{"formatVersion":"1.1","id":"https://www.mentalhealth.com/library/ocd-and-college-accommodations","path":"/library/ocd-and-college-accommodations","url":"https://www.mentalhealth.com/library/ocd-and-college-accommodations","title":"Obsessive-compulsive disorder (OCD)’s Impact During College","family":"Library detail","description":"Learn how to recognize OCD in college students and create evidence-based support for their academic, social, and emotional success.","language":"en-US","access":{"audience":"public","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/ocd-and-college-accommodations","wordpressId":"5301","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://www.mentalhealth.com/people/janet-singer#person","name":"Janet Singer","url":"https://www.mentalhealth.com/people/janet-singer"},{"@type":"Person","@id":"https://www.mentalhealth.com/people/yogya-kalra#person","name":"Yogya Kalra","url":"https://www.mentalhealth.com/people/yogya-kalra"}],"reviewer":{"@type":"Person","@id":"https://www.mentalhealth.com/people/carlos-protzel#person","name":"Carlos Protzel, Psy.D.","url":"https://www.mentalhealth.com/people/carlos-protzel"},"dates":{"datePublished":"2025-07-07T07:33:33Z","dateModified":"2026-05-12T11:49:36Z","lastReviewed":"2025-07-07"},"content":{"html":"<nav aria-label=\"Breadcrumb\" class=\"breadcrumbs\"><ol><li><a href=\"https://www.mentalhealth.com/\">Home</a></li><li><a href=\"https://www.mentalhealth.com/library\">Library</a></li><li><a href=\"https://www.mentalhealth.com/library/obsessive-compulsive-disorder\">Obsessive-Compulsive Disorder</a></li><li><span aria-current=\"page\">OCD’s Impact During College</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard=\"\"><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Obsessive-compulsive disorder (OCD)’s Impact During College</h1><p class=\"article-inline-credits\">Medically reviewed by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/carlos-protzel\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/8e1ee0ec187d4c3ff0be4ad3.jpg\" width=\"22\" decoding=\"async\">Carlos Protzel, Psy.D.</a> <span aria-hidden=\"true\" class=\"article-credit-divider\">–</span> Written by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/janet-singer\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/35d59b0d6a28d23fb9c2a239.jpg\" width=\"22\" decoding=\"async\">Janet Singer</a> and <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/yogya-kalra\"><img alt=\"\" height=\"22\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/80717dc5884e7b8658f8188a.jpg\" width=\"22\" decoding=\"async\" srcset=\"/assets/responsive/fdb4d361678ed1429563f666.webp 800w, /assets/optimized/80717dc5884e7b8658f8188a.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 1024px\">Yogya Kalra</a></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-07-07T07:33:33Z\">July 7, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2026-05-12T11:49:36Z\">May 12, 2026</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>College life throws students into an intense mix of independence, deadlines, and shared spaces, which can be fertile ground for <a href=\"https://www.mentalhealth.com/library/obsessive-compulsive-disorder\" class=\"article-inline-link\" data-context-link=\"353\">Obsessive-compulsive disorder</a> (OCD) to tighten its grip. Understanding how the disorder shows up on campus, why everyday demands magnify symptoms, and which evidence-based strategies restore time, focus, and confidence empowers students to thrive despite OCD.</p></div><figure class=\"article-feature\"><img alt=\"A woman pauses thoughtfully with her hands near her chin.\" decoding=\"async\" height=\"630\" loading=\"eager\" src=\"https://www.mentalhealth.com/assets/optimized/64c95bfd6f229ef082808732.webp\" width=\"1200\" srcset=\"/assets/responsive/69e923c7b7e987c99ad56243.webp 800w, /assets/optimized/64c95bfd6f229ef082808732.webp 1200w\" sizes=\"(max-width: 800px) 100vw, 1200px\"></figure><section aria-labelledby=\"key-takeaways\" class=\"article-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>College demands and shared living environments can intensify OCD-related obsessions, rituals, and academic perfectionism.</li><li>OCD can interfere with coursework, relationships, and daily routines even when symptoms are not outwardly obvious.</li><li>Exposure and response prevention, appropriate medication, accommodations, and consistent habits can support college functioning.</li></ul></section><h2 id=\"understanding-the-college-landscape-for-ocd\">Understanding the College Landscape for Obsessive-compulsive disorder (OCD)</h2><p>OCD can interfere with studying, relationships, and everyday tasks. Symptoms often begin in adolescence or young adulthood, and stress may make them worse. A student’s academic performance does not by itself show how much distress they are experiencing, so persistent obsessions or compulsions warrant assessment⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#obsessive-compulsive-disorder-ocd-related-disorders-children-adolescents\" data-reference-link=\"\" aria-label=\"Reference 1: Elia J. (n.d.). Obsessive-Compulsive Disorder (OCD) and Related Disorders in Children and Adolescents. Merck Manual. Accessed October 10 2026.\" data-reference-number=\"1\">[1]</a><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#center-collegiate-mental-health\" data-reference-link=\"\" aria-label=\"Reference 2: Center for Collegiate Mental Health. (n.d.). Diagnostic Prevalence and Trends in College Counseling. ccmh.psu.edu. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#meta-analysis-age-help-seeking-duration-untreated-illness-dui\" data-reference-link=\"\" aria-label=\"Reference 3: National Institute of Mental Health. (2023). Obsessive-Compulsive Disorder: When Unwanted Thoughts or Repetitive Behaviors Take Over. National Institutes of Health. National Institute of Mental Health. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>.</p><p>What they experience as academic <a href=\"https://www.mentalhealth.com/library/anxiety\" class=\"article-inline-link\" data-context-link=\"355\">anxiety</a>, trouble concentrating, or compulsive checking may go unrecognized for months or years. OCD operates in the context of college life through pressure points that shape daily experience. These include time management, social relationships, academic expectations, and residential living conditions. </p><p>By examining how OCD responds to these demands and identifying interventions supported by clinical research, students and institutions can work toward practical and compassionate support.