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Writer's pictureAnna Greenslade

Coping with Student Stress and Anxiety in University: Tips from a CBT Therapist

University life can be exciting and challenging at the same time. With all the new experiences, academic pressures, and social demands, it’s easy to feel overwhelmed and stressed. As a CBT therapist specializing in university students, I understand the importance of coping strategies to manage stress and anxiety effectively. Here are some tips that can help you cope with stress and anxiety in university.


Identify Your Triggers

Stress and anxiety can be triggered by different things for different people. It could be academic pressure, social situations, financial issues, or personal relationships. By identifying your triggers, you can learn to anticipate and manage your reactions to them. Keep a journal or a note on your phone and write down situations or events that trigger your stress and anxiety. This will help you understand your patterns and develop coping strategies.


Challenging Your Negative Thoughts

CBT focuses on the relationship between our thoughts, feelings, and behaviors. Negative thoughts can trigger anxiety and stress. Learn to identify negative thoughts and challenge them by asking yourself if they are realistic, helpful, or accurate. Replace negative thoughts with more realistic and positive ones. For example, instead of “I can never do well in exams,” and "I'm a failure" - replace it with “I can study smarter and learn effective strategies to do well.” Challenging negative beliefs about being a failure at university can be a difficult process, but it is essential for managing anxiety and building self-confidence. One effective way to challenge these thoughts is to gather evidence that contradicts them. Ask yourself: have there been times when you've succeeded in a similar situation? What are the positives of the situation you're in? Reframing your thoughts and finding evidence of success can help you feel more optimistic and motivated. Additionally, it's important to set realistic goals for yourself and celebrate your progress towards achieving them, rather than fixating on perceived failures. Remember, setbacks are a natural part of the learning process and don't define your worth or intelligence. Finally, seeking support from peers, friends, or a mental health professional can also be beneficial in working through these negative beliefs.


Increasing Positive Behaviours

Behavioural Activation (BA) is an evidence-based therapy approach often used in CBT to treat depression and other mood disorders. BA focuses on identifying and changing negative patterns of behaviour that can lead to reduced motivation and disengagement from activities, which can worsen mood symptoms. In other words, instead of waiting to feel better before engaging in activities, BA encourages individuals to engage in activities first, which can lead to improved mood and motivation. In a university context, a student may feel overwhelmed with academic and social demands, leading to reduced motivation to participate in activities and engage with others. A therapist using BA may work with the student to identify activities they previously enjoyed or that align with their values, and help them schedule time for these activities, even if they initially feel reluctant or unmotivated. By engaging in activities, the student may experience a sense of accomplishment and improved mood, which can help break the cycle of avoidance and increase their motivation to continue engaging in positive behaviours.




Take Care of Your Physical Health

Physical health plays a crucial role in managing stress and anxiety. Exercise regularly, eat a healthy and balanced diet, and get enough sleep. Research shows that regular exercise and healthy eating can improve mood and cognitive function, and sleep helps the brain consolidate information and process emotions. Make physical health a priority, and you’ll notice a positive difference in your mental health.


Routine and Balance of Relax Time, Social Time, and Study Time

Creating a routine can help reduce stress and anxiety. Plan your day and prioritize your tasks, so you feel more in control. Block off time for study, relaxation, socializing, and self-care. Having a routine can also improve your sleep and help you feel more balanced. It’s essential to balance your time between studying, socializing, and relaxing. Social support is a critical factor in managing stress and anxiety. Schedule time for social activities, but also make time for self-care and relaxation. This could include practicing mindfulness, reading, or doing hobbies you enjoy. Make sure you know what works for you, everyone is different, e.g. if you are an introvert or an extrovert. If you thrive being around people, schedule that in. If you thrive by having daily "me time", schedule that in.


Time Management and Procrastination

Time management is a crucial skill for university students. Prioritize your tasks based on their deadlines and importance. Break down larger projects into smaller, more manageable tasks. Use a planner, app, or calendar to keep track of your deadlines and commitments. Avoid procrastination and start early on your assignments. Procrastination can be a major issue for university students, especially when deadlines are looming. However, there are techniques that can be used to help reduce procrastination. One effective strategy is to break down tasks into smaller, more manageable parts. This can make it feel less overwhelming and easier to get started. It can also be helpful to create a schedule or timetable to help structure your time and ensure that you are allocating enough time to each task. Another helpful technique is to use positive self-talk to motivate yourself and stay focused on your goals. This can involve reminding yourself of why the task is important and how good it will feel to complete it. Finally, it's important to identify any underlying reasons for procrastination, such as fear of failure or perfectionism, and work on addressing these issues with the help of a therapist


Social anxiety

Social anxiety is a common struggle among university students, and it can make it difficult to engage with peers and participate in social activities. CBT can help individuals identify and challenge negative thoughts that contribute to social anxiety, such as the fear of being judged or rejected by others. A therapist may also work with a student to develop exposure exercises, gradually increasing the level of social engagement to build confidence and reduce anxiety. You might feel that everyone is judging you when you walk into a social gathering, but remember that everyone else is probably in their own worlds, enjoying the social gathering or even having their own worries! It's important to remember that social anxiety is a treatable condition, and seeking support from a CBT therapist can lead to significant improvements in social functioning and overall well-being.


Performance anxiety in exams

Performance anxiety in exams can be a common experience for university students, especially during important tests or presentations. This anxiety can be so severe that it can impact a student's ability to think clearly and perform well. However, with the help of CBT, students can learn to manage their anxiety and perform better in exams. CBT can help students identify and challenge negative thoughts and beliefs that contribute to their performance anxiety, and develop coping strategies that work best for them. For example, CBT can help students to practice relaxation techniques, such as deep breathing, progressive muscle relaxation, or mindfulness exercises, which can help reduce the physical symptoms of anxiety. Additionally, CBT can help students to develop effective study habits and time management skills, which can reduce feelings of being overwhelmed or underprepared for exams. Overall, CBT can provide students with practical tools to manage their anxiety and perform to the best of their abilities.


Home sickness

Homesickness is a common experience for many university students, particularly those who are studying away from home for the first time. Feelings of sadness, loneliness, and longing for home can be overwhelming, and can significantly impact a student's mental health and academic performance. CBT can be a useful tool in managing homesickness. One effective strategy is to challenge negative thoughts about the situation, such as "I can't cope being away from home" or "I'll never adjust to this new place." Encouraging the student to focus on the positives of their new environment, such as the opportunity to meet new people and have new experiences, can also help. Additionally, setting small achievable goals, such as trying a new restaurant or joining a new club, can provide a sense of accomplishment and motivation. Finally, maintaining connections with loved ones at home, while also engaging in new social activities at university, can help strike a balance between homesickness and a sense of belonging in their new environment.


In conclusion, coping with stress and anxiety in university requires effort and planning. By identifying your triggers, challenging negative thoughts, taking care of your physical health, establishing a routine, managing your time, and balancing your activities, you can manage your stress and anxiety effectively. Remember, it’s okay to ask for help. Seeking support from a therapist or counseling service can be helpful in developing coping strategies and managing stress and anxiety.

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