Thrive

Evidence based holistic coaching and therapy to unearth what is standing in the way of discovering your best self.

College Mental Health

· ·

Social Media and Self-Esteem:

3 Ways to Improve the Way Social Media

Makes You Feel

By: Ella-Mei Matias, Cal Poly, San Luis Obispo undergraduate intern, supervised by Dr. Hannah Roberts

Social media seems to consume us nowadays. From mindlessly scrolling, to relaxation, or even when using with friends, it’s everywhere. While social media offers many positive aspects, like allowing us to express ourselves or nurture our connections with others, it has many negative side effects. Aside from being highly compelling, it appears to be contributing to low self-esteem – especially for adolescent users. Why does this seem to be the case?

The Problem

While scrolling through various apps, TikTok, Snapchat, Instagram, Pinterest, or otherwise, we can see into the lives of hundreds of other people. In this scrolling, we can be exposed to many stimuli which can have negative effects – friends hanging out without us, influencers with items we want, or people with traits we wish we possessed. 

The Comparison Aspect

Comparison is normal, and it helps us gauge our sense of self (Angela, 2021). For example, when playing a sport, you may compare your ability and skills to your teammates, or in class, you may compare your grades to others in order to assess your performance. While these comparisons help us understand ourselves better, social media leads to increasingly upward social comparison; we’re constantly shown the most positive aspects of others’ lives, and the best, edited versions of others. This form of comparison can negatively impact our self-esteem and can lead to lower mood, negative self-appraisals, and emotional problems. It can also lead to a need for social approval – via follows, likes, views, or comments. 

How to Use Social Media in a More Positive Way

It’s clear that social media can have some detrimental impacts on our mental health, but what can we do about it? It’s been shown that the way social media affects us is based on the way we interact with and approach social media. Essentially, the best way to use social media is by being mindful about how we use it and creating a positive online environment – and remember, you can always turn off your phone! Here are some ways that you can be more mindful of your social media:

Engage Mindfully

  • Check-in with yourself: when using social media, ask yourself some questions. Is what you’re seeing online true to how people really are in real life? Why do you feel validated by social media? Do you feel better or worse after using social media? While scrolling online, you can do regular check-ins – is what I’m seeing helping or harming me? (Jacobson, 2022).
  • Focus on the positives: social media can be used for many positive purposes. You create your social media environment! Engage in meaningful connections and weed out anything in your feed that makes you feel negative. 
  • Portray an authentic version of yourself: being true to yourself in the way you present yourself on social media can help you take it less seriously! Post for enjoyment, not because you believe it will get you likes.
  • Interact: it’s easy to mindlessly scroll and consume media, but this can unknowingly lead to feelings of disconnection or loneliness (Social Media, 2020). By interacting with media you are also more likely to be mindful about your social media usage.
  • Surround yourself with others who don’t use social media: after all, we tend to behave in similar ways to those we are close to!

Set Boundaries

  • Take social media breaks: sometimes a detox can help! This could be for any period of time that feels reasonable to you – 24 hours, or a week, you could even try taking a month off. Taking breaks from social media can help you realize how much you truly use it, and returning to social media after taking some time off can help you be more mindful about how you use it. During this time try and pick up some new hobbies!
  • Set boundaries: if you find yourself mindlessly consuming media, it can help to set rigid boundaries. This could include only going on an app for a certain amount of time in one sitting, turning your phone off or on airplane mode during certain times of the day, setting a time-limit for the day, or turning off notifications.

Focus on Real Life

  • Focus on your relationships: by prioritizing your relationships, and having a strong support system, you can decrease the ways that social media impacts your self-esteem. Focusing on the people you see face-to-face can help you to create a strong sense of self, supported by the people who know you best. It can also help decrease the likelihood of having problematic social media use. 
  • Focus on your sense of self: by focusing on who you are without social media, you are able to create realistic and more genuine forms of self-esteem and ways of viewing yourself. When you confidently know who you are, you are less likely to be harmed by negative perceptions on social media (Akdag, 2024).
  • Realize it’s not real: social media only presents the most positive aspects of one’s life and is unrealistic – you won’t always look the same as someone who can review and edit photos or videos and people will usually only post images of themselves at their best (which isn’t realistic).
  • Practice gratitude: take some time to be grateful for what you do have! It can be easy to focus on what we don’t have when we are constantly shown idealistic online presentations, but taking time to reflect on what you already have is important (Mindful Social Media).

