Peer counseling, mindful practice, therapy dogs, 24/7 careâsupporting the well-being and mental health of college students at Rochester takes many forms.
In this article
- Coping in the time of COVID-19
- Mental health of college students a national issue
- Universityâs student counseling expands hours, staff
- Active Minds encourages student advocacy and awareness
- Faith-based emotional and mental health support for all college students
- Toward a more mindful campus culture
- âBe the best we can beâ
- Student mental health resources
Content warning: This article about the mental health of college students discusses suicide. If you need help for yourself or someone else, please contact the National Suicide Prevention Lifeline or call 1-800-273-TALK (8255).
Everything hit Karenrose Kamala â24 at once last fall. The stress. The anxiety. The feeling that she didnât belong in college.
âI was taking classes online back home in Tanzania due to COVID-19, and it was incredibly difficult,â she says. âMy sleep schedule was off the rails, and I found it hard to connect to whatever was going on around campus. One economics class was really challenging, and I worried that economics wasnât for me. I felt very discouraged.â
A classmate mentioned , a peer-to-peer network run by . It pairs University of Rochester students who are feeling distressed with an undergraduate or graduate student who has received specialized training in how to support students who may be struggling. The students meet to discuss the issues, and the coach then directs the student to one of the Universityâs appropriate mental health resources.
âMy peer coach made me feel validated when it came to my academic capabilities,â says Kamala, an economics and data science double major. âThe resources I learned about were incredibly valuable, and the program helped me feel more comfortable about speaking out when Iâm struggling. Thatâs a big deal, because coming from an African background, speaking out when struggling is seen as taboo.â
UR Connected was so impactful that Kamala is now a peer coach in the program, helping others overcome the kinds of stress and anxiety the sophomore felt a year ago.
âMental health is often ignored, even though it literally affects every aspect of someoneâs life,â Kamala says. âIf we are truly about being ever better, we have to do what we can in supporting students when it comes to mental health.â

Coping in the time of COVID-19
The University of Rochester has longstanding programs to help students who are facing stress, anxiety, or other mental health concerns. These include the CARE Network, a referral program that connects Rochester students with available support and resources, as well as the (UCC).
But the onset of the COVID-19 pandemic created new stressors that affected the mental health of college students: closed campuses, mask mandates, physical distancing, and in many cases, a shift to online learningânot to mention concerns about the health and safety of family and loved ones. Amid these disruptions, the Universityâs administration has prioritized new programming and outreach to help address the mental health and wellbeing of its nearly 12,000 undergraduate and graduate students.
âMental health has always been an important area of concern, but now more than ever our students need support,â says Amy McDonald â99, â07N (MS), associate director of the UHS . âItâs vital that we recognize how the various traumas our students have experienced over the last 18 months are impacting them. Their feelingsâwhether itâs being overwhelmed, angry, distracted, or less motivatedâare all valid and OK to feel. Our efforts moving forward will focus on rebuilding connections, generating self-compassion, and providing opportunities for creativity and self-care.â
Mental health of college students a national issue
The number of college students seeking help for mental health issues has steadily climbed across the nationâincluding at the University of Rochesterâin recent years, according to Susan McDaniel, a clinical and family psychologist and the Dr. Laurie Sands Distinguished Professor of Families and Health in the Universityâs Departments of and .
âItâs due to many factorsâpolitical and social unrest, a greater awareness and willingness to report student mental health issues, and the role of social media in creating unrealistic social comparisons and amplifying problems,â McDaniel says. âWith the pandemic came rapid change, remote learning, health anxiety, and social isolation for many. It has definitely been a stressful situation.â