</p><h2 id=\"recognizing-ocd-on-campus\">Recognizing Obsessive-compulsive disorder (OCD) on Campus</h2><p>OCD is defined by the presence of obsessions (unwanted, intrusive thoughts or images) and compulsions (mental or behavioral acts aimed at neutralizing distress). In college settings, the content of obsessions often reflects the environment: fears of contamination in shared spaces, catastrophic thoughts about academic failure, or guilt over minor interpersonal interactions⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#increases-symptoms-associated-obsessive-compulsive-disorder-among-university-students\" data-reference-link=\"\" aria-label=\"Reference 4: Silverman M.E., Nag S. &amp; Kalishman A. (n.d.). Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic. Taylor &amp; Francis. Accessed July 1 2025.\" data-reference-number=\"4\">[4]</a></sup>. </p><p>Compulsions may include repeated handwashing, excessive proofreading, confessing, or reassurance-seeking. The general public may associate OCD with orderliness or cleanliness, but its clinical form is far more intrusive. These are not preferences; they are patterns of fear and avoidance that take root in a person’s internal logic. </p><p>When a student with OCD spends hours rewriting a paper not for quality but to silence the belief that an undefined mistake could ruin everything, it is not perfectionism; it is a compulsion. This distinction helps reduce stigma and allows for earlier recognition.</p><p>As symptoms begin to take hold, students may notice growing interference across routines, responsibilities, and relationships, often marked by patterns that disrupt daily functioning. These signs tend to repeat and intensify in college life, and may include:</p><ol class=\"wp-block-list\">\n<li><strong>Frequent lateness due to time-consuming rituals:</strong> Students may spend excessive time on grooming, checking locks, or organizing materials in a specific order before leaving for class.</li>\n<li><strong>Withdrawal from group assignments:</strong> Collaborative work can trigger fears of imperfection or responsibility for group outcomes, leading students to isolate or avoid participation.</li>\n<li><strong>Excessive requests for clarification or reassurance from instructors:</strong> Persistent emails or questions often stem from fear of having misunderstood an assignment or violated an academic rule.</li>\n<li><strong>Repeated email drafts or task restarts:</strong> The need to express oneself perfectly may cause students to start over multiple times, often delaying submission or communication.</li>\n<li><strong>Difficulty settling into dorm environments:</strong> Adjusting to new routines and shared spaces can heighten rituals related to cleanliness, order, or safety.</li>\n<li><strong>Avoidance of shared equipment or spaces:</strong> Libraries, gyms, and labs may become inaccessible due to contamination fears or rigid preferences for certain conditions.</li>\n</ol><p>Academic advisors and faculty should pay attention to patterns that persist across contexts and compromise functioning, especially when students appear conscientious but underperform relative to effort. Recent estimates suggest that around 1 % to 2 % of college students meet clinical criteria for OCD⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#national-institute-mental-health\" data-reference-link=\"\" aria-label=\"Reference 5: National Institute of Mental Health. (n.d.). Obsessive-Compulsive Disorder (OCD) – Statistics. National Institute of Mental Health. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>, although many more experience subthreshold symptoms that impair performance and wellbeing⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#obsessive-compulsive-symptoms-general-population-under-stressful-conditions-lessons\" data-reference-link=\"\" aria-label=\"Reference 6: Pellegrini L., Albert U. &amp; Carmassi C. (n.d.). Obsessive-Compulsive Symptoms in the General Population Under Stressful Conditions: Lessons Learned from the COVID-19 Pandemic. MDPI. Accessed October 10 2026.\" data-reference-number=\"6\">[6]</a></sup>. </p><p>A 2020 national survey of college counseling centers reported growing demand for OCD-specific care, with students frequently citing academic perfectionism and contamination fears as major sources of disruption⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#center-collegiate-mental-health\" data-reference-link=\"\" aria-label=\"Reference 2: Center for Collegiate Mental Health. (n.d.). Diagnostic Prevalence and Trends in College Counseling. ccmh.psu.edu. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#increases-symptoms-associated-obsessive-compulsive-disorder-among-university-students\" data-reference-link=\"\" aria-label=\"Reference 4: Silverman M.E., Nag S. &amp; Kalishman A. (n.d.). Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic. Taylor &amp; Francis. Accessed July 1 2025.\" data-reference-number=\"4\">[4]</a></sup>.</p><section aria-label=\"Subject matter expert\" class=\"article-expert article-expert-inline\" data-expert-kind=\"related\" data-expert-layout=\"standard\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><a href=\"https://www.mentalhealth.com/people/rychel-johnson\" class=\"card-identity-photo\" aria-label=\"Rychel Johnson, LCPC\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/9f1bc9f9a0438af8e19c05bb.jpg\" width=\"64\" decoding=\"async\"></a><h2><a href=\"https://www.mentalhealth.com/people/rychel-johnson\">Rychel Johnson, LCPC</a></h2></div><p class=\"article-expert-focus\">Professional counseling and mental health</p></section><h2 id=\"environmental-pressures-that-amplify-symptoms\">Environmental Pressures That Amplify Symptoms</h2><p>College life magnifies OCD vulnerabilities by design. Routines become self-managed, feedback is infrequent, living quarters are shared, and evaluation is constant. These features create friction for everyone, but for someone with OCD, they can entrench fear-based patterns. </p><p>Unstructured time can become <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/five-ways-to-escape-the-cycle-of-rumination\">breeding ground for rumination</a>. A research task might stretch across an entire evening, not due to procrastination, but because intrusive thoughts convince the student that every line of text must be reread multiple times. </p><p>Living arrangements that include shared bathrooms, kitchens, and laundry areas bring logistical challenges, especially for individuals with contamination-related obsessions. These spaces are not just inconvenient; they are emotionally and physiologically overwhelming. When avoidance sets in, the student’s world begins to shrink.