College & university life
College can be exciting, lonely, freeing and stressful, sometimes all in one week. You don’t have to figure it out alone.
Why college feels so big
A huge change, all at once, and why struggling is common.
Starting college or university often means a new home, new people, harder classes and much less structure, all at the same time. Your brain is busy learning a whole new world, which is why even exciting change can leave you tired, teary or on edge.
Many students are carrying a lot. In the 2024–2025 Healthy Minds Study of more than 84,000 students at 135 U.S. colleges and universities, 37% reported moderate to severe depression symptoms and 32% reported moderate to severe anxiety. More than half (52%) reported high loneliness. The hopeful part: these numbers have been improving since 2022.
So if you feel like everyone else has it together, you are probably seeing their highlight reel. Plenty of the people around you are quietly finding it hard too.
Your first year
Homesickness, making friends and finding your rhythm. Tap any card.
The first semester is often the hardest. Many students say it took them most of the first year to feel settled. Adjusting is a process, not a test you pass or fail in the first few weeks.
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Homesickness is a kind of grief for the familiar: your people, your bed, your food, your routines. It can show up as sadness, worry, trouble sleeping, stomach aches or wanting to go home every weekend. It often peaks in the first weeks and around holidays, and it usually eases as new places start to feel like yours.
What helps
- Bring a few comforts from home: a blanket, photos, a favorite snack
- Plan calls with family at set times, so you have something to look forward to without being on the phone all day
- Build small routines: the same coffee spot, a walk at sunset, a weekly meal with a friend
- Explore your campus and town, so it stops feeling like a stranger’s place
- Say yes to a few invitations, even when you’d rather stay in
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Friendships usually grow from seeing the same people again and again in a relaxed setting: a class, a club, a dorm floor, a job. The first people you meet may not become your closest friends, and that’s fine. Many students find their people in their second semester or second year.
Easy ways to start
- Keep your door open when you’re in your room (if you feel safe doing so)
- Sit near the same people in class and suggest studying together
- Join one or two groups that meet every week
- Invite someone to grab food. Most people are hoping someone will ask.
- Follow up: a second hangout matters more than a perfect first one
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In high school, much of your day was planned for you. In college you may have only a few hours of class and a lot of “free” time that quickly disappears. Without a rhythm, sleep slides, meals get skipped and work piles up, and all of that affects mood.
Build a simple week
- Put classes, study blocks, meals and sleep into a calendar
- Treat study time like a class you can’t skip
- Aim for a regular wake-up time, even on weekends
- Plan one thing each week that is just for fun or rest
- Review your week every Sunday: what worked, what didn’t?
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Away from home, many students start asking big questions about faith, values, sexuality, culture or what they want to study. This can feel freeing and also unsettling, especially if your answers differ from your family’s.
Gentle ways to explore
- Take a class just because it sounds interesting
- Visit cultural, faith or identity-based student groups
- Talk with people whose lives are different from yours
- Give yourself permission to change your mind
Campus support
What your college offers and how to use it. Tap any card.
Most colleges have more support than students realize. Services vary from school to school, so check your college website or ask at the student health or counseling office. It’s worth finding these places in your first weeks, before you need them.
Students do use these services: in the 2024–2025 Healthy Minds Study, about 37% of students had received therapy or counseling in the past year. Common reasons for not getting help included lack of time, money worries, and preferring to handle things alone or with family.
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Campus counseling centers usually offer short-term one-on-one counseling, group sessions, workshops, and help in a crisis. If you need longer-term or specialist care, they can often refer you to someone off campus. Many have same-day or drop-in times for urgent worries.
What they can help with
- Stress, worry, low mood and loneliness
- Homesickness and adjustment
- Relationship problems and breakups
- Grief, trauma and family issues
- Identity questions
- Thoughts of self-harm or suicide
Good to know
- What you say is generally kept confidential, with some safety exceptions. Ask them to explain at your first visit.
- There may be a wait at busy times, like midterms. Book early.
- Groups can be just as helpful as one-on-one, and you meet people facing the same things.
- Many centers also offer telehealth or a 24/7 phone line
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Student health centers handle everyday illness, injuries, sexual health and check-ups. Because the body and mind are connected, they can also check for physical causes of tiredness, poor sleep or low mood. For anything medical, consult with your clinical provider there.
Tips
- Find out what your student health fee or insurance covers
- Bring your insurance card and a list of any health conditions
- Ask whether health and counseling services share records, and how your privacy is protected
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Academic struggles and mental health often feed each other. Getting help with your studies can ease a lot of stress. These services are paid for by your tuition, so using them is smart, not a sign that you’re behind.
Where to go
- Office hours: time professors set aside to answer questions
- Tutoring and learning centers: help with tricky subjects and study skills
- Writing center: help planning and editing papers
- Academic advisor: help with schedules, majors, and options if you fall behind
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Resident advisors (RAs) live in student housing and are trained to help with roommate issues, homesickness and emergencies. The dean of students office can help when life gets in the way of school, such as illness, a family emergency, or a crisis. They can often contact your professors for you.
