Mental health in academia

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How Cambridge University almost killed me
For Morwenna Jones, getting into Cambridge was a dream come true. But the stress took its toll and
she fell ill. Here, she reveals how mental health problems are on the rise at our top universities
Morwenna Jones
Monday 6 October 2014 09.00 BST
I had always been what they call a good student. In 2011, aged 18, I had two A*s and two As
at A-level, various sporting successes and plenty of friends. I was president of more clubs
and societies than the school needed. I was going to Cambridge University to study English.
By most measures, things were going OK.
There was a problem, however – I had also developed an eating disorder. Over the two years
before I started university, my body fluctuated and metamorphosed constantly. One week I
would be a size zero, and my skeletal form would be found hunched scribbling notes
instead of eating lunch. The next, I would look “normal” and hide the seemingly endless
piles of food I would consume and then bring up again afterwards. Eventually I told my
parents, and after six months I was referred for counselling with the Child and Adolescent
Mental Health Service. Once a week I sat in a bleak room and explained to a woman called
Lucy that my condition was connected to an obsessive desire to be the best. She listened
politely, told me to keep a food diary and then discharged me eight weeks before I started
university.
Eighteen months later I was in the passenger seat of my parents’ car, the colleges of
Cambridge disappearing into the rain behind me. For a year and a half I had felt completely
out of my depth, and finally cracked. No longer was I thought “talented” or “gifted”
because I could work for eight hours or read an 800-page novel in a day. At Cambridge
everyone I knew could do that. I was no longer special.
I know this might not sound like the world’s worst problem. What did I have to complain
about? I was at a top university, with support – in theory – everywhere I looked. But misery
has a way of finding you in the most unusual places, and for reasons that can seem
incomprehensible, not least to oneself. Inside that bubble, where perfection was the norm,
falling short of my own expectations tormented me. I wasn’t a size eight. I wasn’t on track
for a first. I wasn’t a sporting Blue.
I dropped out in January 2013. When my parents collected me, I hadn’t left my room in two
weeks. For two years I had been killing myself in the name of perfection, unable to enjoy
being anything less than the best. As a result I had developed depression alongside severe
bulimia.

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The fact is that I am by no means unique. Suffering from an eating disorder and depression
made me hardly more special among the Oxbridge student population than the A-levels
that got me there. Last year a survey by student newspaper The Tab revealed that 21% of
Cambridge students have been diagnosed with depression, while a further 25% think they
may be depressed. At my all-girls’ college, Murray Edwards, 28% of students have
experienced eating disorders. The numbers are reflected more widely – the National Union
of Students surveyed 1,200 students and found that 20% believe they have a mental health
problem, while 1 in 10 experience suicidal thoughts. Welfare teams at Cambridge alone
anticipate 50 to 60 suicide attempts per year.
What I have seen in my time at university is an epidemic of students struggling with mental
health difficulties. Every term more students “intermit” – the Cambridge term for taking
some time out.
Katt Parkins, a fellow English student in her second year at Churchill College, understands
the burden of expectation well. “It has been affecting me my whole life,” she says,
recounting how she developed an eating disorder when she was just 11 years old. “I’d
always either want to do something perfectly or not do it at all.” She intermitted in February
this year, no longer able to cope with the prospect of a low grade. “I was obsessed with
perfection. I think one of the reasons I intermitted was because I still really wanted to do
well and get a high 2:1 or a first,” she says. “If I’d achieved less, my health would probably
have become even worse.”
At Britain’s universities many students crumble as they realise they are only average-sized
fish in a much larger pond. Part of the problem is that while we are used to praising or
criticising students, it is unusual to sympathise with them. Even to themselves, the
whining sounds like “poor me”. But the reality is that the pressure is putting thousands of
bright young people at risk of serious mental illness.
Oxbridge is a close-knit collegiate system. Within this system, small communities of
extremely motivated individuals live together in the intimate confines of an environment
characterised by centuries of academic achievement. Katt Parkins likens it to an Etch-a-
Sketch. “You know when you just have to slide off what’s already there and focus on a new
drawing?” she says. “It’s like that. You have to focus on your work, so you suppress
personal things that you should actually work through. Eventually it builds and builds.”
Students like her are the reason why Oxford academic Nicola Byrom founded the charity
Student Minds five years ago, when she was a graduate student. Having suffered from
a mental illness herself as a teenager, she wanted to provide students with support.
“There’s certainly historical data that suggests that there is greater prevalence of mental
health difficulties in Oxford and Cambridge,” says Byrom. “Living with a small group of
competitive people isn’t easy, and you also then have a competitive environment. I think
Oxford and Cambridge are probably happy to admit that they pre-select people at high risk
of developing mental health difficulties, because they’re taking high-achieving
perfectionist young people, who come to be the best.”