</p><p>Common environmental triggers include:</p><ol class=\"wp-block-list\">\n<li>Shared facilities such as communal bathrooms, laundry rooms, and kitchens that heighten contamination concerns⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#increases-symptoms-associated-obsessive-compulsive-disorder-among-university-students\" data-reference-link=\"\" aria-label=\"Reference 4: Silverman M.E., Nag S. &amp; Kalishman A. (n.d.). Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic. Taylor &amp; Francis. Accessed July 1 2025.\" data-reference-number=\"4\">[4]</a></sup></li>\n<li>Academic pressure from frequent assessments and high expectations</li>\n<li>Lack of privacy in dorm living that disrupts coping routines</li>\n<li>Variable routines that interfere with planned exposures and recovery practices</li>\n</ol><p>Environmental conditions play a central role in shaping symptoms and should be considered in treatment planning. This is not about eliminating every obstacle but reducing unnecessary distress so students can focus energy where it matters.</p><h2 id=\"academic-functioning\">Academic Functioning</h2><p>Academic work is often where OCD becomes most visible. The structure of higher education includes papers, presentations, and exams, which provide consistent opportunities for compulsions to flourish under the guise of preparation. </p><p>Students may reread passages until they feel right, rewrite assignments from scratch to remove a perceived error, or delay submitting work due to fears it contains something harmful, inappropriate, or misunderstood⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#increases-symptoms-associated-obsessive-compulsive-disorder-among-university-students\" data-reference-link=\"\" aria-label=\"Reference 4: Silverman M.E., Nag S. &amp; Kalishman A. (n.d.). Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic. Taylor &amp; Francis. Accessed July 1 2025.\" data-reference-number=\"4\">[4]</a></sup>. </p><p>These behaviors are not conscious choices but responses driven by the need to alleviate anxiety that feels intolerable. Exposure and response prevention (ERP), a primary intervention for OCD, teaches individuals to complete tasks without resorting to rituals⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#effectiveness-exposure-response-prevention-combined-pharmacotherapy-obsessive-compulsive\" data-reference-link=\"\" aria-label=\"Reference 7: Mao L., Hu M. &amp; Luo L. (n.d.). The effectiveness of exposure and response prevention combined with pharmacotherapy for obsessive-compulsive disorder: A systematic review and meta-analysis. Frontiers. Accessed October 10 2026.\" data-reference-number=\"7\">[7]</a></sup>. </p><p>For example, submitting a paper without rereading it multiple times becomes an opportunity to practice tolerating uncertainty while continuing to pursue academic goals. </p><p>Faculty and advisors can support this process by offering structured feedback intervals, providing transparent evaluation criteria, and creating environments where students feel safe disclosing learning needs. Clear communication about process, not just outcomes, helps reduce shame and sustain engagement.</p><h2 id=\"social-and-residential-life\">Social and Residential Life</h2><p>OCD affects relationships through both overt rituals and internalized fear. Time-consuming behaviors may interfere with shared living, while distressing thoughts about harming others, making moral errors, or saying something inappropriate can make social interactions feel fraught. In group housing, conflicts may arise around cleaning, noise, or routines. </p><p>Behaviors that provoke irritation in roommates, such as excessive tidying or rigid habits, often represent attempts to manage internal anxiety, not control others. Clear roommate agreements and guided conversations can prevent tension from escalating. Social withdrawal is also common. Intrusive thoughts related to morality, sexuality, or harm can cause shame and encourage isolation. </p><p>Structured peer groups and campus counseling spaces can support expression and counteract internal avoidance cycles. Honest conversation does not remove OCD but reduces its dominance by restoring connection and perspective.</p><h2 id=\"treatment-and-support-resources\">Treatment and Support Resources</h2><p><a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/erp-therapy-for-ocd\">Exposure and response prevention (ERP)</a> is the most effective treatment for OCD, and when combined with <a href=\"https://www.mentalhealth.com/library/medications-for-ocd\" class=\"article-inline-link\" data-context-link=\"358\">selective serotonin reuptake inhibitors (SSRIs)</a>, ERP can significantly improve functioning⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#effectiveness-exposure-response-prevention-combined-pharmacotherapy-obsessive-compulsive\" data-reference-link=\"\" aria-label=\"Reference 7: Mao L., Hu M. &amp; Luo L. (n.d.). The effectiveness of exposure and response prevention combined with pharmacotherapy for obsessive-compulsive disorder: A systematic review and meta-analysis. Frontiers. Accessed October 10 2026.\" data-reference-number=\"7\">[7]</a></sup>. Many college counseling centers offer short-term therapy, but individuals with OCD often benefit from longer-term, specialized care. </p><p>Students require providers trained specifically in ERP and support systems that coordinate care across academic and residential environments. This includes managing therapy alongside academic schedules and connecting students with local or telehealth clinicians when on-campus resources are insufficient⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#center-collegiate-mental-health\" data-reference-link=\"\" aria-label=\"Reference 2: Center for Collegiate Mental Health. (n.d.). Diagnostic Prevalence and Trends in College Counseling. ccmh.psu.edu. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a></sup>.</p><p>Disability resource offices play a critical role by helping students document functional impairment and access relevant academic supports. Accommodations that reduce ritual reinforcement, such as structured feedback schedules or low-distraction testing, are often more effective than standard options like extended time. Planning these supports in collaboration with the treatment provider ensures they reinforce recovery rather than avoidance.