Feel like you’re struggling with your social media or ready to start therapy in California today? Schedule a session with one of our therapists! You can schedule online here!

We hope you enjoyed this blog post! Have more topics you’d like us to blog about? Contact us and we’ll be sure to include your topic in a future post.

References

Acar, I. H., Avcilar, G., Yazici, G., & Bostanci, S. (2022). The roles of adolescents’ emotional problems and social media addiction on their self-esteem. Current Psychology, 41(10), 6838+. http://dx.doi.org.calpoly.idm.oclc.org/10.1007/s12144-020-01174-5

Akdag, B., & Unsal, C. (2024). The Mediating Role of Self-Esteem Bettveen Meaning in Life and Social Media Addiction. ADDICTA: The Turkish Journal on Addictions, 11(1), 99+. http://dx.doi.org.calpoly.idm.oclc.org/10.5152/ADDICTA.2024.23126

Angela. (2021, February 27). Why Do We Compare Ourselves to Others – Mind, Body and Soul. Mind, Body and Soul. https://wp.nyu.edu/mind/2021/02/27/why-do-we-compare-ourselves-to-others/#:~:text=Comparisons%20allow%20us%20to%20form

Bergman, M. (2024, January 10). Social media’s effects on self-esteem | social media victims law center. Social Media Victim’s Law Center. https://socialmediavictims.org/mental-health/self-esteem/

Hatun, O., & Kurtca, T. T. (2023). Examining the Relationship Between Social Support and Social Media Addiction: Role of Self-Esteem. ADDICTA: The Turkish Journal on Addictions, 10(2), 142+. http://dx.doi.org.calpoly.idm.oclc.org/10.5152/ADDICTA.2023.23033

Jacobson, R. (2022, September 2). Social Media and Self-Doubt. Child Mind Institute. https://childmind.org/article/social-media-and-self-doubt/

Mindful Social Media Use. (n.d.). Care-Clinics.com. Retrieved June 29, 2024, from https://care-clinics.com/mindful-social-media-use/#:~:text=Unfollow%20or%20mute%20accounts%20thatSocial Media: 6 Tips for Mindfulness. (2020, February 5). PrairieCare. https://prairie-care.com/resources/type/blog/social-media-6-tips-for-mindfulness/

· ·

Why Your True Crime Obsession

Is Bad For Your Anxiety

by Gavin Hannegan, Cal Poly, San Luis Obispo undergraduate intern, supervised by Dr. Hannah Roberts

Getting scared can feel thrilling and cathartic. Forms of entertainment, like horror movies, are entirely dedicated to instilling these feelings in people. While we can recognize that the monster on the TV screen is not real, the same can’t be said for true crime. There’s an additional layer of fear knowing that these unsolved mysteries or gruesome acts are real-life events. And with podcasts like “Your Own Backyard”, about events that happened in San Luis Obispo County, these stories may feel personally relevant. These aspects are what make the true crime genre distinctly engaging, but they also contribute to some unique health concerns. It’s not the same as watching a scary movie and feeling too scared to fall asleep; with true crime, there are resulting anxieties that persist throughout the day. Read on to understand why you should consider moderating the amount of time spent on true crime.

True Crime Can Make You Feel Vulnerable and Unprotected

We all have a need to feel safe in our environment, but true crime reminds us that safety is not always guaranteed. These cases present the world as a threatening place. International college students report that crime-related media invokes both a general fear of crime and the fear that they may be a victim of a future crime themselves (Shi, 2018). As a result of these fears, our brain responds as if it were dealing with an active threat. College students who frequently interact with crime-based media may modify their behavior in order to protect themselves, whether through spending less time outdoors or carrying a weapon on them. Because women are more often depicted as the victims in crime-related media, women may be more likely to exhibit these behaviors (Custers et al., 2017). Although true crime stories are meant to be unsettling, their use becomes problematic when it impairs our day-to-day functioning.

