Starting College or University
A student transition worksheet rating adjustment across studies, friendships, sleep, money, homesickness and health, with campus supports to use.
1-page fillable PDF · US Letter (prints on A4) · Transitions · Student mental health
- Approach / concern
- Life Transitions
- Technique
- Transitions · Student mental health
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Starting College or University?
The transition to post-secondary education is a period of elevated risk for mental health problems. Proactive support and connection help students adjust.
Why it works
A WHO survey found high prevalence of mental disorders among first-year college students internationally (Auerbach et al., 2018). Social connection protects wellbeing (Holt-Lunstad et al., 2010).
When to use it
- First-year students
- International students
- Students with ADHD or anxiety
- Parents preparing teens
How to use it in session
- Rate each area.
- Identify what would help.
- Note campus supports.
- Plan steps.
- Check in monthly.
Clinician tips
- Normalize the adjustment.
- Encourage early use of accessibility services.
- Screen for depression and substance use.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
Is it normal to feel homesick at university?
Yes. Most students feel homesick at some point, especially early on.
Where can I get help on campus?
Most Canadian campuses offer counselling, accessibility services and peer support.
References
Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., et al. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623-638.
Holt-Lunstad, J., Smith, T. B., & Layton, J. B. (2010). Social relationships and mortality risk: A meta-analytic review. PLoS Medicine, 7(7), e1000316.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