The pandemic heightened the anxieties of college students across the nation, as institutions abruptly switched to remote learning, pivoted to hybrid instruction, then returned to in-person teachingâamid ever-changing COVID regulations.
A in the Journal of Medical Internet ĚÇĐÄlogo looked at the effects of the COVID-19 outbreak on the mental health of college students. A majority of the surveyed studentsâ71 percentâreported increased stress, anxiety, and depressive thoughts. Many reported experiencing stressors such as difficulty concentrating, disrupted sleep, decreased social interactions, or increased concerns about academic performance.
Similarly, a 2020 National College Health Assessment of University of Rochester undergraduates conducted by UHS found that 47 percent of students reported moderate levels of stress and 26 percent reported high stress levels. And 42 percent said their academic performance was impacted by their stress. Those numbers were slightly below national averages, but still significant.
Undergraduate and graduate students face different challenges. At ĚÇĐÄlogo for example, a typical undergraduate comes to campus as a teenager, living independently for the first time. Choosing a major, being away from home, adjusting to rigorous and demanding academics, and fitting in socially can weigh heavily on them.
The challenges can be much different for graduate students. âGraduate students can feel very isolated,â says Melissa Sturge-Apple, vice provost and University dean of graduate education. âTheyâre often living in an apartment off campus, or spending most of their time in a lab. Itâs a very intensive, focused path. They come to a place like Rochester and donât necessarily have roots here. They can feel alone.â Other graduate students are pursuing their degrees while juggling a career, family commitments, and finances.
Meanwhile, in addition to coursework, studentsâundergraduate and graduateâare often balancing music lessons, practice sessions, and performances. And dual degree undergraduate students take classes at both Eastman and the River Campus.
âPerforming artists are under a microscope for much of their day-to-day learning while in music school,â says Gaelen McCormick â92E, program manager for , an adjunct professor at Eastmanâs , and the liaison between UHS and Eastman. âBetween lessons, rehearsals, and daily practice, theyâre in a state of self-examination that is quite intense. Despite the appearance that music always happens in a group setting, our musicians spend a lot of time alone in solitary work. It is important to maintain relationships and to allow time for fun, relaxation, self-care, and, of course, sleep.â
Universityâs student counseling expands hours, staff
The University Counseling Center has been at Rochester in some form since the 1960s. Today, UCC provides comprehensive initial assessments and individualized treatment plansâsuch as group therapy (including themed drop-in sessions for students of color or international students, for example), short-term therapy, medication management, case management, and support for off-campus referralsâfor full-time students. Therapists are licensed professionals from a variety of mental health disciplines, and there are also about 25 graduate students, interns, and post-doctoral fellows in training from psychology, social work, and psychiatry.
Anxiety has been the main mental health issue facing college students for yearsâand the pandemic exacerbated those feelings. In response, UCC launched its in September. Trained and supervised by UCC-licensed staff, the counselors-in-residence provide mental health support during evenings and weekends when UCC is closed, accompanied by Department of Public Safety officers.
While the Universityâs CARE Network takes referrals from University community members who are concerned about one another, UCC requires students to make their own appointments.
âStudents are open to seeking services,â says UCC director Brigid Cahill, âand, in fact, often have been in therapy before coming to ĚÇĐÄlogo or have friends and family in therapy. Therapy is viewed as an accepted way to deal with problems.â

In fact, Cahill estimates that UCC sees 15 to 20 percent of Rochester students each year. One such student was Caitlyn Ascencio â20, â23W, who is pursuing a masterâs in school counseling at the .
Five years ago, she was âan overwhelmed, culture-shockedâ first-year student who had just spilled water on the brand-new Apple laptop her parents had saved up to buy her. The New York City native says the incident spurred feelings of fear, anxiety, and worry. âMy error consumed me and led me into a downward spiral I had never experienced before,â says Ascencio, a first-generation student who majored in cultural anthropology and religion. âI felt so incredibly helpless as I broke down in my room alone. I sobbed uncontrollably as I spoke to my mom on the phone, apologizing profusely.â
She took the laptop to a local Apple store, paying for the repairs herself. But for three weeks, she had to use a University computer lab, which added to her stress.
Ascencioâs roommate grew concerned and recommended she visit UCC, beginning a therapeutic journey that lasted through her undergraduate career. âMy therapist took on a cognitive-behavioral approach, which caused me to come face-to-face with many childhood traumas, life-altering events, and toxic thought patterns meant to be replaced with wholesome thought patterns and behaviors,â she says. âIt furthered my understanding of myself and how my past experiences shape the way I respond in the present.â
Ascencio also took part in group therapy sessions and says âthe UCC provided me with a support system I had never gained exposure to before, and sparked a passion in me to provide that same support to other unhealed, systemically underserved individuals like myself.â
Active Minds encourages student advocacy and awareness
College students play a key role in helping to change the conversations about mental health concerns and issues.
Rachel Chen â23, a neuroscience major from Seattle, Washington, is the president of the , a national student organization geared toward increasing awareness of the mental health of college students.
âI joined my first year because I cared about destigmatizing mental health but wasnât sure what I could do about it on campus,â Chen says. âBeing part of Active Minds and getting to work closely with UCC and the administration has taught me what advocacy can look like. Itâs also made me think more critically about my own mental health, and how I can support friends and family.â
Chen chose her major because she believes âunderstanding the brain is essential to helping individuals with mental health disorders.â Sheâs particularly interested in how people process difficult events and respond to challenging circumstances.
The chapterâs Active Minds membershipâabout 25 College undergraduatesâmeets weekly. âWe want to create a community where help-seeking is encouraged, and students feel comfortable speaking about mental health concerns,â Chen says.
Nationally, comprises nearly 600 college and high school chapters. It was founded in 2003 by University of Pennsylvania junior Alison Malmon following the suicide of her brother, Brian, a popular student who struggled with depression and psychosis while a first-year student at Columbia University.
Brian wasnât alone. Suicide is a major public health concern, and it was the second most common cause of death among young adults ages 15 to 24 in 2019, based on Centers for Disease Control and Prevention data . In recognition of this stark reality, the Rochester Active Minds chapter plants a Garden of Hope each September during National Suicide Prevention Month. The 1,100 pinwheels dotting the Wilson Quadrangle represent the estimated number of US college students lost to suicide annually. Itâs a visible reminder to the Rochester community about the mental health struggles faced by so many young people.