The More Crime Media We’re Exposed To, the More Fear We Experience

True crime media is easy to consume. There are many different ways to interact with true crime, whether through TV shows, documentaries, or news articles. Podcasts in particular are a popular choice because of their accessibility; you can listen to these stories on your way to school, when you’re working out, or while you’re completing household chores. True crime also encourages consumption. Each series typically provides a deep dive on one specific case. World-building occurs through the extensive details and narratives of each case, which can hook you into the story. Cliffhangers leave you anticipating the next episode. And because these stories are real, we’re more likely to be invested in them (Custers et al., 2017). 

But this extended engagement is when we begin to see the most significant increases in anxiety. In general, there is a strong positive correlation between media consumption and the fear of crime amongst young adults (Intravia et al., 2017). A similar effect was observed during the height of the COVID-19 pandemic; in this sample, those who consumed COVID-19 related media for 7 times a day not only were more scared of the pandemic, but they also were at greater risk of experiencing symptoms of anxiety and depression (Bendau et al., 2021). Rather than being “sensitized” to such content, the opposite effect occurs: we feel more vulnerable to real threats such as COVID-19 or crime the more time we spend with this type of media. True crime is designed to keep you tuning in to the story, and it becomes easy to fall down the rabbit hole of a true crime obsession. However, to prevent this form of entertainment from causing us harm, we need to be more conscious about how we interact with true crime.

How Can I Moderate My True Crime Exposure?

While an easy solution would be to cut off true crime entirely, the goal is to enjoy this type of media without experiencing strong anxieties. A good starting place is to think about why you engage with true crime media. Some of the most common reasons include entertainment, convenience, and boredom (Boling & Hull, 2018). When true crime is only used to mindlessly pass the time, that’s where the health risks can emerge. With boredom, there’s less of a conscious effort to regulate your media usage. As a result, consuming media out of boredom has made adolescents and emerging adults more prone to detrimental health outcomes ranging from negative moods to financial stress (Stockdale & Coyne, 2020). One reason that has been observed specifically in women is that true crime may provide tips for survival, including information about the criminal justice system and their risk of victimization (Boling & Hull, 2018). But as mentioned previously, constantly absorbing information that reminds you of your vulnerabilities will only exacerbate feelings of anxiety. 

If true crime has caused you any stress, prioritize the entertainment aspects and remove yourself from any connections with the stories. Another recommendation is to determine how much time you want to dedicate to true crime and when you want to listen to it. Start by pacing yourself at an episode per day to avoid overconsumption. Listen to true crime in the middle of the day while it’s bright out, rather than at night when you might feel more unprotected. Turn your true crime usage into a social activity by having a group of friends enjoy the stories with you. Feel free to bring up any concerns with true crime to your therapist so you can both develop personalized strategies for healthier listening. Take back control over your usage with true crime to get the most out of the experience!

Have more questions or feel like you need therapy? Schedule a session with one of our therapists today! You can schedule online here!

We hope you enjoyed this blog post! Have more topics you’d like us to blog about? Contact us and we’ll be sure to include your topic in a future post!

References

Bendau, A., Petzold, M. B., Pyrkosch, L., Maricic, L. M., Betzler, F., Rogoll, J., Große, J., Ströhle, A., & Plag, J. (2021). Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19 related fear in the general population in Germany. European Archives of Psychiatry and Clinical Neuroscience, 271, 283-291. https://doi.org/10.1007/s00406-020-01171-6

Boling, K. S. & Hull, K. (2018). Undisclosed information–Serial is My Favorite Murder: Examining motivations in the true crime podcast audience. Journal of Radio & Audio Media, 25(1), 92-108. https://doi.org/10.1080/19376529.2017.1370714

Custers, K., Hall, E. D., Smith, S. B., & McNallie, J. (2017). The indirect association between television exposure and self-protective behavior as a result of worry about crime: The moderating role of gender. Mass Communication and Society, 20, 637-662. https://doi.org/10.1080/15205436.2017.1317353