Ask them about
- Short-term academic help during a crisis
- Emergency funds, food pantries or housing help
- Taking a medical or personal leave, and how to return
- Who to talk to about a safety concern
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Peer groups can make it feel normal to talk about how you’re doing. Active Minds is one youth-led mental health movement, with more than 500 chapters at high schools and colleges. Its chapters run events and conversations that help students support each other and seek help.
Many colleges also work with The Jed Foundation (JED). More than 500 colleges, representing more than 6 million students, take part in its JED Campus program to strengthen their mental health, substance misuse and suicide prevention efforts.
Disability services
Accommodations for mental health and other conditions. Tap any card.
Disability or accessibility services offices help students with physical, learning and mental health conditions get equal access to classes and campus life. Under the Americans with Disabilities Act (ADA), a disability can include a mental impairment that substantially limits a major life activity, and the law applies to public and private schools.
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In high school, the school is responsible for finding students who need support and making a plan. In college, it usually works the other way around: you need to contact the disability services office yourself and ask for accommodations. A high school plan is helpful to share, but colleges often ask for their own paperwork.
What this means for you
- Contact the office before classes start, or as soon as you can
- Ask what documents they need from a health professional
- Expect a conversation about how your condition affects your studies
- Many schools send letters to your professors, or ask you to share them
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Accommodations are decided case by case. The goal is equal access: you still learn the same material and meet the same standards, but in a way that works with your health.
Common examples
- Extra time on tests, or a quiet testing room
- Flexibility with attendance or deadlines during flare-ups
- Note-taking support or recorded lectures
- A reduced course load
- Housing adjustments, such as a single room
- Breaks during long exams or classes
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Some students worry that registering with disability services will follow them or make others see them differently. Disability records are usually kept separate from your academic record. Using accommodations is not cheating. It’s leveling the playing field.
If something goes wrong
- If a professor doesn’t follow your accommodations, tell disability services
- Keep copies of emails and letters
- Ask about your college’s complaint or appeals process
First-gen & international
Extra challenges, and extra strengths. Tap any card.
Some students start college without a map. You might be the first in your family to go, or you might be thousands of miles from home in a new culture and language. These paths can be harder, and they also show real courage.
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First-generation students often figure out college “rules” on their own: financial aid, office hours, internships, even what a syllabus is. In one study, first-generation and underrepresented students reported a lower sense of belonging than their peers. Belonging mattered most for them: when it grew, depression symptoms tended to drop.
What helps
- Look for a first-generation student program or office
- Ask questions. There is no such thing as a silly one.
- Find a mentor: a professor, advisor or older student
- Talk with your family about what college life is like, so they can understand
- Be proud. You’re opening a door for others.
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International students face everything other students do, plus culture shock, language barriers, visa rules, time zones and sometimes money pressures. In some cultures, talking about mental health isn’t common, which can make it hard to ask for help.
What helps
- Connect with your international student office early
- Join cultural or language groups, and mixed groups too
- Ask the counseling center whether they have counselors who speak your language or understand your culture
- Keep some traditions from home: food, holidays, music
- Schedule calls home at times that work for both time zones
Life after college
Graduation, first jobs and the in-between. Tap any card.
Graduation is a big achievement and a big ending. You may lose your daily routine, your friends nearby and the clear goals that college gave you, all at once. Many graduates feel a mix of pride, relief, loss and worry about what comes next.
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After years of semesters, grades and breaks, the open road after college can feel empty or scary. You might move back home, wait for a job, or feel like friends are moving on faster. This is a normal stage of change.
What helps
- Keep a simple daily routine
- Stay in touch with college friends, and plan visits
- Find new community: classes, volunteering, faith or interest groups
- Remind yourself that most people take time to find their footing
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Work is different from school. There may be no syllabus, less feedback and long days. It’s normal to feel unsure at first. Asking questions and finding a mentor help a lot.
Tips for starting out
- Ask questions early. Nobody expects you to know everything.
- Find someone you can learn from
- Protect evenings and weekends where you can
- Learn your rights about pay, breaks and accommodations
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Many people change careers several times. If your degree doesn’t lead where you expected, or your first job isn’t right, that’s information, not failure.
Ways to explore
- Notice what tasks give you energy
- Talk to people in jobs that interest you
- Try small experiments: a class, a side project, volunteering
- Use your college’s career center. Many help alumni too.
Supporting a friend
What to say, what not to say, and caring for yourself. Tap any card.
Students often turn to friends before anyone else. You don’t have to be an expert to help. Noticing, asking, and staying connected can make a real difference.
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You might notice a friend skipping classes, sleeping a lot or barely at all, drinking more, pulling away, seeming irritable or flat, or joking about not wanting to be here. Trust your gut if something seems off.
Things to watch for
- Big changes in mood, sleep or eating
- Missing classes, practices or meetings
- Giving away belongings or saying goodbye
- Talking about being a burden or feeling trapped
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Pick a private moment. Say what you’ve noticed, without judging, and then listen more than you talk. JED, the American Foundation for Suicide Prevention and the Ad Council created the Seize the Awkward campaign to encourage young people to start these conversations, even when they feel awkward.
Try saying
- “I’ve noticed you seem down lately. How are you really doing?”
