Karen Roehr, associate professor of art & design, gave graphic design students the assignment to create a poster on one of three subjects: opioid addiction, social media overuse or mental health. Their work is shown throughout this story.
09/06/2019
By Ed Brennen
SPEAKING TO 3,200 FIRST-YEAR STUDENTS at Convocation last September at the Tsongas Center, Student Government Association President Andre DiFilippo offered some advice that鈥檚 as sage today as ever: Work hard. Get involved. Make the most of your college experience, because it will be over before you know it.聽
But there was another message woven into DiFilippo鈥檚 four-minute address, one tailored specifically for students of his generation: Be mindful of your mental well-being when things get tough, and be sure to watch out for others, too.
鈥淢ental health is one of the biggest silent killers of our generation, and we cannot let it continue,鈥 DiFilippo said, adding that it鈥檚 natural for students to ignore their problems or feel too ashamed to get help. 鈥淔rom one student to another, let me be the one to tell you that there are countless people at 51视频鈥攕tudents, faculty and staff alike鈥攚ho care and are here to support you.鈥
DiFilippo, a senior business administration major from Saugus, had done his homework on the topic. A year earlier, as chair of the student government鈥檚 academic affairs committee, he helped survey nearly 1,400 UML students on their college experience. DiFilippo analyzed the data and was surprised to see how many students were concerned about mental health issues, especially anxiety and depression. A common complaint was the wait time for a counseling appointment at the Wellness Center, which鈥攍ike so many college clinics across the country鈥攚as facing an appointment backlog as it tried to keep pace with surging demand.
DiFilippo presented the survey findings to Chancellor Jacquie Moloney and her executive cabinet in January 2018, and their response was immediate. 鈥淲e have to change this. It will get done,鈥 DiFilippo recalls them saying. 鈥淚t was awesome how they embraced it.鈥
鈥淭he need for care is just huge, and we don鈥檛 expect it to go away,鈥 says UML鈥檚 Director of Counseling Services Deborah Edelman-Blank, a licensed clinical psychologist with more than 15 years of experience on college campuses across the country.
To meet this growing need, the university boosted the number of counseling clinicians from four to seven at the Wellness Center. 鈥淚t鈥檚 a big jump in terms of staffing and what we can offer,鈥 Edelman-Blank says. 鈥淚t鈥檚 not yet where I want us to be, but we鈥檙e up to a level where we can provide services that we couldn鈥檛 before, which is exciting.鈥
Those services include a new triage intake process to allow for same-day appointments. Now, students seeking help from Counseling Services for the first time can be seen right away for a half-hour screening. Depending on the severity of the concerns they present, students can either begin immediate treatment or be directed to individual or group therapy treatment.
鈥淪ometimes,鈥 Edelman-Blank says, 鈥渁ll they need is that same-day appointment. Just talking to someone can help them feel better.鈥
The university has also partnered with the , a nonprofit organization that helps colleges and universities assess and enhance their existing efforts around student mental health, substance abuse and suicide prevention鈥攕tarting with a web-based 鈥淗ealthy Minds鈥 survey that went out to 12,000 students in February.
While depression used to be the leading reason why college students sought help from university counseling centers, it was surpassed by anxiety about five years ago, according to research by Penn State鈥檚 Center for Collegiate Mental Health.
鈥淎nxiety is basically worrying about something that could happen, and depression is angst about something that has happened,鈥 says Edelman-Blank, who notes that there are three major types of anxiety: generalized anxiety disorder (worrying so much that it impairs your ability to function); social anxiety disorder (avoiding groups and constantly worrying about what other people think about you); and panic disorder (becoming so anxious that you have a major physical response).
鈥淚t feels like a lion is coming toward you. It physically feels that scary,鈥
Edelman-Blank says.
In a 2018 American College Health Association survey of 88,000 college students nationwide, two in five described being so depressed they 鈥渟truggled to function,鈥 while three in five felt 鈥渙verwhelming anxiety鈥 during the previous year. Most alarmingly, 12 percent of students said they seriously considered suicide within the past year.