Intravia, J., Wolff, K. T., Paez, R., & Gibbs, B. R. (2017). Investigating the relationship between social media consumption and fear of crime: A partial analysis of mostly young adults. Computers in Human Behavior, 77, 158-168. http://dx.doi.org/10.1016/j.chb.2017.08.047

Shi, L. (2018). A neglected population: Media consumption, perceived risk, and fear of crime among international students. Journal of Interpersonal Violence, 36(5-6), 1-24. https://doi.org/10.1177/0886260518766428

Stockdale, L. A. & Coyne, S. M. (2020). Bored and online: Reasons for using social media, problematic social networking site use, and behavioral outcomes across the transition from adolescence to emerging adulthood. Journal of Adolescence, 79, 173-183. https://doi.org/10.1016/j.adolescence.2020.01.010

· ·

Nature Therapy

“Those who contemplate the beauty of the earth

find reserves of strength

that will endure as long as life lasts.”

— Rachel Carson

by Gavin Hannegan, Cal Poly, San Luis Obispo undergraduate intern, supervised by Dr. Hannah Roberts

In honor of Earth Day, we want to highlight one of the unique services we offer here at Thrive SLO: nature therapy. Is your home too distracting to hold a virtual therapy session? Do you feel most calm when you’re connecting with the trees and plants? Or maybe you haven’t gotten your steps in for the day. Nature therapy may be the perfect fit for you! Read on to learn more about the benefits of nature therapy and where to meet your therapist for your first outdoor session.

What is Nature Therapy?

If you’ve ever heard of the term “talk therapy,” nature therapy is essentially “walk and talk” therapy. Sometimes called eco-therapy or outdoor therapy, nature therapy allows you and your therapist to meet outside the walls of a typical office setting. You and your therapist will agree on a quiet, open space to meet, such as a park or a forest. Then, the two of you will spend the session working through any concerns you wish to discuss. Feel free to get up and stroll through the environment, or find a comfortable spot to take a breather. There are a number of ways to personalize your nature therapy experience to best suit your needs. Nature therapy can be used alongside a variety of evidence-based practices such as CBT and Gestalt therapy (Cooley et al., 2020). If you’re interested in being more involved with the environment, you may also want to look into horticultural therapy or wilderness therapy. Through nature therapy, you can work towards self-awareness while getting some fresh air and movement.

Why Nature Therapy?

Being in nature can help soothe the body and mind. One study found that undergraduate college students reported lower levels of stress and higher measures of well-being when they engaged in outdoor physical activity, including walking and hiking. By actively interacting with nature, college students can relieve themselves of the stress that they may experience as a result of their day-to-day responsibilities and commitments (Holt et al., 2019). Similarly, spending even just 30 minutes on “green” activities such as gardening or creating art from natural materials can help reduce symptoms of depression or anxiety and protect against future mental health concerns (Coventry et al., 2021). Nature provides a readily accessible form of self-care.

Nature therapy takes the calming effects of nature and combines it with the empowering qualities of therapy. Compared to a control group, those who participated in a walk and talk therapy intervention reported nearly twice as many positive outcomes, ranging from higher job satisfaction to lower rates of burnout (van den Berg & Beute, 2021). The natural environment can help separate yourself from the confines of your work environment. A distinct advantage of nature therapy is its ability to establish a more equitable relationship between therapists and clients. Rather than taking place in the therapist’s office, which may feel intimidating to new clients, both the therapist and the client work together to find an outdoor space for themselves (Cooley et al., 2020). Choosing a location not only fosters healthy communication between you and your therapist, but it’s also an opportunity to bond before you even meet in-person. The therapeutic relationship works best when both parties feel comfortable; spending time outdoors can help you better establish that comfort with your therapist.

Where Can I Meet My Therapist for a Nature Therapy Session?