</p><p>Helpful campus resources may include:</p><ol class=\"wp-block-list\">\n<li>University counseling centers offering intake, crisis services, and referrals to ERP-trained therapists</li>\n<li>Disability services offices coordinating documentation and formal accommodation planning</li>\n<li>Health and wellness departments with workshops and support groups focused on stress, sleep, and <a href=\"https://www.mentalhealth.com/library/ocd-and-time-management\" class=\"article-inline-link\" data-context-link=\"358\">time management</a></li>\n<li>Peer advocacy groups that promote mental health literacy and reduce stigma through student-led initiatives</li>\n</ol><aside class=\"article-support\" data-article-therapist=\"ocd-and-college-accommodations\" aria-label=\"Find support that fits you\"><div><h2>Find support that fits you</h2><p>Explore people and care options near you.</p></div><a href=\"https://www.mentalhealth.com/therapists?specialty=Obsessive-Compulsive+Disorder+%28OCD%29\" target=\"_blank\" rel=\"noopener noreferrer\">Find care</a></aside><h2 id=\"building-sustainable-habits\">Building Sustainable Habits</h2><p>Long-term progress in OCD recovery is not built on dramatic breakthroughs but on deliberate, daily effort. For college students, this means creating structured routines that reduce decision fatigue and create consistent space for exposure practice. </p><p>When predictable rhythms are in place, such as regular wake-up times, meals, and study blocks, the mental load of managing uncertainty becomes more bearable. These routines do more than organize time. They <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/self-efficacy-and-perception-of-control-in-stress-reduction\">reinforce self-efficacy,</a> a psychological belief in one’s capacity to act effectively. </p><p>Exposure-based tasks embedded into daily schedules, such as resisting the urge to reread a message before sending or sitting with minor disorder in one’s living space, support meaningful behavioral change.</p><p>Brief grounding strategies between classes, such as <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/dbt-distress-tolerance-skills\">paced breathing</a> or sensory focus, can reset physiological arousal and restore a sense of control before anxiety escalates⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#effect-slow-breathing-regulating-anxiety\" data-reference-link=\"\" aria-label=\"Reference 8: Luo Q., Li X. &amp; Zhao J. (n.d.). The effect of slow breathing in regulating anxiety. Nature. Accessed October 10 2026.\" data-reference-number=\"8\">[8]</a></sup>. Peer support adds another layer of protection. Trusted accountability partners, when appropriately guided, can serve as anchors for goal-setting without becoming reassurance providers. </p><p>Equally important is proactive safety planning. Contact information for campus mental health services, national hotlines, and emergency resources should be easily accessible, and at least one trusted person should know how to activate that plan when needed. These habits do not eliminate OCD, but they create a framework in which recovery becomes possible: one day, one decision, one routine at a time.</p><h2 id=\"moving-forward-with-confidence\">Moving Forward with Confidence</h2><p>Managing OCD in college requires more than academic support. It calls for an integrated approach that addresses how the disorder affects thinking patterns, behavior, and interpersonal functioning across daily contexts. Environments that accommodate OCD effectively are structured, responsive, and informed by clinical insight. </p><p>When evidence-based treatment such as exposure and response prevention is combined with tailored academic and social supports, students can regain agency in their routines and relationships. Recovery is not linear, but it becomes sustainable when surrounded by systems that reinforce progress rather than avoidance. </p><p>With coordinated care, clear expectations, and informed support, students with OCD can move through college with stability, purpose, and increasing confidence in their capacity to meet what lies ahead.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" data-reference-list=\"\" data-reference-style=\"author-date-title-source\" data-source-references=\"\" id=\"references\"><h2 id=\"references-2\">References</h2><ol><li id=\"obsessive-compulsive-disorder-ocd-related-disorders-children-adolescents\" value=\"1\" data-reference-number=\"1\" data-reference-format=\"393\">Elia J. (n.d.). <em class=\"reference-title\">Obsessive-Compulsive Disorder (OCD) and Related Disorders in Children and Adolescents.</em> <a href=\"https://www.merckmanuals.com/professional/pediatrics/psychiatric-disorders-in-children-and-adolescents/obsessive-compulsive-disorder-and-related-disorders-in-children-and-adolescents?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Merck Manual</a>. Accessed October 10 2026.</li><li id=\"center-collegiate-mental-health\" value=\"2\" data-reference-number=\"2\" data-reference-format=\"393\">Center for Collegiate Mental Health. (n.d.). <em class=\"reference-title\">Diagnostic Prevalence and Trends in College Counseling.</em> <a href=\"https://ccmh.psu.edu/index.php?category=new-findings&amp;id=59%3Adiagnostic-prevalence-and-trends-in-college-counseling&amp;option=com_dailyplanetblog&amp;view=entry&amp;utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">ccmh.psu.edu</a>. Accessed October 10 2026.</li><li id=\"meta-analysis-age-help-seeking-duration-untreated-illness-dui\" value=\"3\" data-reference-number=\"3\" data-reference-format=\"393\">National Institute of Mental Health. (2023). <em class=\"reference-title\">Obsessive-Compulsive Disorder: When Unwanted Thoughts or Repetitive Behaviors Take Over.</em> National Institutes of Health. <a href=\"https://www.nimh.nih.gov/health/publications/obsessive-compulsive-disorder-when-unwanted-thoughts-or-repetitive-behaviors-take-over?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">National Institute of Mental Health</a>. Accessed October 10 2026.</li><li id=\"increases-symptoms-associated-obsessive-compulsive-disorder-among-university-students\" value=\"4\" data-reference-number=\"4\" data-reference-format=\"393\">Silverman M.E., Nag S. &amp; Kalishman A. (n.d.). <em class=\"reference-title\">Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic.</em> <a href=\"https://www.tandfonline.com/doi/full/10.1080/07448481.2022.2080507?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Taylor &amp; Francis</a>. Accessed July 1 2025.</li><li id=\"national-institute-mental-health\" value=\"5\" data-reference-number=\"5\" data-reference-format=\"393\">National Institute of Mental Health. (n.d.). <em class=\"reference-title\">Obsessive-Compulsive Disorder (OCD) – Statistics.