The numbers are tough to look at, but the suicide rate for people aged 10-19 increased by 56 percent between 2007 and 2016, according to the Centers for Disease Control and Prevention.
In 2011, for the first time in three decades, suicide surpassed homicide as the second-leading cause of death for teenagers (after unintentional injury such as car crashes).
鈥淚n the past, the rates of mental illness have been relatively stable,鈥 says Prof. Steve Balsis, who joined the聽Psychology聽Department last fall after previously serving as director of clinical training at Texas A&M. 鈥淪uicide, in particular, has been remarkably stable over time. To see those numbers change in a relatively dramatic way is scary. There鈥檚 really something happening here, and it鈥檚 happening in a way that鈥檚 being felt by a lot of people.鈥
鈥淪tress and anxiety themselves are healthy emotions that everybody experiences. We don鈥檛 expect people to have stress-free or anxiety-free lives,鈥 Edelman-Blank says. 鈥淗ealthy people get depressed and grieve. They have anxiety and may occasionally have a panic attack. But when you鈥檙e stressed or anxious to the point where you can鈥檛 function, can鈥檛 sleep, can鈥檛 eat, where you can鈥檛 go out with someone just to say hello, or you鈥檙e crying all the time, or you鈥檙e cutting yourself, that鈥檚 not just stress or anxiety from college. That鈥檚 disorder behavior.鈥
Zoom out for a moment. Today鈥檚 college students belong to Generation Z (or the iGen), born between the mid-1990s and mid-2000s. They came into the world right around 9/11. The global war on terror has always been a fact of life (some of them have signed up to fight it). Following the horrors of Columbine, Virginia Tech, Sandy Hook and Parkland, they learned how to barricade their classroom doors during active shooter drills. They may have been too young to understand the Great Recession, climate change or the opioid crisis, but their parents and teachers sure sounded concerned. And politically, they鈥檙e coming of age in a country that feels more polarized than ever.
鈥淲e grew up in world that completely changed right before our eyes,鈥 says Abby Colangelo, a senior Honors College student from West Boylston, Mass., majoring in聽exercise physiology and minoring in聽psychology. 鈥淎nd then you go to college and it鈥檚 a whole other change to adjust to.鈥
Colangelo didn鈥檛 adjust well. As a freshman, she was 鈥渁n anxious mess,鈥 she says. She started having panic attacks that made it difficult to go to class, let alone take a test. Her doctor eventually diagnosed her with an anxiety disorder. 鈥淚t took me a long time to figure out what was happening, but I was able to turn it around,鈥 Colangelo says. Thanks to her diagnosis, she received testing accommodations from Disability Services. 鈥淭hey were really good about helping me find a place where I was comfortable taking tests,鈥 she says. 鈥淒isability Services was my saving grace.鈥
罢丑谤辞耻驳丑听Counseling Services, Colangelo also connected with a social anxiety therapy group. 鈥淵ou walk around campus, and you feel like everyone around you is normal, that they don鈥檛 have issues,鈥 she says. 鈥淚t was really helpful to be in a room with people dealing with the same things.鈥
With that in mind, Counseling Services introduced several new group therapy options this spring, including a mindfulness and meditation group and a support group for international students, who face the added stressors of language and culture barriers in college.
鈥淚ndividual counseling is still our bread and butter, but our hope is to make group therapy a primary offering,鈥 says Edelman-Blank, who points out that one counseling clinician seeing 10 students at a time helps maximize resources. 鈥淎nd group sessions help in the context of addressing students鈥 isolation and loneliness, that lack of connection.鈥
But wait鈥攁ren鈥檛 students today more connected than ever? Thanks to smartphones and social media, don鈥檛 they have hundreds of friends and followers with whom they can interact anytime, anywhere?