Faith-based emotional and mental health support for all college students
Not all mental health resources come from University Health Service. The Universityâs is staffed with chaplains ready to meet the needs of studentsâeven those who are not religious or donât belong to faith groups affiliated with the chapel. Students who are stressed, upset, or in a crisis can stop in without an appointment.
âWe offer a place of compassionate listening to anyone who walks through the door,â says Denise Yarbrough, director of religious and spiritual life at the Interfaith Chapel. âIâve counseled students dealing with the emotional trauma of a romantic breakup, students who have just learned of the death of someone close to them, and students wrestling with the aftereffects of sexual encounters. Given the intense stress that many students experience, the chapel offers a place to relax and be nurtured.â
The chaplains offer meditation walks on the labyrinth several times a month, and this year a fully certified chapel therapy dog named Sasha is in the building twice a week for students to visit, pet, and cuddle. âA view of the river when you walk the labyrinth is a calming and restorative practice,â Yarbrough says. âAnd the therapy dog usually has a stream of students who visit her and will remark, âThis was the best part of my day!â I love listening to the laughter that being with Sasha evokes in even the most stressed out of students.â Other therapy dogs regularly visit the Universityâs campuses as part of Paws for Stress Relief, a service coordinated by the Health Promotion Office.

Faith-based options are also available through the Interfaith Chapel. When he needed a support system, Michael Chavrimootoo â20, â21 (MS), a doctoral student in computer science from Mauritius, an Indian Ocean island nation, turned to the . âBeing an international student in a new country, with a new social environment and academic setting, I was quickly overwhelmed,â he says. âI joined Newman my first yearâ2016âand it really helped.â
Now, heâs helping others who seek help or guidance through Newman. âWeâre not therapists, and we make that clear to students,â he says. âBut weâre trained in recognizing when a student might benefit from professional help, and then we refer them to relevant resources.â
Joy Getnick â06, executive director of Hillel at the University of Rochester (Jewish life on campus), says she is far more likely to hear from female students needing support. According to her, male students are more likely to worry about the stigma associated with experiencing a mental health issue.
But a robust support networkâalongside changing cultural norms about men and mental healthâcan make a positive difference. Getnick recently heard from the parent of a first-year male student who was having trouble adjusting to his roommate and finding a social group. The student had always been outgoing but became depressed and withdrawn after arriving on campus.
âWe did some additional outreach to the student, helped make some social connections, and provided support and encouragement,â Getnick says. âWithin a few weeks, heâd gotten into his groove and is now doing really well. We would not have heard from that student on his own.â
McDaniel says this reaction among men is not uncommon.
âTraditional male socializationâthe view that men need to be tough, independent, and unemotionalâis indeed a barrier to men seeking services for mental health issues,â she says. âMen are less likely than women to seek help, even though they experience problems as much or more than women. Fortunately, this stereotype has become less common, so that many men do seek help now, and talk about it on social media platforms and with their friends.â
McDaniel says she has âfar moreâ male clients in psychotherapy now than in the early years of her career. âThese men realize that becoming more self-aware and knowledgeable about emotions is a sign of strength rather than weakness,â she says.

