How College Students Can Receive Mental Health Counseling

While young adulthood can bring excitement and new opportunities, the college years can also be a time of increased stress, emotional strain, and, in some cases, mental health struggles. Many students find mental health counseling to be an invaluable resource as they learn to effectively balance academics, social engagements, and personal responsibilities. Here, you’ll find a guide to mental health counseling for college students, including types of counseling, where to find a counselor, and what to expect. 

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Mental health counseling for college students: an overview

Whether you’re dealing with academic pressures, social challenges, or emotional struggles, counseling services are available to support your well-being and help you navigate this phase of life. There are several types of counseling to be aware of, including: 

• Individual counseling: one-on-one sessions for addressing specific mental health concerns. Note that counseling is often short-term and goal-oriented, while therapy may be more appropriate for ongoing or complex challenges. 
• Group counseling: intended as a space to connect with peers facing similar challenges. Note that group counseling typically involves structured sessions led by a trained provider and that focus on specific issues or skills, while support groups are often peer-led. 
• Couples and family counseling: helps address relationship issues and improve communication within couples or families. This type may be an option for students seeking to solve specific issues within their relationships—which can be linked to mental health, since research suggests that social connections are tied to overall well-being.
• Career counseling: Students may find it beneficial to connect with a career counselor for guidance in navigating career choices, job search strategies, and professional development.
• Academic counseling: another type of counseling that could help relieve distress during college. An academic counselor can help you manage academic pressures, improve study habits, and achieve educational goals.
• Crisis intervention: provides immediate support for those experiencing acute mental health crises, ensuring safety and stabilization. To connect with a crisis counselor, you can call a mental health hotline or emergency services.

• Substance misuse counseling: offers specialized support for young adults struggling with substance use. A substance misuse counselor can provide moral support and help you work towards recovery and learn healthy coping mechanisms. 

How receive counseling as a college student

To connect with mental health counseling services as a college student, consider the following options.

1. Campus services

Most college campuses offer counseling to students at no additional cost. These mental health services are typically covered by tuition fees and may be an option for short-term care. As well as individual counseling, you may be able to engage in group counseling, peer support groups, and psychiatry services. Check with your campus health center for more information.

2. Online therapy platforms

Online therapy is another option widely used by college students. Platforms like BetterHelp offer a convenient way to receive lower-cost mental health care via video call, phone call, and/or in-app messaging. Flexible scheduling means it’s easier to work therapy into your busy schedule, and features like guided journaling and digital therapy worksheets can help you get the most out of your sessions.

3. In-network providers

The Affordable Care Act (ACA) requires insurers to cover mental health care. If you are still covered under a parent or caregiver’s plan, you might ask them for help locating an in-network provider offering the type of counseling you need. Note that, while your insurance company may partially cover the cost of care at a therapy office or counseling center, there may also be some out-of-pocket expenses.

4. Community health centers

Community health centers or counseling centers often offer mental and behavioral health services at low or no cost. These facilities are typically funded by government programs and may offer mental health counseling, substance misuse counseling, case management, and other wellness programs. Check with your local public health authority for more information.

5. Low-cost clinics

Some clinics offer counseling services on a sliding scale, meaning that the cost of care is based on your income level. These clinics are often run by mental health nonprofits and intended for those who do not have insurance or whose coverage level is inadequate. To find a low-cost clinic near you, you can search online, contact local mental health organizations, or inquire at your college counseling center or with your college counseling center directors.

What to expect in mental health counseling: A guide for students

If you’ve never attended mental health counseling before, it can help to familiarize yourself with what the process might look like and what typically happens in a session. Here’s what to expect from your time in counseling:

1. Consultation and assessment

At your first session, your counselor will likely begin by asking you about your background, current concerns, and goals for therapy or counseling. You may also fill out some paperwork that includes basic questions about your life or mental health history. You can also use this time to ask questions and express preferences or concerns you have about the counseling or therapy process.

2. Regular counseling sessions

After your initial consultation, you’ll be ready to begin regular counseling sessions. The length, structure, and format of a session can vary, but you can expect to discuss your thoughts, feelings, behaviors, and any recent or past experiences that may be impacting your mental health. You’ll likely also learn helpful coping strategies and set some goals for changing your habits, such as exercising more to improve mood or getting more regular sleep.

