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 Appeared in NYT.
By JANE E. BRODY
Adults are often quick to tell college students: "Enjoy yourselves.
This is the best time of your lives." But for an increasing number
of students, the college experience is marred by chronic anxiety,
stress and distress.
College counselors report a sharp increase in the need and demand
for mental health services, and that can sometimes result in long
waiting lists, making the troubled students' problems even worse.
In recent years more than 80 percent of campuses have noted
significant increases in serious psychological problems, including
severe stress, depression, anxiety and panic attacks, according to
an annual survey of counseling centers by Dr. Robert P. Gallagher of
the University of Pittsburgh.
Causes of Stress Abound
Some of this emotional distress can be attributed to financial
worries in these economically uncertain times. Looking at the dismal
employment situation, many students with college loans fret about
how they will be able to repay them.
Furthermore, family support systems are not what they used to be for
students whose parents are separated, divorced or remarried. Even
within colleges, there may now be less support from peers, with the
increase in nontraditional students who live on their own off campus
rather than in dormitories.
But also, a host of new drugs have enabled more students with mental
illnesses to attend college.
These challenges can land on top of traditional causes of student
distress like broken romantic relationships, bad grades,
insufficient sleep, difficulty making friends, failing to join
fraternities or sororities, homesickness or simply feeling
overwhelmed by the amount of work that has to be done.
The burden is especially heavy for student athletes who constantly
have to juggle the demands of schoolwork and teamwork and for
students who have to work to help pay for their schooling.
It does not take much to send a vulnerable 18-year-old into an
emotional descent. I recall feeling as if I were in an academic
sinkhole and close to suffering an emotional meltdown at the start
of my sophomore year.
Although I had good grades in hard courses as a freshman
biochemistry major, I began to doubt my interest in the field and
questioned whether I had even chosen the right college. I became
anxious, depressed and paranoid, thinking that no one liked me and
that everyone was speaking ill of me.
But before I abandoned my major and college, I consulted a
psychologist at the campus health center, who helped to turn my
academic goals and my outlook on college life in a more positive
direction.
After tests and talk revealed no underlying mental illness, the
therapist suggested that I find an activity that I might enjoy and
that would help me feel more a part of college life. So I joined my
college's monthly magazine, began writing and editing
science-related articles and eventually realized that my passion lay
in writing about science rather than doing it. The rest is history.
Strategies Gone Awry
Far too many students turn to tobacco and alcohol to assuage their
emotional crises and, in the process, make them worse. Recent
studies have shown, for example, that smoking cigarettes causes
rather than alleviates stress.
The stress that smokers typically experience when not smoking is
induced by nicotine withdrawal, prompting them to believe that they
cannot cope with life without cigarettes. But if they had not become
hooked on nicotine to begin with or if they broke their addictions
by quitting cigarettes (and nicotine replacements), most would
eliminate the need to smoke to relieve stress.
Smoking by college students soared in the 1990's, and by 1999
one-third of students were reportedly current smokers, many of them
having started after entering college. But more and more colleges
are making it very hard to be a smoker on campus. Many forbid
smoking in all campus buildings. Some campuses have become entirely
smoke free and instead offer smoking-cessation programs for students
and faculty members.
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August 26, 2003.
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