Reasons for underutilization and lack of treatment adherence include the perception that most students are experiencing similar struggles and treatment is not needed, lack of time, a preference for self-reliance, and 
stigma. These reported barriers highlight the need for psychoeducation, services with flexible schedules, and that are less stigmatizing for students.

Barriers to CBT Adherence among University Students

Combining CBT with an exercise component may be seen as less stigmatizing because it is widely accepted and understood as being a healthy lifestyle choice. Exercise alone has been shown to have multiple mental health benefits, including reducing anxiety and depressive symptoms. Including exercise as part of CBT intervention may provide an enhanced opportunity for clients to think about therapy concepts outside of session. Exercise may also allow individuals to practice skills learned during session, such as cognitive restructuring and mindfulness.

Proposed Benefits of Cognitive Behavioral Therapy + Exercise

CBT is accepted as an evidence-based treatment for anxiety and depression, and a group format is often most practical and cost effective on college campuses, but its' efficacy can be marred by low homework adherence, low uptake, and research suggesting not everyone responds to CBT.

Cleveland State University

University students encounter a wide array of pressures. Beyond typical academic demands like exams and term papers, many now face significant financial burdens from increased tuition and resulting debt. The prospect of finding employment after graduation adds another layer of stress. Furthermore, non-traditional students often juggle additional responsibilities, such as caring for children or maintaining full-time employment, alongside their studies.

Unique Stressors for University Students

Newcombe, B. C., Olthuis, J. V., MacLean, M., Hamilton, R., & McAulay, T. (2023). Cbt + exercise vs treatment as usual in treating anxiety and depression in university students: A pilot study. Journal of College Student Psychotherapy. https://doi.org/10.1080/87568225.2023.2181255

Cbt + exercise vs treatment as usual in treating anxiety and depression in university students: A pilot study

Cognitive Behavioral Therapy with University Students

A major source of pressure for contemporary college students stems from financial challenges. These include the rising costs of tuition, the accumulation of substantial debt to finance their education, and for some, the need to balance a full-time job with their academic responsibilities.

Financial Stressors for College Students

A significant stressor for college students involves the uncertainty and challenges of their future after completing their studies, particularly the difficulty in securing employment in their chosen field.

Post-Graduation Stressors for College Students

Non-traditional college students, a significant portion of the student body, often face additional stressors on top of typical academic and financial pressures. These can include the responsibilities of raising children or the demands of maintaining a full-time job while pursuing a degree.

Stressors for Non-Traditional College Students

Based on the provided case, identify and describe three distinct categories of stressors the student is experiencing. Explain how each stressor is demonstrated in their situation.

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