FALL UPDATE: Mental Health on Campus

Our Friends and Neighbors 

A recent report in the U.K. revealed that not only are universities unable to cope with the increasing numbers of students suffering from mental health conditions but also that students are killing themselves at an alarming (and increasing) rate.  Another report from UniHealth stated that 82% of university students in the UK experience anxiety and stress and 1 in 5 have suicidal thoughts. In Canada, the situation is much the same. Recent results of the National College Health Assessment Survey (NCHA) demonstrate high rates of mental health issues in students. Thinktank Institute for Public Policy Research (IPPR) released a report showing that a record high 26% of students are utilizing counseling or mental health services, yet this still isn't meeting the need. 

I chose to revisit this topic because these recent reports about college campuses in other countries are a reminder that across the United States, universities are facing a similar student mental health crisis. 85% of college student feel overwhelmed by their responsibilities and 30% report that stress negatively impacts academic performance. Things look even worst at the Post Grad level, Ph.D. Students have twice the risk of developing a psychiatric disorder. This issue needs our continued attention. 

Identifying the Stressors 

As I've noted in previous posts, the number of students reporting mental health concerns in the first year of college has grown dramatically over the last several years and continues to increase.  Academic and financial pressures are crippling students and leading them to unprecedented rates of stress and anxiety. Many students say that the pressure to participate in activities and/or sports while also excelling academically can put them over the edge. In addition, young adults can be unprepared for the stresses of living away from families for the first time while managing school responsibilities and often jobs as well.  

Universities are Taking Aim 

Universities across the country are working to improve behavioral health services for students. UCLA has just launched a large-scale study of college freshman, called the Depression Grand Challenge,  aimed at uncovering the causes of depression. As part of the initiative, the participating freshmen will receive depression screening to help uncover and treat mental health concerns early.  Stanford is similarly screening incoming students for mental health problems with the aim of early diagnosis and treatment of issues.  The University of Pennsylvania reconvened a Student Psychological Health and Welfare task force after a 2016 student suicide, the 14th since 2013. This group recommended expansion of I CARE training, and increasing the hours of their Counseling and Psychological Services hours, among other improvements.  

There is Help

With all of the news from across the country, the United Kingdom, and Canada, it may seem like there is no good way to approach the issue. Below are several different options for students suffering from anxiety, depression, addiction, or other mental health issues.  

• Hotlines
  Some universities have hotlines for students, but there are also national hotlines. 
• Peer support groups & local support groups
  Many universities have set up local peer groups that give students a stigma-free environment to discuss issues.  
• University health & wellness centers
  Many universities now provide counseling services.
• Therapy with licensed counselors, therapists, etc.Finding a local therapist can be a great weekly anchor, enabling students to discuss issues and plan interventions. 
• Online screening  tools
  (While these will not help you manage all the symptoms, they can help you to see if you have symptoms of depression)

Depression is the world's leading cause of disability, according to world health experts and it is believed that 800,000 people commit suicide annually. If you or a loved one is feeling distressed, call the National Suicide Prevention Lifeline. The crisis center provides free and confidential emotional support. If you are in crisis and need help, call this toll-free number, available 24 hours a day, every day: 1-800-273-TALK (8255). This service available to anyone. You may call for yourself or for someone you care about, and all calls are confidential. You can also visit the Lifeline’s website at http://www.suicidepreventionlifeline.org

If you are feeling anxious or depressed, I am available to help develop coping strategies that will put you on the path to feeling better. I work primarily with college students and young adults. Talking about your issues and developing an action plan can help you to deal with stress and anxiety in a healthier way. 

References

http://www.huffingtonpost.ca/robertwhitley/this-year-lets-ensure-students-mental-health-isnt-their-top-worry_a_23192386/https://www.healthline.com/health/depression/college-studentshttp://www.independent.co.uk/student/student-life/health/suicides-rates-double-uk-university-students-134-2015-depression-anxiety-services-overwhelmed-a7925631.html
https://www.theguardian.com/education/2017/sep/02/suicide-record-level-students-uk-universities-study
http://www.mercurynews.com/2017/09/22/depression-major-study-of-college-freshman-kicks-off-at-ucla/
http://www.impactnottingham.com/2017/09/mental-health-concerns-universities/
http://www.thedp.com/article/2017/09/penn-reconvened-its-mental-health-task-force-a-year-ago-heres-what-it-concluded
https://adaa.org/finding-help/helping-others/college-students/facts

Alcohol and College Students: new consequences for old addictions

Four out of five students drink alcohol.

‘Drink! Drink! Drink!’ The refrain of a frat party on a modern campus? Certainly. But the same shouts rang out in the 20s and 30s when theater-going scholars embraced William Meyer-Fosters’s play Old Heidleberg, the story of a young German prince experiencing college’s trials and tribulations. When the play was adapted into a popular operetta called The Student Prince in 1954, young college students of the conservative post-World War II era could be heard singing the 'Drinking Song' with its rousing chorus of ‘Drink! Drink! Drink!’ in gatherings across college campuses. 

Some elements of student behavior are neither new nor unique. College students have always experimented with alcohol, and most likely they always will. In the past, one-on-one emotional relationships with others provided a moral compass and sounding board for students faced with such temptations. As I mentioned last week, however, technology and social media today have left many young people in the midst of a growing social chasm wherein their peers are more far flung and less genuinely connected than in the past. 

For those students who long for relationships outside of the virtual world, college is still filled with the same struggles as ever. Perhaps more than any other time in an individual's life, the need to belong, to fit in, to be a part of the crowd is pervasive in college. Even with all of our advances, negative peer pressure is still a powerful influence on students that can delay their growth into individuals confident enough to separate from the pack and begin their own, unique journeys in life. Even with all of our new addictions, alcohol still promises to grease the social wheels for students looking to fit into a peer group. One patient told me, "When I’m drunk I feel like I’m more fun to be with.” 

Alcohol has been around since the Stone Ages, and it’s a safe bet that since that time, young people have been pressuring one another to partake. Today, researchers state that four out of five students drink alcohol and roughly 50% of them binge drink. Not surprisingly then, wild house parties filled with students playing beer pong, taking shots of liquor, and posting drunken pictures on Facebook are not uncommon among college students today. 

In fact, peer norms, activities, and patterns correlate positively with binge drinking, making it a nearly universal aspect of college life. Unfortunately, while peer-induced binge drinking may be an old tradition, new technologies mean that the impact can be more far reaching. When future employers search for a recent graduate online, will they find images of the candidate passing out bowls of soup as part of a local outreach or simply passing out? 

The value of a real life peer group, a circle of friends who will support you and encourage you to make wise decisions, can not be overestimated, and while alcohol may win you friends for an evening, it does so at the cost of your health, your decision-making faculties, and your peace of mind. Attempting to unravel the events of a night of binge drinking should be lesson enough in the powers of alcohol to increase rather than reduce college stress.

Experimentation is a necessary and valuable component of college life. New freedoms have been granted us. New opportunities arise. We make mistakes and learn from them, discarding behaviors that don't enrich our lives. We learn to weigh life more consciously, to risk more wisely, and to take responsibility for our actions. Most importantly, we learn to respect ourselves and the lives and spirits of those around us.

Dr. Eileen Wynne PhD