University Mental Health Day: Addressing addictions and stress among students

Tomorrow (13th March) marks University Mental Health Day, it serves as a pivotal moment to both reflect upon and address the mental well-being of our student population.

In recent years, there has been a notable increase in mental health challenges among university students, particularly concerning alcohol consumption, drug use, and stress. Lee Hawker-Lecesne, Clinical Program Director at The Cabin, Drug and Alcohol Rehab in Thailand looks at how understanding these trends is essential for fostering a supportive academic environment.

Rising Mental Health Concerns

Recent data indicates a significant rise in mental health issues among students. Between the 2016/17 and 2022/23 academic years, the proportion of undergraduate students reporting mental health difficulties increased from 6% to 16%, meaning around one in six students now face such challenges.

Lee Hawker, Clinical Program Director at The Cabin Chiang Mai, states “Mental health challenges among university students are rising at an alarming rate. The combination of academic pressure, social expectations, and the transition to independent living creates a perfect storm for emotional distress. When left unaddressed, these issues can escalate into more serious mental health conditions that affect long-term well-being.”

Alcohol Consumption Trends

Alcohol use remains a prevalent aspect of university life, with both positive and negative implications for student well-being. A national survey revealed that while many students consume alcohol responsibly, there are concerns about excessive drinking patterns.

The survey highlighted that a significant number of students engage in binge drinking sessions, which can lead to academic under performance and health issues.

“Many students turn to alcohol as a form of social lubrication, but there’s a fine line between casual drinking and dependence” says Lee. “Binge drinking can quickly become a coping mechanism for underlying stress and anxiety, leading to both physical and psychological harm. Addressing the reasons behind excessive drinking is just as important as discouraging the behaviour itself.”

Drug Use Among Students

Illicit drug use has also been a growing concern within university settings. A comprehensive review of studies found that the prevalence of reported drug use has increased over time, with a broader range of substances being used. Attitudes towards drugs have also become more permissive, indicating a normalization of drug use among some student groups.

“We’re seeing a growing number of students using drugs as a way to ‘switch off’ or enhance their performance,” says Lee “whether socially or academically. Stimulants, in particular, are being used to push past natural limits, but this often leads to burnout and dependency. Universities need to provide honest, non-judgmental education around drug use rather than simply condemning it.”

Stress and Its Impacts

Stress is a pervasive issue affecting many students, often stemming from academic pressures, financial concerns, and the transition to independent living. The 2020 University Student Mental Health Survey reported that 80% of students with mental health difficulties experienced stress, 66% felt consistently unhappy, and 55% suffered from anxiety.

“Stress is inevitable in university life, but the way students manage it makes all the difference” says Lee. “Many students feel they have to ‘power through’ alone rather than seeking support, which only compounds the issue. Universities should encourage open conversations about stress management and help students develop resilience-based coping strategies.”

Financial Pressures

The rising cost of living and tuition fees have exacerbated financial stress among students. A study highlighted that financial difficulties are significantly associated with mental health problems, including depression and anxiety.

Students facing financial stress are more likely to experience mental health challenges, which can adversely affect their academic performance and overall university experience.

Lee adds “Financial stress is one of the least-discussed yet most impactful contributors to student mental health issues. The pressure to juggle studies with part-time work or mounting debts can create an overwhelming sense of failure. Financial literacy and accessible support systems should be prioritized in student welfare initiatives.”

The Weight of Uncertainty: Guilt, Debt, and the Fear of Academic Misstep

Many students experience a profound sense of guilt and anxiety when they begin to question whether they are on the right academic path, especially in the face of mounting debt or the financial sacrifices made by their families.

The pressure to justify the cost of higher education – whether through student loans or parental support – can create an overwhelming sense of obligation, making it difficult to admit feelings of doubt.

For some, the fear of ‘wasting’ time and money becomes paralysing, reinforcing stress and self-doubt. The expectation that university should be a clear, linear journey towards a stable career only heightens these feelings, leaving students trapped between a reluctance to continue and the guilt of contemplating change.