- “I’m here, and I’m not going anywhere.”
- “That sounds really hard.”
- “Would it help if I came with you to the counseling center?”
- “Are you thinking about suicide?” (Asking directly does not put the idea in someone’s head.)
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When we’re worried, we sometimes rush to fix, cheer up or compare. These responses can make a friend feel unheard.
Try to avoid
- “Just think positive.”
- “Everyone’s stressed. You’ll be fine.”
- “You have nothing to be sad about.”
- “I know exactly how you feel.”
- Promising to keep a secret if their safety is at risk
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When someone is struggling, everyday tasks can feel huge. Offering specific help is often easier for them to accept than “let me know if you need anything”.
Ideas
- Walk with them to the counseling center or sit with them while they call
- Bring food, or invite them to eat with you
- Study together, or help them email a professor
- Invite them to low-pressure things, like a walk or a movie
- Keep checking in over days and weeks
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Supporting a friend can be draining, especially if you’re also juggling classes. It’s OK to set limits and to share the load with others. You are a friend, not a therapist.
Look after yourself
- Keep up your own sleep, classes and fun
- Bring in other friends or trusted adults
- Talk to the counseling center about how you’re feeling
- Remember that you are not responsible for another person’s choices
Myths vs facts
Common ideas about college that aren’t quite true.
Myth: Everyone else is having the time of their life.
- Fact: More than half of U.S. college students reported high loneliness in 2025, and many reported depression or anxiety symptoms. You are far from alone.
Myth: The counseling center is only for people in crisis.
- Fact: Counseling centers help with everyday stress, homesickness, relationships and more. About 37% of students had therapy or counseling in the past year.
Myth: Accommodations are an unfair advantage.
- Fact: Accommodations remove barriers so students with disabilities, including mental health conditions, have equal access. Standards stay the same.
Myth: Asking a friend about suicide could give them the idea.
- Fact: Asking directly and calmly does not put the idea in someone’s head. It shows you care and opens the door to getting help.
Myth: If college feels hard, it means I don’t belong here.
- Fact: Struggling is common, especially in the first year. A sense of belonging often grows with time, and when it grows, depression symptoms tend to drop.
When and where to get help
Signs it’s more than ordinary stress, and who to call. Tap any card.
Some stress is part of college. But stress that doesn’t go away, gets in the way of daily life, or affects your sleep and health is a sign to reach out.
Signs to take seriously
- You can’t sleep, or you sleep all the time
- You feel low, hopeless or numb most days for two weeks or more
- You’re drinking or using drugs to cope
- You’re having thoughts of hurting yourself or that life isn’t worth living
- You’re pulling away from friends
- You’re skipping classes, meals or showers
- Worry feels constant or out of control
Small steps that help
- Tell one person how you’re really doing
- Book an appointment with the counseling center, or use their drop-in hours
- Get back to basics: sleep, regular meals, a short walk outside
- Write down your worries, then pick one small thing to act on
- Talk to your advisor or dean about academic options if you need breathing room
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The campus counseling center, student health center, your RA and the dean of students office can all help you find the right support. Many counseling centers have drop-in hours or an after-hours phone line.
Good places to start
- Academic advisor, if school is the main stress
- Counseling center (often free or low-cost)
- Dean of students office, for help when life gets in the way of school
- Resident advisor (RA), if you live on campus
- Student health center
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The 988 Suicide & Crisis Lifeline connects you with a trained crisis counselor. You can call or text 988, or chat online at 988lifeline.org, any time of day or night.
If texting feels easier, text HOME to 741741 to reach Crisis Text Line, free and 24/7 from anywhere in the U.S.
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Crisis numbers are different in every country. Find A Helpline lists free, confidential helplines around the world, searchable by country and topic.
Also try
- Your university’s student support or wellbeing service
- Your local emergency number
- The international or study-abroad office at your school
By the numbers
What research tells us about college life.
U.S. students
Getting help
📝 Worksheets for this guide
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Sources
- Boston University School of Public Health (Healthy Minds Network) (2025). College students’ reports of depression, anxiety, suicidal thoughts continue to move in positive direction (Healthy Minds Study 2024–2025)
- Active Minds. Mission and Impact
- The Jed Foundation (JED). About JED
- U.S. Department of Justice, ADA.gov. Introduction to the Americans with Disabilities Act
- Gopalan, Linden-Carmichael & Lanza (peer-reviewed), via PubMed Central (NIH) (2021). College Students’ Sense of Belonging and Mental Health Amidst the COVID-19 Pandemic (Journal of Adolescent Health)
- National Institute of Mental Health (NIMH). I’m So Stressed Out! Fact Sheet
- National Institute of Mental Health (NIMH) (2024). 5 Action Steps to Help Someone Having Thoughts of Suicide
- National Institute of Mental Health (NIMH). Help for Mental Illnesses
- 988 Suicide & Crisis Lifeline. 988 Suicide & Crisis Lifeline
- Crisis Text Line. Crisis Text Line
- Substance Abuse and Mental Health Services Administration (SAMHSA). Crisis Text Line
- Find A Helpline (ThroughLine). Find A Helpline
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