</em> <a href=\"https://www.nimh.nih.gov/health/statistics/obsessive-compulsive-disorder-ocd?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">National Institute of Mental Health</a>. Accessed October 10 2026.</li><li id=\"obsessive-compulsive-symptoms-general-population-under-stressful-conditions-lessons\" value=\"6\" data-reference-number=\"6\" data-reference-format=\"393\">Pellegrini L., Albert U. &amp; Carmassi C. (n.d.). <em class=\"reference-title\">Obsessive-Compulsive Symptoms in the General Population Under Stressful Conditions: Lessons Learned from the COVID-19 Pandemic.</em> <a href=\"https://www.mdpi.com/2076-3425/14/12/1280?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">MDPI</a>. Accessed October 10 2026.</li><li id=\"effectiveness-exposure-response-prevention-combined-pharmacotherapy-obsessive-compulsive\" value=\"7\" data-reference-number=\"7\" data-reference-format=\"393\">Mao L., Hu M. &amp; Luo L. (n.d.). <em class=\"reference-title\">The effectiveness of exposure and response prevention combined with pharmacotherapy for obsessive-compulsive disorder: A systematic review and meta-analysis.</em> <a href=\"https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.973838/full?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Frontiers</a>. Accessed October 10 2026.</li><li id=\"effect-slow-breathing-regulating-anxiety\" value=\"8\" data-reference-number=\"8\" data-reference-format=\"393\">Luo Q., Li X. &amp; Zhao J. (n.d.). <em class=\"reference-title\">The effect of slow breathing in regulating anxiety.</em> <a href=\"https://www.nature.com/articles/s41598-025-92017-5?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-ocd-and-college-accommodations&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Nature</a>. Accessed October 10 2026.</li></ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://www.mentalhealth.com/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://www.mentalhealth.com/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/janet-singer\" class=\"card-identity-photo\" aria-label=\"Janet Singer\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/35d59b0d6a28d23fb9c2a239.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Author</p><h3 id=\"janet-singer\"><a href=\"https://www.mentalhealth.com/people/janet-singer\">Janet Singer</a></h3><p class=\"article-bio-credentials\">Writer</p><p>Janet Singer is a blog writer, writing about obsessive-compulsive disorder, particularly from her experience as a mother with a son affected by this condition.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-07-07T07:33:33Z\">July 7, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-05-12T11:49:36Z\">May 12, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/yogya-kalra\" class=\"card-identity-photo\" aria-label=\"Yogya Kalra\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/80717dc5884e7b8658f8188a.jpg\" width=\"64\" decoding=\"async\" srcset=\"/assets/responsive/fdb4d361678ed1429563f666.webp 800w, /assets/optimized/80717dc5884e7b8658f8188a.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 1024px\"></a><div><p class=\"article-bio-role\">Co-author</p><h3 id=\"yogya-kalra\"><a href=\"https://www.mentalhealth.com/people/yogya-kalra\">Yogya Kalra</a></h3><p class=\"article-bio-credentials\">Director of Strategy &amp; AI</p><p>Yogya Kalra is a strategy specialist with experience spanning R&amp;D consulting, systems design, and nonprofit leadership. </p><dl><div><dt>Published</dt><dd><time datetime=\"2025-07-07T07:33:33Z\">July 7, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-05-12T11:49:36Z\">May 12, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/carlos-protzel\" class=\"card-identity-photo\" aria-label=\"Carlos Protzel, Psy.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/8e1ee0ec187d4c3ff0be4ad3.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"carlos-protzel-psy-d\"><a href=\"https://www.mentalhealth.com/people/carlos-protzel\">Carlos Protzel, Psy.D.</a></h3><p class=\"article-bio-credentials\">Clinical Care Director</p><p>Carlos Protzel, Psy.D., LCSW, is a PSYPACT-certified psychologist with 25+ years of experience. He specializes in integrative care using evidence-based and humanistic therapies.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-07-07\">July 7, 2025</time></dd></div></dl></div></section></div></section><section aria-label=\"Related community\" class=\"article-topic-community article-topic-community-end\"><a href=\"https://www.mentalhealth.com/community/obsessive-compulsive-disorder\" class=\"card-identity-photo\" aria-label=\"Obsessive-Compulsive Disorder\"><img alt=\"\" class=\"topic-community-banner\" height=\"1536\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/2f9e9d1a0710aab4fb0058aa.webp\" width=\"1024\" decoding=\"async\"></a><p class=\"topic-community-label\">Related community</p><h2><a href=\"https://www.mentalhealth.com/community/obsessive-compulsive-disorder\">Obsessive-Compulsive Disorder</a></h2><p>Connect around experiences with OCD, uncertainty, and everyday life.</p></section></div></div><aside aria-label=\"Article navigation and related information\" class=\"article-sidebar\" data-bounded-rail=\"\" tabindex=\"0\"><details class=\"article-contents\" data-expanded=\"false\" data-scrolled-past=\"false\" data-section-preview=\"3\" open=\"\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#understanding-the-college-landscape-for-ocd\" aria-label=\"Understanding the College Landscape for Obsessive-compulsive disorder (OCD)\" title=\"Understanding the College Landscape for Obsessive-compulsive disorder (OCD)\">Understanding the College Landscape for Obsessive-compulsive disorder (OCD)</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#recognizing-ocd-on-campus\" aria-label=\"Recognizing Obsessive-compulsive disorder (OCD) on Campus\" title=\"Recognizing Obsessive-compulsive disorder (OCD) on Campus\">Recognizing Obsessive-compulsive disorder (OCD) on Campus</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#environmental-pressures-that-amplify-symptoms\" aria-label=\"Environmental Pressures That Amplify Symptoms\" title=\"Environmental Pressures That Amplify Symptoms\">Environmental Pressures That Amplify Symptoms</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#academic-functioning\" aria-label=\"Academic Functioning\" title=\"Academic Functioning\">Academic Functioning</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#social-and-residential-life\" aria-label=\"Social and Residential Life\" title=\"Social and Residential Life\">Social and Residential