Spring break and summer are exciting times for families. Your college student is coming home, and you’re eager to catch up, make memories, and enjoy some well-deserved time together. But these visits can also be opportunities to notice subtle (or not-so-subtle) changes in behavior that may point to a deeper issue—signs your college student may be struggling with their mental health or a substance use disorder (SUD).
College is a time of transition and independence, which can also make it a time of increased vulnerability to substance misuse and mental health challenges. If you notice signs that your child may be struggling, early intervention can make all the difference.
Physical Signs that Your College Student May be Struggling
- Changes in Appearance: Sudden weight loss or gain, poor hygiene, or a noticeable decline in grooming habits.
- Bloodshot Eyes or Dilated Pupils: These can be signs of recent drug or alcohol use.
- Unusual Fatigue or Energy Levels: Excessive tiredness, restlessness, or lethargy that seems out of character.
- Unexplained Injuries or Frequent Nosebleeds: These could result from substance use or accidents related to intoxication.
- Frequent Complaints of Aches or Pains: Sometimes, physical discomfort can be a manifestation of emotional distress or anxiety.
Behavioral and Emotional Signs that Your College Student May be Struggling
- Mood Swings or Irritability: While mood changes are common in young adults, extreme or erratic shifts may be a cause for concern.
- Withdrawal from Family and Friends: Avoiding conversations, isolating from loved ones, or canceling plans frequently.
- Changes in Sleep Patterns: Staying up all night, sleeping through the day, or having trouble sleeping can indicate substance use or mental health issues.
- Secretive or Suspicious Behavior: Locking doors, sneaking out, or being evasive about whereabouts and activities.
- Increased Anxiety or Signs of Depression: Expressions of hopelessness, overwhelming stress, or sadness that lasts for days or weeks.
Academic and Social Changes
- Drop in Academic Performance: Avoiding discussions about school, skipping classes, or receiving poor grades.
- New or Concerning Friend Groups: A complete change in social circles, especially those who encourage risky behaviors.
- Loss of Interest in Hobbies or Goals: Lack of motivation or enthusiasm for previously enjoyed activities or future plans.
- Difficulty Concentrating or Making Decisions: Trouble staying focused or increased indecisiveness may indicate emotional distress.
Substance Use and Mental Health Clues
- The smell of Alcohol or Marijuana: You may notice lingering odors on clothing or in their room.
- Finding Paraphernalia: Items like vape pens, pipes, rolling papers, pill bottles, or alcohol containers in bags, drawers, or vehicles.
- Financial Issues: Frequent requests for money without clear explanations or missing valuables at home.
- Expressions of Helplessness or Despair: Comments that suggest they feel overwhelmed, worthless, or unable to cope.
How to Approach the Conversation
If you notice several of these signs, trust your instincts. Start by expressing concern, not judgment. Ask open-ended questions and make space for honest dialogue. Avoid confrontation—your goal is to understand, not accuse. Reinforce your love and willingness to help. If needed, seek guidance from a counselor, healthcare provider, or mental health and substance use specialist.
Early Intervention Matters
Both substance use disorders and mental health conditions are treatable. Early intervention can prevent more serious consequences and support your child in achieving long-term wellness. Recognizing the signs and having supportive conversations can be the first step in helping them get the help they need.
Hanley Foundation is Here to Help
If you’re concerned about your college student’s substance use or mental health, Hanley Foundation offers treatment and support services for young adults and their families. You’re not alone. Reach out to learn how we can help you and your loved one find the path to healing.
