Talking Mental Health In College- Q & A with Richard Kadison, M.D. of Harvard University

Maria Pascucci, president of Campus Calm, had theCampus Calm: Whom do you see more of:
opportunity to talk with Richard Kadison, M.D., aboutoverachieving guys or girls? Is it true that women seek
why high schools and colleges are seeing a rise in thehelp more than young men? Why or why not?
number of stressed-out students battling mental healthKadison: In terms of more women seeking care, I think
problems. Kadison is the chief of the Mental Healthprobably that's because women are more tuned into
Service at Harvard University Health Services andtheir emotions. There's less stigma. I don't think the
author of College of the Overwhelmed: The Campusnumbers are different -- it's just that men aren't always
Mental Health Crisis and What to Do About It. Kadisonwise enough to come in to talk to some one about it.
has specialized in campus mental health and studentCampus Calm: How do you work to help students find
mental health treatment throughout his career.meaningful ways to base their identities beyond grades
Campus Calm: Why are college campuses seeing a& awards?
rise in the number of students with mental healthKadison: That's exactly the challenge. It's people figuring
issues?out who they are -- we all have faults, we all make
Kadison: There are lots of reasons we're seeing a risemistakes and we all do things we wish we hadn't
in the number of students with mental health issues.done. The key is really to get to know yourself, figure
We're seeing more students who get diagnosed without how to accept yourself and do the best that you
serious problems in high school and they're functioningcan. Getting students outwardly focused, again in
well enough to get to college. That's one group. I thinkbalance, so that they're engaged in their community.
there is the millennial group of students with what areThere's growing evidence that the more students are
described as helicopter parents who hover over them,doing something to help their community, like working
and basically make decisions for them. You know thewith high school kids, or volunteering somewhere, those
old metaphor about teaching people to fish instead ofstudents have much more satisfactory experiences in
getting them fish. I think there's a lot of handing out ofcollege than students who are completely
fish that goes on in high school. Kids are also beingself-focused. It's creating an environment where that's
shuttled from one activity to another, kind of buildingreally encouraged and rewarded.
their college resume and not having much down timeCampus Calm: Do you think that our current academic
and not really feeling passionate about things.culture allows kids to learn how to make mistakes and
Campus Calm: How big of a part does the lack offail safely?
sleep, eating right and exercising play in students beingKadison: Well, I think part of the process is really the
stressed out?education of the whole community. It's not just the
Kadison: The lack of sleep, I think, is a huge issue.students. We try to do outreach activities and provide
College students are sleeping an average of 6 1/2consultations to faculty, staff and residential staff. The
hours each night and they definitely experiencereality is though, if the culture in the lab is that the
symptoms of sleep deprivation, which screws up theirprofessor is in the lab until 3 a.m., and expects
immune systems, impairs their academic functioningeveryone else to be there until 3 a.m., that's not a
and makes them more susceptible to depression andhealthy message for students.
bipolar disorder.I think mental health advocacy groups are a good idea
Exercise is another huge issue. There's good evidencebecause students listen to other students more than
for milder forms of depression, four days of 30other professional adults. Having advocacy groups so
minutes of cardiovascular exercise works as well asstudents can hear that getting depressed in college is
antidepressant medication. A lot of students get busy,nothing to be ashamed of and it's very treatable if you
stop exercising and eating healthy, get morecome and talk to someone about it.
depressed, have more difficulty getting their workCampus Calm: Is an Ivy League education always the
done, then start stressing out and have more difficultybest way to reach success?
sleeping. They get into this vicious cycle.Kadison: I think that students can get a great education
Campus Calm: How much of a part doesat any school. There's students who come here to
perfectionism play in the lives of stressed-outHarvard and don't get a great education because it's a
students? How does Harvard's counseling center dealbad fit for them. Being around other bright people who
with academic perfectionism amongst students?are totally focused on their academics doesn't help
Kadison: That's certainly a big issue here and I wouldthem learn how to create any kind of balance in their
say, most elite schools. I talked to the directors of thelives. That leads to a disappointment.
other ivies. There are two major thrusts. I would sayCampus Calm: So many students see straight A's and
one is trying to create some balance in students' lives.other academic achievements as stepping stones that
They need to take care of themselves. Working all thewill lead them to a good college, which will lead them to
time is not the best way to live. Having conversationsa good graduate school, then to a good job and,
with them about excellence versus perfection andultimately, a happy life. Does our society put too much
working hard and trying to focus. But no one test, noemphasis on this one path to happiness and
one course, no one situation is going to make or breakprosperity?
your life. Lives take twists and turns that none of usKadison: As far as students seeing grades as
expect.stepping-stones, I think that's true. There's some reality
Number one: you need to learn how to be resilient.in there and it's also a problem. I think to some degree
Number two: learn some techniques and skills tothis is up to the college admissions folks, that leading a
manage stress because what you have in high schoolbalanced life and being engaged in your community is
and college isn't going to change once you get out intojust as important as being successful academically.
the real world.Doing other things that you feel passionate about.