San Luis Obispo is home to some beautiful outdoor areas that are ideal for a nature therapy session. Montaña de Oro has several great hiking trails to choose from, or you can sit right at the coastline and enjoy the sounds of the ocean. Morro Rock and Avila are some other notable locations to meet up for a beach walk. The Monarch Butterfly Grove in Pismo can feel lively when all of the monarch butterflies migrate to the tall trees during the winter season. The Bob Jones Trail and Meadow Park are great choices if you’re looking for a light walk on a paved trail, or if you want to ease your way into nature therapy. If your therapy sessions are virtual, remember that you can always sit outside for your therapy session or take your therapist along for a walk. Still not sure which place to visit? Reach out to one of our therapists for their recommendations. We can’t wait for you to enhance your therapy experience through the healing properties of nature.

Have more questions or feel like you need supportive therapy? Schedule a session with one of our therapists today! You can schedule online here!

We hope you enjoyed this blog post! Have more topics you’d like us to blog about? Contact us and we’ll be sure to include your topic in a future post!

References

Cooley, S. J., Jones, C. R., Kurtz, A., & Robertson, N. (2020). ‘Into the Wild’: A meta-synthesis of talking therapy in natural outdoor spaces. Clinical Psychology Review, 77, 1-14. https://doi.org/10.1016/j.cpr.2020.101841

Coventry, P. A., Brown, J. V. E., Pervin, J., Brabyn, S., Pateman, R., Breedvelt, J., Gilbody, S., Stancliffe, R., McEachan, R., & White, P. C. L. (2021). Nature-based outdoor activities for mental and physical health: Systematic review and meta-analysis. SSM – Population Health, 16, 1-14. https://doi.org/10.1016/j.ssmph.2021.100934

Holt, E. W., Lombard, Q. K., Best, N., Smiley-Smith, S., & Quinn, J. E. (2019). Active and passive use of green space, health, and well-being amongst university students. International Journal of Environmental Research and Public Health, 16(3). https://doi.org/10.3390/ijerph16030424

van den Berg, A. E. & Beute, F. (2021). Walk it off! The effectiveness of walk and talk coaching in nature for individuals with burnout- and stress-related complaints. Journal of Environmental Psychology, 76, 1-11. https://doi.org/10.1016/j.jenvp.2021.101641

· ·

Think You Want to Become a Therapist?

Go to Therapy!

“Understanding why people suffer,

how they change, and how to help them live satisfying lives

is a fascinating and important undertaking.”

~John & Rita Sommers-Flanagan

by Gavin Hannegan, Cal Poly, San Luis Obispo undergraduate intern, supervised by Dr. Hannah Roberts

How can you tell if being a therapist is the right career path for you? Maybe you know that you want to help others through therapy. You might want to work with a specific population, or specialize in certain topics. Or maybe you’re interested in learning more about the vast diversity of mental health. Although these interests are great, they may not provide a full picture of all that therapists do. And Google searching may only give you half the story. If you’re thinking about becoming a therapist, one of the best resources to help you decide is to experience therapy for yourself. Therapy for future therapists can be a guiding force–even for your career! Here are some ways that therapy can equip you for your future endeavors into this helping profession.

The Skills You Learn Will Be Shared With Your Own Clients

Consider your own personal development throughout therapy. If you feel like you have made powerful strides towards becoming your better self, that is a good indicator that you can leave a positive impact on your future clients. Because each client has their own unique background, your clients may not respond to your self-care strategies in exactly the same ways. But there are some core components of personal development that both therapists and clients can help foster. 

Take empathy, for instance. Empathy is a skill that can be strengthened in people over time just by having practice with identifying and responding to the emotions of others (van Berkhout & Malouff, 2015). Therapy for future therapists is an ideal place to develop these skills, whether you’re the client or the therapist. In this safe space, clients can talk about their relationship problems and learn where the emotions of a friend, partner, or family member may be coming from. Throughout their practice, therapists gain multicultural competence and learn how to connect with clients that may seem completely different from them. By practicing empathy yourself, you can become a model of empathy for others.

