b'I have a problem. It seems that whenever I get stressed or whenever I am tired, I get symptoms of obsessive-compulsive disorder. For example, before I sleep I have to squirm around in my bed and do rituals before I can fall asleep. Before and during tests, I perform repeated rituals with my legs or pencil before I start on the problem, even though the solutions are in my head. Can someone help me? AnonymousINTRODUCTION There is a growing consensus that more students are arriving on college and university campuses with increasingly complex psychological, emotional, and behavioral challenges. According to data from the 2011 Healthy Minds Study (Eisenberg, 2011), approximately 25% of students come to campus with a pre-existing mental health diagnosis (most often some form of depression or anxiety disorder).The National College Health Assessment (2011) found that nearly one third of students reported that they were so depressed it was difficult to function at some time in the past year.Less than half of students who screened positive for probable depression were receiving treatment. Approximately 7Synopsis of Student Concerns and Conditions87'