鈥 When you鈥檙e stressed or anxious to the point where you can鈥檛 function, can鈥檛 sleep, can鈥檛 eat, where you can鈥檛 go out with someone just to say hello, or you鈥檙e crying all the time, or you鈥檙e cutting yourself, that鈥檚 not just stress or anxiety from college. That鈥檚 disorder behavior.鈥 -Deborah Edelman-Blank, UML鈥檚 director of counseling servicesPSYCHOTHERAPIST T.J. DINSMORE 鈥04 wishes that social media would have made a more gradual entrance into the world; that would have made it easier for parents, teachers and mental health professionals to understand and manage. Instead, it seemed to fall out of the sky around 15 years ago. Apple released the first iPhone in 2007, when most of today鈥檚 college students were in grade school, and a flurry of social media apps like Instagram and Snapchat soon followed. Experts agree it鈥檚 no coincidence that the rates of student anxiety and depression began to climb right around the same time.
Dinsmore, who earned a bachelor鈥檚 degree in psychology from UML and a master鈥檚 from Boston University, noticed the sudden change while interning at Worcester Polytechnic Institute鈥檚 student counseling center in 2011. 鈥淭hat was my first exposure to just how powerful social media platforms can be,鈥 he says. While students were mostly on Facebook and Twitter at the time, Dinsmore says he could already see the dark side of social media taking hold, such as FOMO (fear of missing out).
鈥淚 noticed students looking at what other people were doing and comparing themselves to these idealized projections鈥攖he cool trips on weekends, having the right clothes or cars, posing the right way at Starbucks鈥攁nd feeling like they鈥檙e not measuring up,鈥 he says. 鈥淭he trickle-down effect of that is that people can develop anxiety and depression symptoms. They start to see themselves negatively, and their self-esteem changes.鈥
Armed with the latest phones and social media apps, high school seniors today are less likely to hang out with friends, date and get their driver鈥檚 licenses, while they鈥檙e more likely to feel lonely and be sleep-deprived, according to the annual 鈥淢onitoring the Future鈥 survey, funded by the National Institute on Drug Abuse.
As a school psychologist at Wakefield Memorial High School, Rebecca Gordon 鈥14 deals with the fallout from social media every day. 鈥淎 lot of peer issues happen on social media overnight. Then the next day at school, so-and-so is really mad at so-and-so and talking about how awful they are,鈥 says Gordon, who double-majored in psychology and fine arts at UML. 鈥淭he problem with social media is that it oftentimes reinforces that negative behavior. It produces more anxiety or depressive feelings, or poor social skills.鈥
Balsis agrees.
鈥淭his influence of social media is what I think underlies this huge change in anxiety and depression in the last five to six years,鈥 he says, noting that studies show girls are hit especially hard by social media pressures. He worries how it will affect his own 8-year-old daughter someday. 鈥淪he doesn鈥檛 have a phone yet, and we鈥檙e going to resist that as long as possible,鈥 he says.
Alice Frye, an assistant teaching professor of psychology, points out that smartphones and social media have their benefits, and adds that students are becoming more aware of their downsides. But she also has a strict no-device rule in her classes. 鈥淔or most college-aged students, their brains are still developing. Their frontal lobes aren鈥檛 finished,鈥 Frye says. 鈥淪o the idea that they are spending so much time on social media interacting with something that isn鈥檛 actually a human being鈥攖hat鈥檚 worrisome.鈥
Unfortunately, the social media genie is out of the bottle (and probably has a million followers on Twitter). 鈥淭he best we can do is try to help people have a good relationship with it, kind of like with alcohol,鈥 says Dinsmore, who鈥檚 had his own practice in Londonderry, N.H., since 2015. He encourages patients to be mindful of how much time they鈥檙e spending on their devices.