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But things could be changing. Judith Carlisle, headteacher of the independent Oxford High
School, has started a scheme to combat the rise of “unhelpful perfectionism” among her
students. It’s called The Death of Little Miss Perfect. Teaching students that “it’s fine not to
get everything right”, the scheme includes tests that get progressively harder within a time
limit, preventing pupils from answering all of the questions. Its goal, as Carlisle recently
stated, is to teach students that “perfectionism is only captured in a moment” and is “not
achievable long term”. As well as encouraging students to embrace phrases such as “Have a
go” and “Nobody’s perfect”, she’s urging them to avoid “going for something that, if they
don’t get it, will destroy them”, and that includes universities. Her advice? “Don’t aim for
Oxford if not getting in will destroy you – or if going will destroy you.”.
The last statement might sound confusing, but it sums up some of the ambivalence I feel
about Cambridge. If my school had offered a similar scheme, perhaps I wouldn’t have
wound up taking a painful, expensive and disruptive year out from university. The
pressures of Cambridge broke me but also gave me a whole new perspective on my
academic life. If Carlisle aims to teach pupils that “real failing is failing to have a go”, then
she also needs to teach them to “have a go” at Oxbridge, and, if necessary, learn from their
mistakes.
Byrom is also unconvinced that schools should be warning pupils off Oxbridge altogether.
“Schools ought to be thinking about what environment is going to best support a student to
thrive through their degree,” she explains, drawing on her own experience of completing an
undergraduate course at Nottingham before starting a postgraduate degree at Oxford.
“Even for the ‘bad’ perfectionist, Oxbridge could still be a great environment. It’s very
difficult to tell someone that a certain atmosphere isn’t going to be right for him or her.”
Meredith Leston and Elise Morton, at Oxford and Cambridge respectively, also identify with
the challenges and opportunities provided by Oxbridge. “I knew things were bad when I
tried to read my neuroscience textbook and I may as well have been starring at the
phonebook,” says Leston, who is about to enter her second year of experimental
psychology. “My passion to learn about the brain is what got me into Oxford and it’s what I
am dedicating my life to. The things that mattered most to me and defined who I was as a
person suddenly barely registered. I felt completely lost.”
Morton agrees. “I remember in the second year just suddenly realising that I was feeling
really, really down but without a cause,” she says. “It was when I actually realised just how
good my life was that I suddenly went: ‘Hang on, why the hell are you feeling like this?’
I took stock of everything that was good in my life and yet noticed that I was still crying
every day. I had to ask myself why I was doing that. I don’t want to say: ‘Oh it was
Cambridge’, but I feel like the intense stress of a Cambridge degree has to have an impact
upon your mental health.”
Despite all this, however, neither of them has any regrets about their choice of university.
Morton graduated this year with a degree in modern and medieval languages. Now
studying in Los Angeles, she is also a part-time mental health activist, campaigning for
awareness charity Time to Change. She says struggling at university helped her gain

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perspective. “At first it was difficult to accept that I wasn’t going to be the best. But once I
did, I felt able to be more creative and take more risks.”
These issues are problems across all universities, of course. It’s just that they can seem
most concentrated where the pressure is greatest. “University is a tough time for a lot of
people, whatever university you’re at,” adds Georgina Aisbitt, who works for Student Minds
in Oxford. “Your informal support systems, like friends and family, and your formal support
systems, like therapists and GPs, are left at home. You add pressure from the university to
achieve and you’re putting students in a situation where they are going to be comparing
themselves to others. That’s a pretty hefty combination, and it creates quite a tough
environment. It’s important that schools try to help their students and promote discussions
about mental health.”
When I returned to Cambridge in January I was nervous. I felt that I had tamed some of the
anxious, depressed teenager who had struggled before, but would I be able to cope with the
isolation? I took a book out of the library and sat in a café on King’s Parade working on my
essay for that week. I sat in that café for four hours until long after the sun had set and the
bikes had stopped speeding along under King’s College. For the first time since I started
Cambridge, I read a book and enjoyed every page.
Eight months later, the perfectionist in me is dead and I don’t miss her. I was discharged
from mental health services at the end of last year, and I stopped seeing a therapist in June.
The eating disorder will probably always be at the back of my mind, but in many ways it has
been a full recovery. I still have to be careful – I don’t drink to excess or sleep in, and I try to
avoid environments which I know might be tricky. I feel I now have the mental equipment
to deal with life. Excellence is fine, but nobody’s perfect.
If you are struggling with depression or mental health problems, or know someone who is,
contact Student Minds (studentminds.org.uk)