Toward a more mindful campus culture
How to practice mindfulness while walking to class
You can practice mindfulness as part of your everyday activities, including during the time it takes to walk to class, work, or other activity. Mindful walking is an effective and easy way to bring awareness to your body and mind and to curtail being on autopilot mode. This practice can help you relax, reduce stress, enhance your mood, and increase your cognitive functionâa perfect mindset reset ahead of a class or an exam.
Rebecca Block â18, health educator at the University of Rochesterâs Health Promotion Office and director of the Mindful University Project, offers this six-step plan:
- Take three deep centering breaths before you start walking to bring awareness to the present moment. Try inhaling through your nose for three seconds, and then exhaling through your mouth for five seconds.
- Walk at a slower pace than normal. This may initially feel awkward or bring up feelings of discomfort or difficulty, especially since weâre often in a rush.
- Become aware of your posture and the weight of your body as you move. Notice the feelings in your feet and leg muscles as you lift and place each foot down. You may choose to link your breath up to your movement.
- Slowly begin to expand your awareness to the environment around youâcolors, objects, people, scents, noisesâwhile concentrating on your movement and each breath.
- Continue walking slowly and mindfully for several minutes. If your mind begins to wonder, gently return your attention to your bodily sensations and movements, and repeat âleft, rightâ as you walk. You can even try counting steps to give your mind something to focus on.
- When you arrive at your destination, stand or sit still for a moment. Take several deep breaths to fully center yourself and be receptive to learning.
The Mindful University Project was created in 2018 with the financial support of two Rochester alumni. The project works to foster safe and inclusive spaces for members of the University community through mindful practiceâintroductory and advanced meditation classes, relax and renew retreats, yoga, and educational workshops.
Students can attend live or recorded meditations on the projectâs and , as well as participate in popup events around campus. Koru Mindfulness, a four-week program specifically designed for college students, teaches participants mindfulness through breathing exercises, guided imagery, and body scan meditations to manage stress and anxiety. The University currently has seven certified Koru teachers on staff and is training 10 students to be mindfulness facilitators.
âWe recognize the stress that our students are facingâthe pressure to do more, to excel academically, and to be ever better,â says Rebecca Block â18, a health educator at UHS who oversees the Mindful University Project. âĚÇĐÄlogo has consistently reported many benefits of meditation and mindfulness practice, including reductions in stress levels and worrying, enhanced self-compassion, as well as improvements in working memory and cognitive function. These benefits can lead to improvements in studentsâ academic performance.â
A large part of that academic performance hinges on the relation between student and teacher. The pandemic has tested that connection. So, this past summer, the Mindful University Project launched a series of workshops for faculty and staff geared toward improving and supporting the mental health of college students. Although voluntary, 166 people took part in the workshops, which are being offered throughout the year.
Katherine Schaefer, an associate professor in the , says it was helpful to share experiences with other faculty members facing new challenges in the COVID-19 era.
âI absolutely found that the pandemic forced me to be a more accessible teacher,â says Schaefer, who has been at the University since 2005. âNobody who is stressed learns as effectively as they could. The reality of dealing with online teaching, sudden illness, and internet outages caused me to build in a lot of alternate ways for students to participate and catch up. Many students adapted quite well to the Zoom situation, but others really struggled. I knew I had to be flexible.â
Robert Loughridge, an instructor in the , also took part in the workshops. âStudents seem more anxious these days,â he says. âThe pandemic brought restrictions and cancellations of basic life structure, like attending class in person and graduation ceremonies. The losses resulted in a lot of grief.â
Loughridge says the workshops provided a review of the research literature and posed case studies for breakout room discussion as a way to refine strategies for mindful communication, including self-reflection, emphatic listening and allowing for supportive space and dialogue.
âThe pandemic has presented many challenges,â he says, âbut the Program of Dance and Movement has always provided students with support throughout curriculum, which focuses on active engagement and personal development through artistic expression, mind-body contemplative practices, and wellness exercises.â
âBe the best we can beâ
In May, the University Coalition for Student Mental Health was formed at the recommendation of University President Sarah Mangelsdorf and Sturge-Apple to assess the current state of mental health among Rochester students and make recommendations for improvement. A preliminary report is due to Mangelsdorf by December.
The coalitionâs members, including two students, represent key administrative and academic units with the goal of enhancing both the mental health resources available on campus and studentsâ knowledge of them. That awareness is crucial.
âWe have a lot of good things going here, and people donât always know about them,â says McDaniel, who serves as coalition chair. âWe want to make sure people can access us and know what their possibilities are.â
According to McDaniel, Rochester is ahead of the curve compared to other institutions in terms of addressing the mental health of college students.
âSome schools have limited mental health services and very little in the way of wellness services,â she says. âRochester is much more well-developed, though we need to do a better job at informing students of what is available.â
Mangelsdorfâs mission for the coalition is clear, McDaniel says. âWe need to do our very best to understand studentsâ needs in our current challenging environmentâwhat services are meeting studentsâ needs, where are the gaps, and where can we do better.â
With virtually all University students vaccinated against COVID-19, McDaniel hopes the stress and anxiety posed by the pandemic will ease. âKindness and connection with each other, and a significant dose of self-care, can result in resilience as we move through this challenging period and learn all we can from it,â she says. âWe want to be the best we can be.â

Student mental health resources
If youâre experiencing a mental health crisis or need to speak to someone immediately, call the at (585) 275-3113. A UCC professional is on call 24/7.
If youâre concerned about the mental health of someone on campus, you can submit a referral to the CARE Network.
Feeling stressed or homesick? coaches can help. The team of undergraduate and graduate coaches have received specialized training in active listening. Visit the UR Connected website to review coach profiles and schedule a meeting with them online.
To learn how to meditate, register for Koru Mindfulness classes.
If you need someone to talk to, chaplains are available in the Interfaith Chapel for all studentsâregardless of faith or affiliationâon weekdays, evenings, and Sundays. Call (585) 275-4321 during business hours, or stop by the chapel anytime. You may also contact any of the individual chaplains.
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