (offers tutoring and study sessions)
  • Student Health Center, First Floor, Charles Francis Hall, 210.436.3506, healthcenter@stmarytx.edu
  1. Icario Riberio, “Stress and Quality of Life Among University Students: A Systematic Literature Review,” Health Professions Education (January 2018).
  2. Encyclopedia of Behavioral Medicine, January 2013, s.v., “Stress: Appraisal and Coping” by S. Folkman.
  3. Italo M. Brown M.D., “3 out of 4 College Students Say They’re Stressed, Many Report Suicidal Thoughts: Study,” ABC News, September 6, 2018.
  4. M. Yovita and S.R. Asih, “The Effects of Academic Stress and Optimism on Subjective Well-Being among First-Year Undergraduates.” (New York: Routledge/Taylor & Francis Group, 2018), 559-563.
  5. Amanda Gardner, “Anxiety Rising on U.S. College Campuses,” ABC News, March 27, 2018.
  6. Sylvia Mathews Burwell, “Generation Stress: The Mental Health Crisis on Campus.” Foreign Affairs (November 2018), 150-157.
  7. Amanda Gardner, “Anxiety Rising on U.S. College Campuses,” ABC News, March 27, 2018.
  8. Italo M. Brown M.D., “3 out of 4 College Students Say They’re Stressed, Many Report Suicidal Thoughts: Study,” ABC News, September 6, 2018.
  9. Dr. Lisa A. House, et. al., A Doggone Way to Reduce Stress: An Animal Assisted Intervention With College Students, College Student Journal (June 2018), 199-204.
  10. Sylvia Mathews Burwell, “Generation Stress: The Mental Health Crisis on Campus.” Foreign Affairs (November 2018), 150-157
  11. Sylvia Mathews Burwell, “Generation Stress: The Mental Health Crisis on Campus.” Foreign Affairs (November 2018), 150-157

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91 Responses

  1. Out of all the articles I have found on this website this one is the most relatable. Now when moving to college it is a lot to handle and can be very difficult to comprehend but sadly we just need to keep moving forward. The part were you mentioned that the sheltered children seeing the real world for the first time is the most truthful sentence I have ever read. We are thrown into the deep end and our only option is to swim back to shore on our own. Though there are those moments when life will throw use a life jacket, not temporary but it helps make the journey a lot easier. The only thing we can do is get the help when we need it and stay determine to achieve the future we want to live.

  2. I really appreciated how much information was provided at the end for resources that could help students experiencing the same things. I think that mental health really has become a big topic and the discussion is only growing. It has really become a big problem and I think that education like this is what starts a conversation that allows things like anxiety, ADHD, and unhealthy amounts of stress to be addressed.

  3. Reading this article was like reading about my own experiences during this new semester or like looking at myself in the mirror. Just this week I started struggling in a class because of not being focused, stress and disorganization. I got a low grade in one of my tests and the teacher recommended me to ask for help. The fact that the professor told me to seek help made me feel awful and that I was “not normal”. However, I decided to seek help anyways and made an appointment with the testing center and the counselling center. Since I was 8 years old I was diagnosed with ADHD, but I never wanted to be in a “special group” because my grades were not affected by my disorder. Nevertheless, after reading this I started to think about how important is for me to seek help and accept that this condition may affect my academic success and that I need to be advice about it. Thank you for this information! Knowing that a lot of other students also struggle with the same issues made me feel that I am not alone in the middle of this process, that there is a way out, and a way of getting better by treating yourself correctly and seeking professional’s help.

    By the way, your article structure is amazing and is a good example to follow when doing my own research project.

  4. Mental health is a serious issue. I struggle with anxiety most of the time and stress every now and then. It was had to transition easily and doing well. There are some that I can do well in while I cannot in others. Getting to know that there are resources on campus really helps. What also helps is getting in touch with the professor to let them know what is going on. I have been in Jared’s shoes before in my senior year of high school and now it’s coming back. Thank you for adding the sources at the end of the article.

  5. As a college student, I’ve personally struggled myself with anxiety and depression. I can understand why many students fall under an abundance of stress of doing well and making ends meet. The constant fear of wanting to keep your GPA up to keep your scholarship and paying rent can be really dwelling. I moved out of the valley to come to STMU, and I definitely felt growing pains and felt very anxious coming into a new city with no friends, jobs, or anything solid.

  6. The statistics are what I find quite shocking. I mean it’s not surprising because I know how much being a first-generation student could be stressful, especially when you can’t turn to your family for help. When I first moved from out of town to San Antonio for school- I did feel very stressed and anxious, but the community in which I surrounded myself with helped me cope with these issues. Something that I have always been very good at is reaching out when I need help, people don’t understand how much asking for help works, we can’t expect to figure out everything by ourselves.

  7. This is a very serious issue which is taken lightly in most cases, when it shouldn’t. The statistics are quite shocking. When I first moved from out of town to San Antonio for school- I did feel stressed and homesick, but the community in which I surrounded myself with helped me cope with these issues. Something that I have always been very good at is reaching out when I need help, people don’t understand how much asking for help actually works, we can’t expect to figure out everything by ourselves.

  8. I’d like to start by saying that it’s okay to not be okay. If someone feels like they need help, they should seek it. When Jared’s feelings about not wanting to seek help were explained, I’ve actually experienced that. I’ve always had the mentality to push through because I’m not the only person experiencing life with a high amount of stress, and I definitely won’t be the last. I decided to read this story because it was very relatable. St. Mary’s is an ideal campus in that there’s always something to do; there’s always events going on, student gatherings, etc. They do well in trying to help students escape the stress that can be brought on by tough classes.

  9. As a first-generation college student, I relate a lot with Jared’s college situation. I too feel that I cannot rely on my parents to guide me into the college transition, so I receive most of my help from advisors and professors. I had to adapt to a completely new lifestyle because I moved out of state to a brand new city, I knew nothing about. Sometimes, I also feel the way Jared did when he stated that he felt like he had no excuse in feeling stress because everyone else was also going through the same things if not much harder. It is important to visit the student counseling center to be able to talk to somebody and receive any sort of help with stress, anxiety or depression. A counselor can create plans to minimize stress or any other mental disorders.

  10. Just like many students that struggle with anxiety I can relate to not being satisfied with doing well with one exam, when I have three more left to go. It is not only negative but tiring feeling to always feel like there’s more to go, and the to do list is never ending. This feeling worsens as the semester comes to an end when you’re constantly thinking about how your grades impact your GPA, which impacts your scholarship, which impacts your load of responsibility to even be able to stress about your grades. It is a vicious cycle. I think it’s important this is talked about and not just something people dance around, or even worse just normalize as the college experience, because this is something that follows people after four years. This trauma lasts.

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