Life</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#treatment-and-support-resources\" aria-label=\"Treatment and Support Resources\" title=\"Treatment and Support Resources\">Treatment and Support Resources</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#building-sustainable-habits\" aria-label=\"Building Sustainable Habits\" title=\"Building Sustainable Habits\">Building Sustainable Habits</a></li><li><a href=\"https://www.mentalhealth.com/library/ocd-and-college-accommodations#moving-forward-with-confidence\" aria-label=\"Moving Forward with Confidence\" title=\"Moving Forward with Confidence\">Moving Forward with Confidence</a></li></ol><button aria-controls=\"article-section-list\" aria-expanded=\"false\" class=\"article-sections-toggle\" data-sections-toggle=\"\" type=\"button\">View more</button></nav></details></aside></div></div></div>","text":"Home Library Obsessive-Compulsive Disorder OCD’s Impact During College Obsessive-compulsive disorder (OCD)’s Impact During College Medically reviewed by Carlos Protzel, Psy.D. – Written by Janet Singer and Yogya Kalra Published on July 7, 2025 · Updated on May 12, 2026 College life throws students into an intense mix of independence, deadlines, and shared spaces, which can be fertile ground for Obsessive-compulsive disorder (OCD) to tighten its grip. Understanding how the disorder shows up on campus, why everyday demands magnify symptoms, and which evidence-based strategies restore time, focus, and confidence empowers students to thrive despite OCD. Key takeaways College demands and shared living environments can intensify OCD-related obsessions, rituals, and academic perfectionism. OCD can interfere with coursework, relationships, and daily routines even when symptoms are not outwardly obvious. Exposure and response prevention, appropriate medication, accommodations, and consistent habits can support college functioning. Understanding the College Landscape for Obsessive-compulsive disorder (OCD) OCD can interfere with studying, relationships, and everyday tasks. Symptoms often begin in adolescence or young adulthood, and stress may make them worse. A student’s academic performance does not by itself show how much distress they are experiencing, so persistent obsessions or compulsions warrant assessment⁠[1][2][3]. What they experience as academic anxiety, trouble concentrating, or compulsive checking may go unrecognized for months or years. OCD operates in the context of college life through pressure points that shape daily experience. These include time management, social relationships, academic expectations, and residential living conditions. By examining how OCD responds to these demands and identifying interventions supported by clinical research, students and institutions can work toward practical and compassionate support. Recognizing Obsessive-compulsive disorder (OCD) on Campus OCD is defined by the presence of obsessions (unwanted, intrusive thoughts or images) and compulsions (mental or behavioral acts aimed at neutralizing distress). In college settings, the content of obsessions often reflects the environment: fears of contamination in shared spaces, catastrophic thoughts about academic failure, or guilt over minor interpersonal interactions⁠[4]. Compulsions may include repeated handwashing, excessive proofreading, confessing, or reassurance-seeking. The general public may associate OCD with orderliness or cleanliness, but its clinical form is far more intrusive. These are not preferences; they are patterns of fear and avoidance that take root in a person’s internal logic. When a student with OCD spends hours rewriting a paper not for quality but to silence the belief that an undefined mistake could ruin everything, it is not perfectionism; it is a compulsion. This distinction helps reduce stigma and allows for earlier recognition. As symptoms begin to take hold, students may notice growing interference across routines, responsibilities, and relationships, often marked by patterns that disrupt daily functioning. These signs tend to repeat and intensify in college life, and may include: Frequent lateness due to time-consuming rituals: Students may spend excessive time on grooming, checking locks, or organizing materials in a specific order before leaving for class. Withdrawal from group assignments: Collaborative work can trigger fears of imperfection or responsibility for group outcomes, leading students to isolate or avoid participation. Excessive requests for clarification or reassurance from instructors: Persistent emails or questions often stem from fear of having misunderstood an assignment or violated an academic rule. Repeated email drafts or task restarts: The need to express oneself perfectly may cause students to start over multiple times, often delaying submission or communication. Difficulty settling into dorm environments: Adjusting to new routines and shared spaces can heighten rituals related to cleanliness, order, or safety. Avoidance of shared equipment or spaces: Libraries, gyms, and labs may become inaccessible due to contamination fears or rigid preferences for certain conditions. Academic advisors and faculty should pay attention to patterns that persist across contexts and compromise functioning, especially when students appear conscientious but underperform relative to effort. Recent estimates suggest that around 1 % to 2 % of college students meet clinical criteria for OCD⁠[5], although many more experience subthreshold symptoms that impair performance and wellbeing⁠[6]. A 2020 national survey of college counseling centers reported growing demand for OCD-specific care, with students frequently citing academic perfectionism and contamination fears as major sources of disruption⁠[2][4]. Subject matter expert Rychel Johnson, LCPC Professional counseling and mental health Environmental Pressures That Amplify Symptoms College life magnifies OCD vulnerabilities by design. Routines become self-managed, feedback is infrequent, living quarters are shared, and evaluation is constant. These features create friction for everyone, but for someone with OCD, they can entrench fear-based patterns. Unstructured time can become breeding ground for rumination. A research task might stretch across an entire evening, not due to procrastination, but because intrusive thoughts convince the student that every line of text must be reread multiple times. Living arrangements that include shared bathrooms, kitchens, and laundry areas bring logistical challenges, especially for individuals with contamination-related obsessions. These spaces are not just inconvenient; they are