“For students questioning their chosen path, the emotional toll can be immense” explains Lee. “The guilt of feeling ‘ungrateful’ for an education they no longer connect with – combined with financial stress – can lead to anxiety, shame, and even depressive symptoms. Many feel they must force themselves to stay the course rather than face the perceived failure of changing direction. But uncertainty is a natural part of growth, and acknowledging doubt doesn’t equate to failure. More needs to be done to normalise academic transitions and provide students with the tools to navigate these pressures.”

In a system where tuition fees and living costs are among the highest in Europe, the stakes feel unbearably high, and for those struggling with their choice of course, this can manifest as a deepening sense of impending failure – one that extends beyond academics and into their sense of self-worth.

Concealment Due to Stigma

Despite the increasing prevalence of mental health issues, stigma remains a barrier to seeking help. A significant survey revealed that 78% of students with a mental health diagnosis have concealed their symptoms due to fears of stigma. This concealment can delay access to necessary support and exacerbate mental health problems.

Lee emphasizes “The stigma surrounding mental health still discourages many students from seeking help, which is one of the biggest barriers to recovery. If we normalize conversations around mental health, particularly in relation to substance use and stress, we can encourage students to reach out before they hit crisis point.”

University Initiatives and Support

In response to these challenges, universities have been enhancing their support services. Initiatives such as the University Mental Health Charter and the Stepchange framework aim to promote a whole-university approach to mental health, integrating support services into the fabric of university life.

“University should be a time of growth and self-discovery, not a battle for survival,” says Lee. “Institutions must step up, not only by providing mental health support but also by embedding mental well-being into the academic and social fabric of university life. A proactive approach can make all the difference in shaping healthier, more resilient students.”

Practical Tips for Students to Manage Stress and Reduce Stigma

1. Limit Alcohol and Drug Use – Recognise the difference between social drinking and using substances to cope. If you’re drinking or using drugs to escape, it may be time to seek support.
2. Prioritise Sleep and Nutrition – A lack of sleep and poor diet can amplify stress and anxiety. Try to maintain a balanced routine.
3. Use University Support Services – Many universities offer free counselling and peer support groups. Seeking help early can prevent issues from escalating.
4. Set Realistic Academic Goals – Perfection isn’t necessary; prioritising mental well-being is just as important as achieving high grades.
5. Talk About It – If you’re struggling, speak to a friend, family member, or support service. Breaking the silence reduces stigma.
6. Exercise and Take Breaks – Regular physical activity helps manage stress. Even a short walk can improve mental clarity.
7. Practice Mindfulness and Resilience Techniques – Learning simple mindfulness exercises can help you stay grounded in overwhelming situations.
8. Don’t Be Afraid to Ask for Help – You’re not alone. Reach out to someone who can offer guidance and support.

“University Mental Health Day is a reminder that we need to move beyond awareness and take action” says Lee. “Students are facing real, tangible struggles with alcohol, drugs, and stress, and the response from institutions needs to be just as tangible. Effective support systems, open conversations, and a commitment to tackling stigma are essential if we are to create an environment where students can truly thrive.”

By addressing these challenges directly and ensuring that support is both available and accessible, universities can make a meaningful impact on student mental health – one that extends far beyond a single awareness day.

Bibliography

• Institute for Fiscal Studies. Higher education funding in England: Past, present and options for the future. Available online
• Office for Students. Financial pressures and student mental health. Available online
• King’s College London. Student mental health problems have almost tripled, study finds. Available online
• Drug and Alcohol Impact UK. Students, Alcohol and Drugs National Survey 2022-23. Available online
• Substance Abuse Policy. Prevalence and patterns of illicit drug use among university students: A systematic review and meta-analysis. Available online
• NICE Clinical Knowledge Summaries. Mental health in students – Background information and prevalence. Available online
• Journal of Epidemiology and Community Health. The impact of financial difficulties on mental health among university students. Available online
• Mental Health Report 2019. Stigma and mental health disclosure among university students. Available online
• UK Parliament Research Briefing. University Mental Health: Policy and Institutional Responses. Available online