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Exploring Mental Health

Summer Solstice 2026

The Value of Helping College Students with Schizophrenia Socialize

Navigating mental health issues while away from home can be difficult for any college student, but especially for those with schizophrenia and schizoaffective disorder. Compared with other students, students with schizophrenia are 70% more likely to become college drop-outs. Schizophrenia disrupts the ability to differentiate between reality and psychotic episodes, potentially leading to paranoia and, consequently, anxiety in social settings such as school. But a schizophrenia diagnosis does not automatically end a college career. And for students who take a leave of absence due to psychotic episodes, returning to college can be beneficial for recovery.

Whether a student with schizophrenia is just starting college or returning, counselors who establish relationships with them, working to set goals and to connect them with campus groups, help to establish a foundation for success in college and in building friendships.

College Offers Structure

Routines keep patients on track with recovery. Schizophrenia is marked by disorganized thinking ― a class schedule can offer stability during an otherwise chaotic day.

Combined with regular counseling appointments, college students with schizophrenia can develop coping skills and re-introduce themselves into social situations. Family can also support students during this time and act as models for successful social interactions. In other words, familial relationships are models for how students will interact with their peers, and if families can showcase stable interactions, this will allow students to develop and foster relationships as their daily routines grow and shift.

Students Develop Their Identities in College

College is an important developmental time in a student’s life. Seventy-five percent of individuals with mental illnesses show symptoms by age 24 ― an age by which many are or are becoming functionally independent. University counseling centers can assist students to incorporate themselves into the college community — supporting development of an identity that integrates, not ignores, their struggles.

Socializing students with schizophrenia allows them to explore different aspects of their personalities that they may not be able to understand on their own. Review anxiety-inducing interaction themes with clients to better understand their social tendencies. Some students might feel most anxious in the classroom when they need to participate in academic conversations or take tests. Others might feel most apprehensive in their dorm rooms communicating with roommates; some might become paranoid as they walk around campus. Counselors might encourage family and childhood friends to help students with schizophrenia understand how they react to different situations, and to identify beneficial characteristics they may want to seek out in friendships and romantic relationships.

Support Systems on Campus Help Students Grow

The stigma traditionally associated with mental illness has been on the decline. As students acclimate to college, they are becoming more open to the idea of seeking help from mental health professionals if they are struggling ― 79.9 percent of college students would consider seeing a mental health professional if their health was declining.

Mental health advocacy groups and clubs on campus such as Students with Schizophrenia can be effective resources for students trying to socialize and adjust to college life with this diagnosis since members already have common interests. Plus, having peers who are encountering some of the same stressors can lead to more effective problem-solving.

Short-term residential community stays can also help socialize patients when treatment begins early. Hopewell’s unique approach to residential treatment encourages socializing with other young adult patients in several different settings. Residents actively improve communication skills that can be applied upon return to college.

Socialization can be more difficult for students with schizophrenia. But with support from counselors, family and friends to uncover primary social stressors and identify healthy coping mechanisms, students can start college, stay in college, and return to college successfully.

You Are Not Alone: Major Depression in College

All the sudden, you’re in a new place, away from friends and family. Students keep coming up to you, throwing flyers in your face, giving you bins to take up to your new home…one you now share with a stranger. College is weird. And it can be scary ― there are so many new things to deal with. And because of that, depression is the most common health problem for college students. If your depression lasts for more than two weeks, talk to a mental health professional to help you determine next steps.

Struggles of Being a College Student

As you’re coping with this significant life change it’s important to remember that you’re not alone in experiencing these feelings. More than 39% of college students say they “felt so depressed that it was difficult to function.” If depression sets in while you’re on campus, there could be many different reasons for the shift in mood.

  • You’re on your own, away from family, childhood friends and the familiar comforts of home. You might also find it difficult to make friends who share the same values.
  • College courses are typically more rigorous than high school. You might find yourself falling behind in class even though you never had any trouble completing schoolwork in the past.
  • Peer pressure is real, and with the minimal supervision of campus life, it tends to happen more often than it did in high school.
  • Excessive social media use can cause feelings of isolation and jealousy.

Asking for Help

The idea of asking for help causes tension for some. Will people judge me? Will I receive the right advice? Will anyone even listen?

Find friends you can trust and confide in your family ― they will have your back during this transition from high school to college. Many colleges also have peer support groups you can attend. Not only will you come away with great advice, but you may also make friends on campus, which helps if your family and childhood friends are far away. If you want to talk to a counselor, your university may have a counseling center or health center available at discounted rates (or even for free).

Sometimes, none of those options appeal, and if you’re ever contemplating suicide, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). The line is available 24 hours a day, 7 days a week.

Finding the Right Treatment Plan

Therapy and medication combined with self-help techniques tend to be best for coping in the long-term. When you’re struggling, your family and friends can be helpful accountability resources. They can assist you in regulating your treatment, especially when you’re at home visiting and by phone when you’re away. Continue to build a strong support system of people at college as well as keeping in touch with the people you care about from home.

Don’t hesitate to take a mental health day every once in a while. If you’re not feeling like yourself, going to class and forcing yourself to focus tends to be counterproductive. Use mental health days sparingly but don’t let your fear of missing important notes prevent you from taking the time you need; you can always ask for someone’s notes during the next class.

If these techniques aren’t working and you decide to take a break from college, that’s okay. Everyone completes college on their own timeline, and there’s no right or wrong way. A break from college looks different for everyone: reassessing the decision to attend college, getting a job, traveling, finding a residential treatment center or any number of other options.

Major depression affects college students everywhere. In a different environment with so many new people, events and classes, you might feel overwhelmed (but hopefully also excited for the possibilities). Lean on your parents, your friends at home, your peers at college and mental health professionals to figure out the best course of action for you to cope with depression. So many college students have major depression; you’re not alone in your struggles, and you’ll get through this.

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