3. Ongoing treatment plan

Your counselor may also work with you to develop a comprehensive treatment plan, which could include therapy approaches, lifestyle changes, and coping strategies tailored to your needs. Your treatment plan can change and evolve as you make progress or experience setbacks, so it’s advisable to mention any changes to your well-being—positive or negative—in each session.

4. Referrals to other professionals

Counselors often refer their clients to other professionals in situations where an issue lies outside of their area of expertise. Examples could include a psychiatrist, a specialist, or a medical professional. Your counselor may also connect you with other resources on campus, such as academic support services, wellness workshops, or peer support groups.

5. Therapy homework

While many imagine mental health treatment in terms of the interaction between an individual and their counselor, it’s common for mental health professionals to also assign “homework” to their clients. This could include therapy worksheets, mental health assessments, or journaling exercises. They may also suggest specific activities, such as joining a club or going for a daily walk.

Tips for getting the most out of counseling sessions

Here are some practical tips for getting the most out of counseling or therapy:

• Set clear goals. Setting specific goals with your therapist can help ensure you remain focused throughout your time in counseling. Your counselor will likely work with you to set some daily and weekly goals aimed at helping you manage your academic and personal life.
• Be open, honest, and curious. Share your thoughts and consider all that you can learn from your time in therapy. Ask questions as they arise and remember that you are in a space of compassion and non-judgment.
• Actively engage. Take time to prepare for each session and try your best to work towards your goals between sessions.You might also consider keeping a habit tracker or journal during this time—it may help you keep making progress and could serve as a discussion topic.
• Give feedback. Communicate with your counselor about how they can serve your needs most effectively. That could mean sharing positive feedback or offering constructive criticism about what isn’t working for you. 
• Use all resources offered. Your counselor will likely provide you with reading materials, worksheets, or information for further support. Try to take advantage of these resources, as they can help you maximize the effectiveness of each session.

Additional mental health resources for student support

While counseling may form the core of your mental health support, it may help to also seek out other resources for self-help. The following may help you gain a deeper understanding of yourself, your emotions, and human psychology in general:

• Peer support groups. You may be able to find peer support groups on campus, in your town or city, or even online. These spaces offer a supportive environment where you can share your experiences, learn from others, and receive encouragement.
• Books. Ask your counselor for book recommendations that align with your area of need. Mental health and self-help books or audiobooks can be an invaluable resource for gaining new perspectives and deepening your understanding of psychological concepts. 
• Therapy workbooks. Mental health professionals routinely use worksheets and workbooks that are designed to help individuals actively engage in the therapeutic process, often including exercises, quizzes, and reflection prompts.
• Podcasts. Many find mental health podcasts to be beneficial for learning about mental health, wellness, and psychology. These productions can provide new insights and practical tips for managing your well-being. Look for podcasts that are created or reviewed by licensed mental health professionals.
• Mindfulness apps. Mindfulness may be particularly valuable as you navigate the stresses of college. Consider subscribing to a mindfulness app or watching mindfulness videos for free to help you learn this skill and implement it in your day-to-day life.
• Time management tools. Time management can be especially important for a busy college student, and using tools and apps to help you manage your schedule may help you maintain a sense of calm and control.  
• Wellness workshops and seminars. Keep an eye out for campus events that focus on mental health, self-care, and personal development. As well as learning practical tips for better managing your well-being, you might also meet like-minded people. 

Benefits of online therapy or counseling for students

If you are seeking the support of a licensed counselor, online therapy through BetterHelp may be an option worth exploring. It allows you to connect with a licensed mental health professional specializing in your area of need for weekly virtual counseling sessions. 

Many college students prefer online counseling for its convenience and affordability. Virtual appointments mean you can attend from anywhere with an internet connection, and flexible scheduling allows you to attend outside of traditional business hours and adapt your therapy schedule to your changing needs. 

Research suggests that online counseling can be as effective as in person therapy in many cases. Plus, with added tools and options like guided journaling, group sessions, and digital therapy worksheets, you may be able to make progress faster and get the most out of your mental health investment. To get started with BetterHelp, take a short quiz to match with a licensed counselor.