Another valuable skill is self-reflection. A quick check-in with yourself can go a long way. In one study, CBT trainees reported that engaging in self-reflective practices, such as writing about one’s experiences, improved their ability to function not only in their personal lives, but also in their clinical programs (Chigwedere et al., 2021). Self-reflective questions may look something like this:

  • “How has this new self-care strategy been working for me?”
  • “What are some ways I can help this client feel more comfortable during our sessions?”
  • “How can I hold more empathy towards this person in my life?”

Self-reflection allows you to be more present towards the people that you care about, including yourself. And like with empathy, this is a skill that is important for both clients and therapists. Set some time throughout your day to complete some of these check-ins and gain experience with self-reflection. If you do decide to become a therapist, you can use your own experiences to help develop self-reflective practices with your clients. We are constantly learning from others, so there’s no need to keep these skills a secret.

You Gain Direct Insight Into the Day-to-Day Life of a Therapist

Beyond just working with clients, consider what the working environment is like for a therapist. For those who attend therapy through a private practice, ask yourself if this is a setting that you would feel comfortable working at full- or part-time. Do you also feel comfortable meeting in-person or online? Also, think about the types of therapy techniques that you’ve been exposed to (CBT, mindfulness-based interventions, etc.) and whether there’s any particular one that you would feel confident practicing with clients. All of these questions may seem overwhelming at first, but the more therapy sessions you have, the more experience you’ll have to help you address these questions. Even if you’ve never worked in the field of mental health, you’ll still gain some familiarity with the environment. You may also need to consider aspects of the job that you may not directly see, such as taking session notes or promoting your practice. Additionally, you may be used to only one hour a week with your therapist, but keep in mind that therapists have to meet with multiple clients throughout the week. 

If you still have questions about what being a therapist is like, you could ask your therapist, but do so sparingly. Although the focus of your therapy is on you, it’s common to want to know more about your therapist. Some clients feel more comfortable in the therapeutic relationship when their therapists allow their clients to feel curious or ask questions about them (González et al., 2022). Your therapist is a resource, and they want to support you. Just be aware that your therapist may not answer every question you have, or answer them as directly as someone like a career counselor would. Another option is to ask your therapist to connect you with someone who would be more willing to answer questions about the field.

Yes, Even Therapists Go to Therapy!

Our therapists are sometimes made out to be all-knowing beings that have the answers to every question. Or that they’re free from any sort of mental health concern because they are a therapist. But therapists, just like everyone else, can grow and develop into better versions of themselves. Hearing from your therapist directly that they also benefit from therapy can help you feel more comfortable with your therapist and may even reduce your own mental health symptoms (Levitt et al., 2015). Therapy needs to be demystified, and this transparency is one of the key ways that this can be achieved. This can be incredibly validating for clients and, over time, it reduces the stigma against mental health treatment.

Along with their personal lives, therapists also strive to become better at their jobs. Outside of a session, therapists may use “deliberate practice” to develop personalized strategies to hone their interpersonal skills. One study described the various forms that deliberate practice can take, which included:

  • Basic skill development such as listening and challenging clients
  • Relationship-based work such as establishing authenticity, and
  • Self-care exercises such as learning how to say no (McLeod, 2021).

It is unrealistic (and too stressful!) to aim for perfection while attending therapy. The same goes for therapists: you don’t need to be perfect to be a strong support system for your clients. 

Each session you have with a therapist gives you more insight into what therapy is like and how to be an effective therapist. Your growth throughout your own therapy sessions can inspire your current and future clients, whether you’re just beginning your career or have been a therapist for decades. By healing yourself, you can heal those around you. Best of luck as you explore this rewarding field!

Have more questions or feel like you need supportive therapy? Schedule a session with one of our therapists today! You can schedule online here!

We hope you enjoyed this blog post! Have more topics you’d like us to blog about? Contact us and we’ll be sure to include your topic in a future post!