emotionally and physiologically overwhelming. When avoidance sets in, the student’s world begins to shrink. Common environmental triggers include: Shared facilities such as communal bathrooms, laundry rooms, and kitchens that heighten contamination concerns⁠[4] Academic pressure from frequent assessments and high expectations Lack of privacy in dorm living that disrupts coping routines Variable routines that interfere with planned exposures and recovery practices Environmental conditions play a central role in shaping symptoms and should be considered in treatment planning. This is not about eliminating every obstacle but reducing unnecessary distress so students can focus energy where it matters. Academic Functioning Academic work is often where OCD becomes most visible. The structure of higher education includes papers, presentations, and exams, which provide consistent opportunities for compulsions to flourish under the guise of preparation. Students may reread passages until they feel right, rewrite assignments from scratch to remove a perceived error, or delay submitting work due to fears it contains something harmful, inappropriate, or misunderstood⁠[4]. These behaviors are not conscious choices but responses driven by the need to alleviate anxiety that feels intolerable. Exposure and response prevention (ERP), a primary intervention for OCD, teaches individuals to complete tasks without resorting to rituals⁠[7]. For example, submitting a paper without rereading it multiple times becomes an opportunity to practice tolerating uncertainty while continuing to pursue academic goals. Faculty and advisors can support this process by offering structured feedback intervals, providing transparent evaluation criteria, and creating environments where students feel safe disclosing learning needs. Clear communication about process, not just outcomes, helps reduce shame and sustain engagement. Social and Residential Life OCD affects relationships through both overt rituals and internalized fear. Time-consuming behaviors may interfere with shared living, while distressing thoughts about harming others, making moral errors, or saying something inappropriate can make social interactions feel fraught. In group housing, conflicts may arise around cleaning, noise, or routines. Behaviors that provoke irritation in roommates, such as excessive tidying or rigid habits, often represent attempts to manage internal anxiety, not control others. Clear roommate agreements and guided conversations can prevent tension from escalating. Social withdrawal is also common. Intrusive thoughts related to morality, sexuality, or harm can cause shame and encourage isolation. Structured peer groups and campus counseling spaces can support expression and counteract internal avoidance cycles. Honest conversation does not remove OCD but reduces its dominance by restoring connection and perspective. Treatment and Support Resources Exposure and response prevention (ERP) is the most effective treatment for OCD, and when combined with selective serotonin reuptake inhibitors (SSRIs), ERP can significantly improve functioning⁠[7]. Many college counseling centers offer short-term therapy, but individuals with OCD often benefit from longer-term, specialized care. Students require providers trained specifically in ERP and support systems that coordinate care across academic and residential environments. This includes managing therapy alongside academic schedules and connecting students with local or telehealth clinicians when on-campus resources are insufficient⁠[2]. Disability resource offices play a critical role by helping students document functional impairment and access relevant academic supports. Accommodations that reduce ritual reinforcement, such as structured feedback schedules or low-distraction testing, are often more effective than standard options like extended time. Planning these supports in collaboration with the treatment provider ensures they reinforce recovery rather than avoidance. Helpful campus resources may include: University counseling centers offering intake, crisis services, and referrals to ERP-trained therapists Disability services offices coordinating documentation and formal accommodation planning Health and wellness departments with workshops and support groups focused on stress, sleep, and time management Peer advocacy groups that promote mental health literacy and reduce stigma through student-led initiatives Find support that fits you Explore people and care options near you. Find careBuilding Sustainable Habits Long-term progress in OCD recovery is not built on dramatic breakthroughs but on deliberate, daily effort. For college students, this means creating structured routines that reduce decision fatigue and create consistent space for exposure practice. When predictable rhythms are in place, such as regular wake-up times, meals, and study blocks, the mental load of managing uncertainty becomes more bearable. These routines do more than organize time. They reinforce self-efficacy, a psychological belief in one’s capacity to act effectively. Exposure-based tasks embedded into daily schedules, such as resisting the urge to reread a message before sending or sitting with minor disorder in one’s living space, support meaningful behavioral change. Brief grounding strategies between classes, such as paced breathing or sensory focus, can reset physiological arousal and restore a sense of control before anxiety escalates⁠[8]. Peer support adds another layer of protection. Trusted accountability partners, when appropriately guided, can serve as anchors for goal-setting without becoming reassurance providers. Equally important is proactive safety planning. Contact information for campus mental health services, national hotlines, and emergency resources should be easily accessible, and at least one trusted person should know how to activate that plan when needed. These habits do not eliminate OCD, but they create a framework in which recovery becomes possible: one day, one decision, one routine at a time. Moving Forward with Confidence Managing OCD in college requires more than academic support. It calls for an integrated approach that addresses how the disorder affects thinking patterns, behavior, and interpersonal functioning across daily contexts. Environments that accommodate OCD effectively are structured, responsive, and informed by clinical insight. When evidence-based treatment such as exposure and response prevention is combined with tailored academic and social supports, students can regain agency in their routines and relationships. Recovery