Thriving In College Despite Student Anxiety

Medically reviewed by Julie Dodson, MA, LCSW
Updated October 31, 2024by BetterHelp Editorial Team

Student anxiety can affect many learners in college settings. It may arise in various ways, such as excessive worrying about school performance, social interactions, or finding a job after graduation. Anxiety can make it difficult to focus and enjoy your educational experience.

In schools, anxiety might look different from student to student, and it can influence their emotions and behavior in different ways. When left unmanaged, anxiety symptoms may lead to more severe mental health concerns. Therefore, students may benefit from learning the right coping skills to manage and prevent mental health challenges. Maintaining a healthy lifestyle, using effective time management strategies, and working with a licensed therapist can be helpful.

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Feeling anxious in school?

How can anxiety, stress, and depression affect academics?

Mental health challenges like anxiety, stress, and depression can negatively affect a student's academic life. Young adults, especially college students, may experience poor academic performance as a result.

Anxiety may lead students to avoid school tasks, skip classes, or avoid studying due to fear or worry. Students might start missing assignments and earning lower grades.

Stress, whether it’s related to school or personal matters, can also affect a student’s ability to concentrate. When under pressure, students might struggle to focus during lectures or while reading, which can affect how they retain information.

Meanwhile, depression can reduce motivation. Students might be too overwhelmed to complete their homework or attend classes. Long-term depression may lead a student to participate less frequently and perform at a lower level in classes.

What's the difference between stress and anxiety disorders?

Stress and anxiety disorders are often confused, but they aren't the same. Stress usually comes from external pressure and other demands. Students might experience stress before exams or when juggling multiple assignments. Mental and physical symptoms of stress, like irritability, muscle tension, and rapid heartbeat, are usually temporary and only last until the situation passes.

An anxiety disorder, on the other hand, can be seen as a persistent mental health condition. It typically involves excessive worries that don't go away, even without a specific stressor. People with anxiety disorders often experience symptoms for long periods. In some cases, stress may lead to or worsen symptoms of anxiety disorders.

A few types of anxiety disorders include the following:

  • Separation anxiety disorder: Fear associated with being away from loved ones or home
  • Social anxiety disorder: Intense fear before and during social interactions
  • Panic disorder: Characterized by panic attacks (sudden episodes of intense fear)

Compared to stress, anxiety disorders often require professional treatment. It can be important to recognize the differences between stress and anxiety so you can seek help if needed.

Recognizing signs of anxiety in college 

Anxiety can severely affect a college student's overall mental health and well-being. Recognizing these signs early may allow students to seek support and effectively manage anxiety symptoms.

Excessive worry 

College students with anxiety often experience excessive worry. They might constantly think about grades, fitting in with their peers, or their future. This worry usually doesn't go away, even when things are going well. 

Restlessness 

Restlessness can be another common sign of an anxiety disorder. A student might find it hard to sit still in class or during study sessions. They could frequently tap their feet or fidget with their hands. This constant movement can be seen as a physical symptom of their inner turmoil. 

Fatigue 

Fatigue tends to be more than just feeling tired after a long day. For those with anxiety, it can be a persistent sense of exhaustion that doesn't go away with rest. Despite getting enough sleep, students experiencing anxiety may seem drained and struggle to keep up with the demands of college life. 

Difficulty concentrating  

Anxiety can make concentrating on studies particularly tough. Students might find their minds wandering during lectures or while doing homework. 

Sleep disturbances 

Sleep disturbances can be common among anxious students. They might have trouble falling asleep or wake up frequently during the night. This lack of quality sleep can lead to daytime tiredness and trouble focusing in class. 

Social withdrawal 

Anxiety can lead students to withdraw from social activities. They might avoid gatherings or isolate themselves from friends. Withdrawal can contribute to a sense of being lonely and disconnected, potentially worsening anxiety symptoms. 

Ways to manage student anxiety

Managing anxiety can be a key part of college success for many students. Different strategies, such as prioritizing nutritious eating habits and exercise, practicing mindfulness and meditation, and creating organized study schedules, may be helpful.

Nutrition and exercise

Eating nutritious food may stabilize mood and energy levels. Foods like fruits, vegetables, lean proteins, and whole grains can nourish the body and brain. Avoiding excessive sugar and processed foods may reduce anxiety symptoms.

Exercise can be equally important. Activities like running, swimming, or practicing yoga typically release endorphins, which may improve mood and decrease stress. Even a daily 30-minute walk can make a difference in a person’s mental health. 

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Mindfulness and meditation

Mindfulness and meditation can help students focus on the present moment. These practices may reduce racing thoughts and improve emotional regulation. Students can practice mindfulness by paying attention to their breathing, body sensations, or surroundings, which can lower anxiety levels.

