Body · Mental health basics
Using campus counseling
Most colleges have a counseling center for students, and at many schools it's free or already covered by your fees. What you say is confidential, with a few safety exceptions. You usually start with a short first appointment to sort out what kind of help fits, and many centers also offer quick drop-in chats, groups and same-day crisis help. You don't need a crisis to go.
What to know
- Find it. Search your school's site for "counseling center" or ask your RA or student health. A school health or counseling center is one of NIMH's suggested places to look for help. Source: NIMH
- Know you don't need a crisis. Common reasons students go include stress, low motivation, breakups, roommate or family problems, homesickness, sleep trouble, substance use, grief, loneliness and sexual assault or harassment. Source: University of Washington
- Book the first appointment online, by phone or in person. At the University of Maryland, for example, it's a roughly 30-minute brief assessment to talk about your needs and options. Source: University of Maryland At UMass Amherst it's a 45-minute consultation, and most students get one within one to two weeks. Source: UMass Amherst
- Expect paperwork first: consent forms, an intake form and short questionnaires about symptoms. Source: University of WashingtonUniversity of Maryland
- At the end, the counselor recommends next steps: individual sessions, a group, a referral, or psychiatric care for medication questions. Source: University of MarylandUMass Amherst
- Need to talk sooner? Many schools have quick options. UMass's Let's Talk is a free 15-minute Zoom check-in, same day or next day. Source: UMass Amherst UW offers drop-in Let's Talk sessions too. Source: University of Washington
- In a crisis, tell the front desk you need to be seen today. UMD, for example, offers same-day urgent visits and phone crisis help after hours. Source: University of Maryland For a life-threatening emergency, call 911 or go to the nearest ER. Source: University of Maryland
If it doesn't work
- Need longer-term or weekly therapy? Many centers use a short-term model and will help you find a community provider for ongoing care. Source: UMass Amherst See Finding a therapist you can afford.
- No openings showing online? Call anyway. At UMass, about half of first appointments open the same morning. Source: UMass Amherst
- Worried about cost? At UMD, services are free to registered students. Source: University of Maryland At UW, what insurance doesn't cover is billed to the student activity fee, so students owe $0. Source: University of Washington Ask your center what you'd pay.
- Want a counselor who shares your background? Some centers have options. UMD runs weekday drop-in hours for international students, students of color, LGBTQ+ students and military-connected students. Source: University of Maryland
- Thinking about suicide or in distress after hours? Call or text 988 any time. Source: NIMH
Good to know
What to say when you call
"Hi, I'm a student and I'd like to set up a first appointment. I've been having a hard time with sleep and stress for a few weeks." That's enough. You don't have to explain everything on the phone.
If it doesn't click
Treatment works best when the relationship works. Talk with your counselor about it or ask for someone else. Source: NIMH
On medication?
Don't stop it without talking to your provider. Source: NIMH
Sources
- National Institute of Mental Health Help for mental illnesses
- University of Maryland Counseling Center Get started
- University of Washington Counseling Center What to expect
- UMass Amherst Center for Counseling and Psychological Health Getting started
Lesson B7.3 · Last checked October 2, 2026 against the sources listed.
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