is not linear, but it becomes sustainable when surrounded by systems that reinforce progress rather than avoidance. With coordinated care, clear expectations, and informed support, students with OCD can move through college with stability, purpose, and increasing confidence in their capacity to meet what lies ahead. References Elia J. (n.d.). Obsessive-Compulsive Disorder (OCD) and Related Disorders in Children and Adolescents. Merck Manual. Accessed October 10 2026. Center for Collegiate Mental Health. (n.d.). Diagnostic Prevalence and Trends in College Counseling. ccmh.psu.edu. Accessed October 10 2026. National Institute of Mental Health. (2023). Obsessive-Compulsive Disorder: When Unwanted Thoughts or Repetitive Behaviors Take Over. National Institutes of Health. National Institute of Mental Health. Accessed October 10 2026. Silverman M.E., Nag S. & Kalishman A. (n.d.). Increases in symptoms associated with obsessive-compulsive disorder among university students during the COVID-19 pandemic. Taylor & Francis. Accessed July 1 2025. National Institute of Mental Health. (n.d.). Obsessive-Compulsive Disorder (OCD) – Statistics. National Institute of Mental Health. Accessed October 10 2026. Pellegrini L., Albert U. & Carmassi C. (n.d.). Obsessive-Compulsive Symptoms in the General Population Under Stressful Conditions: Lessons Learned from the COVID-19 Pandemic. MDPI. Accessed October 10 2026. Mao L., Hu M. & Luo L. (n.d.). The effectiveness of exposure and response prevention combined with pharmacotherapy for obsessive-compulsive disorder: A systematic review and meta-analysis. Frontiers. Accessed October 10 2026. Luo Q., Li X. & Zhao J. (n.d.). The effect of slow breathing in regulating anxiety. Nature. Accessed October 10 2026. Medical Content The Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy. About MentalHealth.com MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life. Author Janet Singer Writer Janet Singer is a blog writer, writing about obsessive-compulsive disorder, particularly from her experience as a mother with a son affected by this condition. Published July 7, 2025 Updated May 12, 2026 Co-author Yogya Kalra Director of Strategy & AI Yogya Kalra is a strategy specialist with experience spanning R&D consulting, systems design, and nonprofit leadership. Published July 7, 2025 Updated May 12, 2026 Medical Reviewer Carlos Protzel, Psy.D. Clinical Care Director Carlos Protzel, Psy.D., LCSW, is a PSYPACT-certified psychologist with 25+ years of experience. He specializes in integrative care using evidence-based and humanistic therapies. Reviewed July 7, 2025 Related community Obsessive-Compulsive Disorder Connect around experiences with OCD, uncertainty, and everyday life. Table of contentsChoose a section Understanding the College Landscape for Obsessive-compulsive disorder (OCD) Recognizing Obsessive-compulsive disorder (OCD) on Campus Environmental Pressures That Amplify Symptoms Academic Functioning Social and Residential Life Treatment and Support Resources Building Sustainable Habits Moving Forward with Confidence View more","wordCount":2186},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://www.mentalhealth.com/#organization","name":"MentalHealth.com","url":"https://www.mentalhealth.com/","publishingPrinciples":"https://www.mentalhealth.com/publishing/editorial-policy"},{"@type":"WebSite","@id":"https://www.mentalhealth.com/#website","url":"https://www.mentalhealth.com/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://www.mentalhealth.com/#organization"}},{"@type":"BreadcrumbList","@id":"https://www.mentalhealth.com/library/ocd-and-college-accommodations#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.mentalhealth.com/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://www.mentalhealth.com/library"},{"@type":"ListItem","position":3,"name":"Obsessive-Compulsive Disorder","item":"https://www.mentalhealth.com/library/obsessive-compulsive-disorder"},{"@type":"ListItem","position":4,"name":"OCD’s Impact During College","item":"https://www.mentalhealth.com/library/ocd-and-college-accommodations"}]},{"@type":"ImageObject","@id":"https://www.mentalhealth.com/library/ocd-and-college-accommodations#primaryimage","url":"https://www.mentalhealth.com/assets/optimized/64c95bfd6f229ef082808732.webp","contentUrl":"https://www.mentalhealth.com/assets/optimized/64c95bfd6f229ef082808732.webp","width":1200,"height":630,"encodingFormat":"image/webp","caption":"A woman pauses thoughtfully with her hands near her chin."},{"@type":"Person","@id":"https://www.mentalhealth.com/people/janet-singer#person","name":"Janet Singer","url":"https://www.mentalhealth.com/people/janet-singer","jobTitle":"Writer","image":"https://www.mentalhealth.com/assets/optimized/35d59b0d6a28d23fb9c2a239.jpg","sameAs":["https://www.linkedin.com/in/janet-singer-05b5666a/"],"memberOf":[{"@id":"https://www.mentalhealth.com/publishing#department"}]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/yogya-kalra#person","name":"Yogya Kalra","url":"https://www.mentalhealth.com/people/yogya-kalra","jobTitle":"Director of Strategy & AI","image":"https://www.mentalhealth.com/assets/optimized/80717dc5884e7b8658f8188a.jpg","sameAs":["https://www.linkedin.com/in/yogyakalra/"],"memberOf":[{"@id":"https://www.mentalhealth.com/leadership#department"},{"@id":"https://www.mentalhealth.com/digital-operations#department"}]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/carlos-protzel#person","name":"Carlos Protzel, Psy.D.","url":"https://www.mentalhealth.com/people/carlos-protzel","jobTitle":"Clinical Care Director","image":"https://www.mentalhealth.com/assets/optimized/8e1ee0ec187d4c3ff0be4ad3.jpg","sameAs":["https://www.linkedin.com/in/carlos-protzel-lcsw-psyd-aa73aa12/"],"memberOf":[{"@id":"https://www.mentalhealth.com/clinical-affairs#department"},{"@id":"https://www.mentalhealth.com/leadership#department"}]},{"@type":"Article","@id":"https://www.mentalhealth.com/library/ocd-and-college-accommodations#article","url":"https://www.mentalhealth.com/library/ocd-and-college-accommodations","headline":"Obsessive-compulsive disorder (OCD)’s Impact During College","description":"Learn how to recognize OCD in college students and create evidence-based support for their academic, social, and emotional success.","wordCount":1677,"mainEntityOfPage":{"@id":"https://www.mentalhealth.com/library/ocd-and-college-accommodations#webpage"},"publisher":{"@id":"https://www.mentalhealth.com/#organization"},"articleSection":"Obsessive-Compulsive Disorder","citation":[{"@type":"CreativeWork","name":"Elia J. 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