Meditation, even for just a few minutes daily, may reduce stress. Techniques like guided meditation, in which a narrator leads the session, can be especially helpful for beginners. Mindfulness and meditation usually encourage students to practice positive self-talk, replacing negative thoughts with more positive ones. 

Organized study schedules

Students in college often have more responsibilities than they did in high school. Creating organized study schedules may help them manage overwhelming emotions. Students may perform better if they set aside enough time to complete homework and study for each subject without last-minute cramming.

Staying organized may also involve prioritizing tasks. Listing assignments in order of importance and due dates may help students focus on what's most important. 

Adequate sleep

Adequate sleep can be vital for good mental health. A lack of sleep can increase anxiety and impair a student’s ability to retain information or think critically. Students often need seven to nine hours of sleep each night. Maintaining a consistent sleep schedule by going to bed and waking up at the same time every day may regulate the body’s internal clock.

A relaxing bedtime routine can also improve sleep quality. Activities like reading, taking a warm bath, or practicing relaxation techniques can signal to the brain that it’s time to unwind. Avoiding screens for at least an hour before bedtime can reduce blue light exposure, which can interfere with sleep. 

Breathing exercises

Breathing exercises are potentially quick ways to manage anxiety. Techniques like deep breathing, where you take slow, deep breaths through the nose and exhale through the mouth, may calm the nervous system. 

Another method, box breathing, generally involves inhaling for four counts, holding for four, exhaling for four, and holding again for four.

These exercises can be done anytime and anywhere, and they may provide immediate relief. They may also help students stay calm in stressful situations, like exams or presentations.

Talking to friends or family

Friends or family may be able to offer emotional support. Sometimes, just talking about what’s causing stress can help it seem more manageable. Friends and family can also provide different perspectives or simply listen, which can be comforting.

A support network can be crucial while attending college or university. Knowing that someone cares and is willing to help can ease the sense of isolation that often comes with anxiety. 

When to seek help for a potential anxiety disorder

In some cases, anxiety may become more than just occasional worrying. If a student experiences overwhelming anxiety that interrupts daily life, it might be time to seek help. Persistent stress, difficulty concentrating, and avoidance of social activities are signs that may need your attention.

Reaching out to a mental health professional can be helpful when anxiety affects academic performance, sleep, or relationships. They can properly evaluate whether a mental health condition is present and suggest effective treatments.

Signs to watch for include the following:

  • Constant feelings of worry or fear
  • Difficulties managing stress
  • Physical symptoms, like constant headaches or stomach aches
  • Avoiding classes or social events
  • Trouble sleeping or sleeping too much

Possible next steps may include those listed below:

  • Counseling sessions: Talking to a counselor can help students develop coping strategies.
  • Medication: In some cases, medication may be prescribed to manage symptoms. Never start, stop or change any medications without consulting a doctor first. 
  • Lifestyle changes: Regular exercise, adequate sleep, and improved nutrition can enhance mental health.

Resources for support for students with anxiety

Finding the right mental health resources can be difficult for college students. However, many campuses offer support services and resources to help students navigate their mental health journeys.

  • On-campus health centers: Many universities have health centers that offer counseling and mental health services. School counselors can provide valuable advice and direct students to other helpful resources.
  • Online therapy platforms: Services like BetterHelp may provide convenient connections to licensed therapists.
  • National mental health organizations: Organizations like the National Alliance on Mental Illness (NAMI) offer resources and support for students.
  • Student support groups: Many colleges have peer support groups and clubs focused on mental wellness.
  • Crisis hotlines: Immediate support is available through various crisis hotlines, such as the 988 National Suicide Prevention Lifeline.
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Feeling anxious in school?

Leveraging these resources may support a student's mental health. Students can find the support they deserve by using campus services, online therapy, and national organizations.

Mental health benefits of online therapy for students

While some students might prefer the personal connection of in-person sessions, many find online therapy beneficial. It may be a practical option for those balancing studies and mental health care. In addition, the convenience may make it an attractive choice for busy college students.

Is online therapy effective for anxiety disorders?

Online therapy can effectively treat anxiety disorders among students. Online therapists are licensed to offer cognitive behavioral therapy (CBT) and other evidence-based treatment modalities. Students can attend therapy from their dorm rooms or other preferred locations, making it convenient and less intimidating to receive mental health care.

Research shows that online CBT may reduce anxiety symptoms. By helping students reshape negative thoughts, therapy may lead to lasting improvements. 

Takeaway

Managing anxiety tends to be key to maintaining well-being and academic success. By using various strategies, including lifestyle changes, time management techniques, and seeking help through on-campus or online counseling, students may be able to overcome the challenges of college life more effectively. Managing anxiety may improve overall academic performance as well as mental health.
Balancing school and your well-being is possible.
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