References

Chigwedere, C., Bennett-Levy, J., Fitzmaurice, B., & Donohoe, G. (2020). Personal practice in counselling and CBT trainees: The self-perceived impact of personal therapy and self-practice/self-reflection on personal and professional development. Cognitive Behaviour Therapy, 50(5), 422-438. https://doi.org/10.1080/16506073.2020.1846608

González, J. M., Pérez-Rojas, A. E., Darby, M. E., & Marks, E. C. (2022). “Where have you been in this world?” A qualitative study of clients’ curiosity about their psychotherapists. Psychotherapy, 59(4), 572-583. https://doi.org/10.1037/pst0000451

Levitt, H. M., Minami, T., Greenspan, S. B., Puckett, J. A., Henretty, J. R., Reich, C. M., & Berman, J. S. (2015). How therapist self-disclosure relates to alliance and outcomes: A naturalistic study. Counseling Psychology Quarterly, 29(1), 7-28. https://doi.org/10.1080/09515070.2015.1090396

McLeod, J. (2021). How students use deliberate practice during the first stage of counsellor training. Counselling and Psychotherapy Research, 22(1), 207-218. https://doi.org/10.1002/capr.12397

van Berkhout, E. T. & Malouff, J. M. (2015). The efficacy of empathy training: A meta-analysis of randomized controlled trials. Journal of Counseling Psychology, 63(1), 32-41. https://doi.org/10.1037/cou0000093

· ·

Why Therapy Is Important for College Students

“Anything that’s human is mentionable, and anything that is mentionable can be more manageable.

When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary.”

~Fred Rogers

by Gavin Hannegan, Cal Poly, San Luis Obispo undergraduate intern, supervised by Dr. Hannah Roberts

College life is exhilarating! You’re able to explore your passions and fine-tune what you want your career to look like. It’s a chance for new connections, new experiences, and newfound freedom. Sometimes, all of these new opportunities can feel overwhelming. They may create struggles or exacerbate those that were already present. Juggling everything that college life has to offer can be challenging, but you can always ask for help when you need it! Therapy can be a great resource to help you navigate this chapter of your life. For those who might be unfamiliar with therapy for college students, we wanted to address a few common concerns about therapy to help you feel more comfortable.

Why Would I Need Therapy?

The responsibilities of a college student can feel demanding. On top of academic obligations, you also may have to adjust to living away from home and paying for your own needs. Each of these factors have been linked to increases in depression, anxiety, and stress among college students. Certain types of college students are more likely to experience these increases, such as juniors who are not provided with as much school-based support as first-years or seniors (Beiter et al., 2015). Current students also had to transition from high school to college during the COVID-19 pandemic, a time period that substantially worsened students’ mental health concerns (Lee et al., 2021). Having such high levels of stress or anxiety can impair your ability to fulfill your duties as a college student. One study found that students with ongoing mental health problems saw a decrease in their GPA compared to those without these problems (Bruffaerts et al., 2018). When left untreated, mental health concerns can amplify the already stressful roles that college students have to fulfill. Therapy can provide you with tools to manage these responsibilities, while also offering self-care strategies to address the stress in life. For those of you who feel like they don’t need therapy yet, consider that therapy can also be a way to help you prepare against future stressful events.

Does therapy really work?

Yes, but it depends on the type of therapy you’re participating in and the strength of your relationship with your therapist. When thinking about scheduling an appointment with a new therapist, it is important to make sure that their practices are evidence-based. Examples of evidence-based therapy for college students at Thrive San Luis Obispo include:

  • Interpersonal Therapy
  • Dialectical Behavior Therapy (DBT)
  • Gestalt Therapy
  • Cognitive Behavioral Therapy (CBT)
  • Mindfulness-Based Interventions
  • Behavioral Activation

Therapies that are supported through research tend to be more reliable than other types of clinical treatment. When participating in these treatments, many college students experience at least moderate reductions in symptoms of trauma, depression, or anxiety (Huang et al., 2018; McIndoo et al., 2016). Each of the Thrive SLO Therapists gives you a sense of the types of treatment they use on their profile in the Meet Us section. You can also email or talk to a therapist directly if you’re still unsure.

