Mental health issues among today’s students have reached record levels. Author Janey Louise Jones reveals how she coped with her own breakdown at university
‘My uni breakdown was the making of me’
As I help my three sons prepare for a new university year, I am reminded of a painful period of my own young life. Benjamin, Ollie and Louis are full of excitement, but back in 1988 I felt very differently. I was just starting the final year of my degree course in Edinburgh, and felt nothing but dread, overwhelmed by the whole experience of university life.
I remember one cold autumn morning being unable to go into a packed lecture theatre. It was a session on metaphysical poets. The tutor was one of my favourites, but as I stood at the entrance, my legs refused to take a step forward. My rational brain battled against the rising anxiety, but I could not move. I turned and ran back to my student flat, sobbing uncontrollably.
That was a defining moment – the point when I realised my feelings were not normal and that perspective and balance had deserted me. I – clever, pretty, sensible Jane – was having a breakdown.
In the months leading up to that day, I had been feeling increasingly unable to cope. As a 20-year-old, the thought of the world spread out in front me was daunting. What did I want to be when I ‘grew up’? Would it work out with my boyfriend? There were too many options. In my studies, I felt unexceptional and inferior. Despite having been quite good at English at school, I was, in truth, deeply average when set against my peer group in the big pond of university. I was devastated if I got a B for an essay instead of an A.
Academic insecurity, emotional immaturity and financial concerns are all big challenges facing students. And given current debt levels and the uncertainty of the job market, it’s hardly surprising that a recent study showed a huge leap in the numbers of students leaving their studies early because of mental health issues. The number of first years reporting conditions such as anxiety and depression was almost five times higher in the past academic year than ten years ago.
My own depressive feelings didn’t fit with my sense of self – I was kind and well-behaved, wasn’t I? I worked hard, I made my parents proud, and I had a close network of friends. I was, in short, the ultimate ‘good girl’. Yet I felt like a failure, that I couldn’t be loved just by being myself. I felt I was too ‘girly’ – not the sophisticated, academic young woman I wanted to be. I was trapped in a cycle of feeling I had to earn love and relentlessly prove my worth.
The negative thoughts plaguing my mind were reinforced by physical concerns. After my effortlessly skinny teenage years, I had developed hips, a bust, and I felt fat. I hated my body, and I felt superficial for caring how I looked. My boyfriend was a dashing soldier; we didn’t meet very often and I felt that he didn’t know the real me – and surely wouldn’t like me if he did.
As that stormy autumn term went on, my mental health continued to spiral downwards – I was often tearful, listless and defeated by simple events. I became unable to keep my diary in
check, missing appointments and social events.
By the time I admitted to my parents that I wanted to move from my student flat back to our house in the suburbs I was in chaos. Friends had become concerned because I kept crying or was distant and preoccupied. I was starting to fall behind on deadlines and my lecturers at university were worried. My parents, deeply concerned but calm, took charge and booked me in to see the family doctor. He was kind – suggesting I keep a diary of my thoughts and generally rest until I felt better. Perhaps I had just ‘overdone it’. At this stage, there was a sense that this would all pass with a bit of TLC.
The problem with ‘resting’ is that it gives someone in mental distress the one thing guaranteed to make matters worse – time to think. Endless unstructured days and hours to fill become a void where negativity easily takes hold. While I was resting, I was really fuelling my self-loathing – I was not good enough, perfect enough or nice enough, and any kindness felt unearned. Depression is an egomaniac – it’s all about you.
I returned to university after Christmas, but just two months later I went back to the doctor in tears saying I couldn’t cope. I was prescribed antidepressants and they helped to stabilise my mood and gave me the strength to take my recovery seriously – I asked the university for some time off from my degree and I started regularly seeing a therapist.
I spent a lot of time in bed, reading. My bedroom at my parents’ house was my sanctuary – here I felt safe. I cherished letters and cards from friends. My family cocooned me – my parents’ care was unending, my sister was kind and understanding, my grandmother – a big influence in my life – would sit and talk with me for hours.
My weekly visits to my therapist quickly became a lifeline. Together we explored the troubling patterns of my thoughts, from self-image to my incessant striving to please others in the pursuit of perfection. We discussed the ‘good girl syndrome’ as an unachievable ideal centred around concern for the wellbeing of others rather than fulfilling your own needs and ambitions.
Over the spring of 1989, I worked with my therapist to develop coping strategies. I told her how I felt boring for not being a party animal at university, and she helped me see that being honest about myself was actually a strong thing. I was brave, not boring. My therapist advocated ‘facing the world’. Some people, she told me, try to minimise risk in their life as a strategy against suffering, to avoid being hurt. The ‘ostrich’ strategy, you might call it. If one never tries to fall in love, one can never have one’s heart broken. I knew that this was not how I wanted to live my life. If I lived a full life, I knew there would be regrets, embarrassments and emotional dilemmas, but I knew this was preferable to not living at all.
My therapist told me to identify a ‘primary concern’ at any given time in my life, and to prioritise that concern, letting go of other commitments. I decided my first primary concern was to get better and I made my recovery a priority.
I learned to retrain my brain, to recognise negative, pervasive thoughts as disproportionate and to get rid of them. I cut ties with people who made me feel bad about myself, by gradually falling out of touch with them, which was brutal but necessary. I also learned about dealing with rejection. It’s not a personal thing. Life is about timing and persistence. If you distort one rejection into something more significant, it really might happen again, because you become neurotic about the possibility.
During that period of counselling and recovery, there were still desperate days with no sense of a future beyond them. But gradually, as spring bloomed, I started to feel hopeful. I threw myself into the minutiae of my daily life – what I was going to eat, the linen on my bed, tending the herbs on the windowsill. I made my environment ordered and nurturing. I starting planning my diary, being more realistic about
I was falling behind on deadlines and my lecturers were worried
Janey during her convalescence in 1989, left, and, above, with her sister Vicky in 1991. Below: Edinburgh University, where Janey studied