Sometimes we don’t realize when we need guidance. The bottom line is if negative thoughts last for several days and begin to interfere with your friendships or school work—it’s time to reach out for some support. 
 
If you have had mental health challenges and have received help in the past, know that stress created by college issues can trigger a relapse. This is also normal. You may want to be preemptive and put those supports in place before you get to campus—by setting up appointments in advance or consider visiting the counseling center or disability resources center. Talk to your doctor or counselor at home before starting college—they can help you plan for situations even if things seem fine at the time. 
 
Reaching out for support is sometimes the hardest step. Don’t be afraid, embarrassed or ashamed. You wouldn’t think that way if you had a physical ailment—you wouldn’t think twice about going to the health center or doctor office. Health is health.
 
Common college stresses include:

 
Things to look out for:

 
Never stop any depression or mood-regulating medications without talking to a doctor first. You may not show symptoms just after stopping the medication, but it could result in serious consequences later on. If you’re on medication, be aware of the possible dangerous interactions if combined with drugs or alcohol.