鈥淲hen you are feeling that compulsion or impulse to pick up your phone, try to be aware of what was happening in your thoughts and emotions in the last half hour of your life,鈥 he says. 鈥淲hy were you feeling the need to pick up the phone and check Facebook or Instagram? A lot of times, if you really work with somebody and keep them on task with tracking this stuff, it鈥檚 usually because, 鈥榃ell, I was lonely. I was kind of bored. Or something happened earlier in the day that made me angry or anxious, and I was looking for a distraction.鈥 So it鈥檚 almost like this tool that thwarts the natural emotional awareness process. People use it to numb, almost like a substance.鈥
鈥 Students can鈥檛 learn from failures if every failure is treated like the end of the world.鈥 -Psychotherapist T.J. Dinsmore 鈥04FACULTY MEMBERS CAN SEE the pressure on the faces of students, who can often struggle with resilience. 鈥淪ome students are very, very hard on themselves,鈥 says Frye, who points out that college has traditionally been a time when young people are given license to make mistakes and learn from failures. 鈥淏ut they can鈥檛 learn from those failures if every failure is treated like the end of the world. So it鈥檚 important to help students struggling with anxiety and depression, so they can take full advantage of the developmental trajectory that they鈥檙e in at this stage. And it鈥檚 our responsibility as faculty to be alert to that in our students.鈥
To that end, about 50 faculty members from across the university gathered on North Campus on a gray Friday afternoon last November for a two-hour workshop on 鈥淗elping Students in Distress.鈥 Part of the Kennedy College of Sciences鈥 鈥淭eaching and Learning Lunch Series,鈥 the workshop was designed to help faculty members鈥攚ho are experts in fields like mechanical engineering, finance and art history, but have little training in mental health鈥攍earn more about the issues facing today鈥檚 students.
Kate Legee, the university鈥檚 associate director of student conduct and prevention of violence, shared tips on how to recognize student distress (inability to focus, lack of motivation, flat affect) and how to talk with them (express empathy, deal with resistance, support self-efficacy). Faculty members also learned more about STARs (Students at Risk), the university鈥檚 behavioral intervention program.
College athletes, who face the added pressures of competition and maintaining their academic eligibility, are not immune from the epidemic. In fact, the NCAA鈥檚 chief medical officer, Brian Hainline, has declared mental health to be the No. 1 issue in college athletics. In May, 51视频 hosted the America East Conference鈥檚 fourth annual Health and Safety Summit, which focused on mental health.
鈥淗aving social workers and psychologists in schools is great, but that鈥檚 the reactive end,鈥 says Uy, who notes that teaching candidates are being trained to take a more proactive approach, 鈥渃hecking in with students as part of their daily class routine.鈥
Uy, whose research focus is on teaching diverse populations, says some students are surprised to discover how much more there is to teaching than coming up with lesson plans. 鈥淪ometimes they think, 鈥楳y job is to teach math or history. What do I need to know about social emotional learning?鈥欌 Uy says. 鈥淏ut if a child is coming to you traumatized or emotionally unstable for any reason, they鈥檙e not ready to learn.鈥
FORTUNATELY, EXPERTS AGREE that anxiety and depression are both highly treatable. 鈥淭hey鈥檙e not things people have to plan to live with their whole lives,鈥 Edelman-Blank says.
And the stigma around mental health issues, which DiFilippo addressed head-on during his Convocation address, also seems to be waning. 鈥淭here is less of a stigma,鈥 Dinsmore says, 鈥渂ut there鈥檚 definitely still a ways to go until it is seen in a more normalized way, like a medical condition such as diabetes.鈥
While Colangelo initially worried what others on campus might think about her anxiety disorder, she came to realize that 鈥渆veryone has their stuff鈥 they鈥檙e dealing with. 鈥淚鈥檓 not ashamed of it at all,鈥 she says. 鈥淣ow it鈥檚 my thing. I deal with it.鈥
In fact, it even spurred her to pursue a $1,000 honors fellowship to help Assoc. Prof. Ashleigh Hillier research the experiences of college students with depression, anxiety and other emotional and intellectual disabilities. After collecting and analyzing data from almost 200 students for more than a year, Colangelo presented her findings this spring for her Honors thesis.
鈥淲e鈥檙e hoping to find out more about what predicts anxiety among our students, and figure out where the campus might be able to best provide supports,鈥 says Hillier, whose early findings show that students who feel less connected to campus, such as transfer students, report feeling higher levels of anxiety.
Colangelo, who will begin pursuing her master鈥檚 degree in exercise physiology at UML in the fall, is thankful she chose a school that provided her with the resources and opportunity to not only overcome her obstacles, but to thrive.
鈥淎s you grow up from freshman year to senior year, you realize everyone鈥檚 doing their own thing in college and has their own quirks,鈥 she says. 鈥淓specially at a school like 51视频, which is so big and so diverse, I feel it has such an accepting environment.鈥
