Despite what you’ve seen in the movies, there’s more to college than Greek Week and beer pong. In fact, “the best years of your life” (as so many college graduates like to say) can be tough on anyone. You’re juggling class schedules, homework, work, extracurricular activities like sports or music – all at a time when you’re (most likely) on your own for the first time. Sure, college life is exciting, but it can also be a really stressful and confusing time.

Ask anyone – or one out of five students, anyway. That’s how many college students suffer from anxiety or depression. As I’ve traveled the country speaking to teenage students, I’m often hit by the reality of how much you have on your plates – and how much you carry on your shoulders (and in your brains).

While bouts of anxiety or depression can be normal – like the anxiousness you feel prior to a test or try-outs, or the sadness you experience after a breakup – if these feelings are prolonged or become intense enough to interfere with your daily life, it’s time to get help.

Why me?

Anxiety and depression are becoming much more commonplace on college campuses. But why is your demographic suffering so much? We can likely blame several factors –the loneliness and fear of being independent for the first time, pressure from parents, coaches and yourself to perform well, financial difficulties, romantic drama and bullying or peer pressure to name a few. Add to that the abundance of drugs and alcohol on college campuses and the fact that mental illness often manifests in adolescence and early adulthood and its easy to see why so many students struggle.

Does this sound familiar?

You could be juggling the stress of college beautifully. But don’t beat yourself up if you’re not. Either way, it’s critical to be open and honest with yourself about how you feel – and to ask for help when you need it.

If you’re experiencing any of these symptoms of anxiety disorders, it’s time to talk to a professional.

• You’re often nervous or feel tense
• Your heart beats rapidly
• You hyperventilate
• Your muscles twitch
• You can’t sleep well
• You have frequent stomachaches
• You get obsessed with certain ideas or worries
• You have trouble focusing
• You’re experiencing heart palpitations
• You shake or tremble for no reason
• You have irrational fears
• You think you’re going crazy
• You’re afraid you might be dying

Anxiety can often go hand in hand with depression, but you can certainly experience one without the other. You may have depression if you recognize any of these symptoms:

• You feel listless or lethargic often
• Your muscles are inexplicably sore
• You are having trouble sleeping, or you sleep too much
• You’ve lost interest in things or activities you once loved
• You’ve isolated yourself from friends or loved ones
• You often feel sad, empty, helpless or worthless
• You don’t care as much about school or grades as you once did
• You don’t eat as much as you used to – or you eat much more
• You can’t concentrate
• You’re experiencing thoughts of self-harm or suicide

Both depression and anxiety can be scary – on or off a college campus. That’s because mental illnesses, by definition, distort your thinking. They create a false reality in which you’re fearful, worthless, incapable and undeserving of all the good life has to offer. And when your own brain is telling you that, it’s really easy to believe it.

The good news is, like any illness, anxiety and depression are both treatable. Therapy and/or medication can help you feel like you again. If you think you may have anxiety or depression, talk to your doctor or a medical professional.

The truth is, anxiety and depression likely won’t just “go away” on their own. That’s why it’s critical that you recognize the issue and work toward coping with the symptoms and/or treating any underlying causes. My new book, Beneath the Surface, explains how anxiety and depression affect your brain and your life, offering real, tactical methods to treat it as well as resources for getting the help you need. For more information, visit www.thegriefgirl.com.  

If you have feelings of self-harm or suicide, you can call the National Suicide Prevention Lifeline 24/7 at 1-800-273-8255.

​On a characteristically sunny Southern California day in October 2012, my husband, Bill, walked onto the MetroLink tracks near our Dana Point home, spread his arms wide, and completed suicide as he was struck by the oncoming train.

Bill was depressed. He was anxious. He suffered with substance abuse, steroid use and a host of other “typical” symptoms of mental illness. But Bill was also a victim. He bought into the widespread stigma about mental illness that plagues our society today. He was a middle-aged, white man with the strength to move mountains. In fact, Bill was a body builder and gym owner. He was the picture of physical health. But inside, Bill was dying. And the help he needed required him to admit the impossible – he couldn’t control his brain.

Bill’s shame wasn’t an anomaly in 2012, just as it isn’t today. In fact, Mental Illness Policy Org. reports that half of Americans suffering from severe psychiatric disorders are receiving no treatment – that’s as many as 3.5 million individuals.
While there’s no one reason to explain this issue, I know what held Bill back. It wasn’t that he had no one begging him to get help – I was. It wasn’t even that he didn’t recognize the symptoms in himself – he did. For Bill, it was the shame associated with society’s mental health stigma that kept him from the saving arms of treatment. It was the embarrassment and denial that comes with admitting to be what society calls “broken.”

Before you’ve finished reading this paragraph, someone in the United States will attempt suicide.And by the time you’ve finished this page, it’s likely one person will have succeeded. In the next 24 hours, 123 Americans will be dead by their own hand.
Today in the United States, one person completes suicide every 12 minutes, with 25 more attempting it. It’s easy to assume your life will never be touched by suicide—and natural to be sure you’ll never feel the urge. That’s because, for the most part, we understand the risk factors for suicide: a history of depression or mental illness, problems with addiction or substance abuse, disability or illness—even bullying has been linked to suicides.

If none of this sounds like you, you might think you’re in the clear. Unfortunately, that’s just not the case.
​
The thing is, suicide isn’t just about your health history. It can also be about who you are, as well as your current life circumstances. If you belong to any of the following groups, you’re statistically at a higher risk for suicide:

Read more at the Elephant Journal