Successful therapy also requires active participation from both you and the therapist. This means that a therapist won’t necessarily tell you what to do, but will rather work with you to develop strategies that best fit your individual needs and level of comfort. Forming this relationship may take some time, and your ideal relationship may not be with the first therapist you meet with. Once this relationship is established, your therapist can help you feel satisfied with your treatment (McIndoo et al., 2016). Instead of asking, “What’s wrong with me?”, therapy often helps you answer the question of “How can I become my best self?”

I’m Nervous About Starting Therapy

That’s okay! You are not alone in your feelings. If you have some reservations about seeing a therapist, it could be helpful to reflect on where these feelings are coming from. Globally, college students underutilize forms of mental health treatment, with one study reporting that nearly 75% of college students would not use these resources even if they were experiencing clinical symptoms of depression or anxiety. Some of the most common reasons for not wanting to go to therapy include the desire to fix problems on one’s own and feeling embarrassed about therapy (Ebert et al., 2019). The stigma surrounding therapy for college students can feel intimidating, but know that you are still deserving of this care. You can address these feelings in the following ways:

  • Take a screening test to more accurately identify the next steps towards treatment.
  • Feel free to keep your relationship with therapy private for as long as you need.
  • Be honest with your therapist about your fears regarding therapy.

Allow yourself to feel what you need to feel at first. Know that your therapist is here to help you, and here at Thrive SLO, we specialize in working with college students. All of our therapists they have worked with hundreds of other college students who have experienced similar concerns. These nerves are healthy. Even considering therapy shows that you care about your well-being. Therapy doesn’t define your college experience; it helps you enjoy it.

Have more questions or feel like you need supportive therapy as a college or university student? Schedule a session with one of our therapists today! You can schedule online here!

We hope you enjoyed this blog post! Have more topics you’d like us to blog about? Contact us and we’ll be sure to include your topic in a future post!

References

Beiter, R., Nash, R., McCrady, M., Rhoades, D., Linscomb, M., Clarahan, M., & Sammut, S. (2015). The prevalence and correlates of depression, anxiety, and stress in a sample of college students. Journal of Affective Disorders, 173, 90-96. http://dx.doi.org/10.1016/j.jad.2014.10.054

Bruffaerts, R., Mortier, P., Kiekens, G., Auerback, R. P., Cuijpers, P., Demyttenaere, K., Green, J. G., Nock, M. K., & Kessler, R. C. (2018). Mental health problems in college freshmen: Prevalence and academic functioning. Journal of Affective Disorders, 225, 97-103. http://dx.doi.org/10.1016/j.jad.2017.07.044

Ebert, D. D., Mortier, P., Kaehlke, F., Bruffaerts, R., Baumeister, H., Auerback, R. P., Alonso, J., Vilagut, G., Martínez, K. U., Lochner, C., Cuijpers, P., Kuechler, A. M., Green, J., Hasking, P., Lapsley, C., Sampson, N. A., & Kessler, R. C. (2019). Barriers of mental health treatment utilization among first-year college students: First cross-national results from the WHO World Mental Health International College Student Initiative. International Journal of Methods in Psychiatric Research, 28(2), 1-14. https://doi.org/10.1002/mpr.1782

Huang, J., Nigatu, Y. T., Smail-Crevier, R., Zhang, X., & Wang, J. (2018). Interventions for common mental health problems among university and college students: A systematic review and meta-analysis of randomized controlled trials. Journal of Psychiatric Research, 107, 1-10. https://doi.org/10.1016/j.jpsychires.2018.09.018

Lee, J., Jeong, H. J., & Kim, S. (2021). Stress, anxiety, and depression among undergraduate students during the COVID-19 pandemic and their use of mental health services. Innovative Higher Education, 46, 519-538. https://doi.org/10.1007/s10755-021-09552-y

McIndoo, C. C., File, A. A., Preddy, T., Clark, C. G., Hopko, D. R. (2016). Mindfulness-based therapy and behavioral activation: A randomized controlled trial with depressed college students. Behaviour Research and Therapy, 77, 118-128. http://dx.doi.org/10.1016/j.brat.2015.12.012

"My mission in life is not merely to survive, but to thrive; and to do so with some passion, some compassion, some humor, and some style."
~Maya Angelou