The mental health crisis in academia

Apr 30 JDN 2460065

Why are so many academics anxious and depressed?

Depression and anxiety are much more prevalent among both students and faculty than they are in the general population. Unsurprisingly, women seem to have it a bit worse than men, and trans people have it worst of all.

Is this the result of systemic failings of the academic system? Before deciding that, one thing we should consider is that very smart people do seem to have a higher risk of depression.

There is a complex relationship between genes linked to depression and genes linked to intelligence, and some evidence that people of especially high IQ are more prone to depression; nearly 27% of Mensa members report mood disorders, compared to 10% of the general population.

(Incidentally, the stereotype of the weird, sickly nerd has a kernel of truth: the correlations between intelligence and autism, ADHD, allergies, and autoimmune disorders are absolutely real—and not at all well understood. It may be a general pattern of neural hyper-activation, not unlike what I posit in my stochastic overload model. The stereotypical nerd wears glasses, and, yes, indeed, myopia is also correlated with intelligence—and this seems to be mostly driven by genetics.)

Most of these figures are at least a few years old. If anything things are only worse now, as COVID triggered a surge in depression for just about everyone, academics included. It remains to be seen how much of this large increase will abate as things gradually return to normal, and how much will continue to have long-term effects—this may depend in part on how well we manage to genuinely restore a normal way of life and how well we can deal with long COVID.

If we assume that academics are a similar population to Mensa members (admittedly a strong assumption), then this could potentially explain why 26% of academic faculty are depressed—but not why nearly 40% of junior faculty are. At the very least, we junior faculty are about 50% more likely to be depressed than would be explained by our intelligence alone. And grad students have it even worse: Nearly 40% of graduate students report anxiety or depression, and nearly 50% of PhD students meet the criteria for depression. At the very least this sounds like a dual effect of being both high in intelligence and low in status—it’s those of us who have very little power or job security in academia who are the most depressed.

This suggests that, yes, there really is something wrong with academia. It may not be entirely the fault of the system—perhaps even a well-designed academic system would result in more depression than the general population because we are genetically predisposed. But it really does seem like there is a substantial environmental contribution that academic institutions bear some responsibility for.

I think the most obvious explanation is constant evaluation: From the time we are students at least up until we (maybe, hopefully, someday) get tenure, academics are constantly being evaluated on our performance. We know that this sort of evaluation contributes to anxiety and depression.

Don’t other jobs evaluate performance? Sure. But not constantly the way that academia does. This is especially obvious as a student, where everything you do is graded; but it largely continues once you are faculty as well.

For most jobs, you are concerned about doing well enough to keep your job or maybe get a raise. But academia has this continuous forward pressure: if you are a grad student or junior faculty, you can’t possibly keep your job; you must either move upward to the next stage or drop out. And academia has become so hyper-competitive that if you want to continue moving upward—and someday getting that tenure—you must publish in top-ranked journals, which have utterly opaque criteria and ever-declining acceptance rates. And since there are so few jobs available compared to the number of applicants, good enough is never good enough; you must be exceptional, or you will fail. Two thirds of PhD graduates seek a career in academia—but only 30% are actually in one three years later. (And honestly, three years is pretty short; there are plenty of cracks left to fall through between that and a genuinely stable tenured faculty position.)

Moreover, our skills are so hyper-specialized that it’s very hard to imagine finding work anywhere else. This grants academic institutions tremendous monopsony power over us, letting them get away with lower pay and worse working conditions. Even with an economics PhD—relatively transferable, all things considered—I find myself wondering who would actually want to hire me outside this ivory tower, and my feeble attempts at actually seeking out such employment have thus far met with no success.

I also find academia painfully isolating. I’m not an especially extraverted person; I tend to score somewhere near the middle range of extraversion (sometimes called an “ambivert”). But I still find myself craving more meaningful contact with my colleagues. We all seem to work in complete isolation from one another, even when sharing the same office (which is awkward for other reasons). There are very few consistent gatherings or good common spaces. And whenever faculty do try to arrange some sort of purely social event, it always seems to involve drinking at a pub and nobody is interested in providing any serious emotional or professional support.

Some of this may be particular to this university, or to the UK; or perhaps it has more to do with being at a certain stage of my career. In any case I didn’t feel nearly so isolated in graduate school; I had other students in my cohort and adjacent cohorts who were going through the same things. But I’ve been here two years now and so far have been unable to establish any similarly supportive relationships with colleagues.

There may be some opportunities I’m not taking advantage of: I’ve skipped a lot of research seminars, and I stopped going to those pub gatherings. But it wasn’t that I didn’t try them at all; it was that I tried them a few times and quickly found that they were not filling that need. At seminars, people only talked about the particular research project being presented. At the pub, people talked about almost nothing of serious significance—and certainly nothing requiring emotional vulnerability. The closest I think I got to this kind of support from colleagues was a series of lunch meetings designed to improve instruction in “tutorials” (what here in the UK we call discussion sections); there, at least, we could commiserate about feeling overworked and dealing with administrative bureaucracy.

There seem to be deep, structural problems with how academia is run. This whole process of universities outsourcing their hiring decisions to the capricious whims of high-ranked journals basically decides the entire course of our careers. And once you get to the point I have, now so disheartened with the process of publishing research that I can’t even engage with it, it’s not at all clear how it’s even possible to recover. I see no way forward, no one to turn to. No one seems to care how well I teach, if I’m not publishing research.

And I’m clearly not the only one who feels this way.

If you really want grad students to have better mental health, remove all the high-stakes checkpoints

Post 260: Oct 14 JDN 2458406

A study was recently published in Nature Biotechnology showing clear evidence of a mental health crisis among graduate students (no, I don’t know why they picked the biotechnology imprint—I guess it wasn’t good enough for Nature proper?). This is only the most recent of several studies showing exceptionally high rates of mental health issues among graduate students.

I’ve seen universities do a lot of public hand-wringing and lip service about this issue—but I haven’t seen any that were seriously willing to do what it takes to actually solve the problem.

I think this fact became clearest to me when I was required to fill out an official “Individual Development Plan” form as a prerequisite for my advancement to candidacy, which included one question about “What are you doing to support your own mental health and work/life balance?”

The irony here is absolutely excruciating, because advancement to candidacy has been overwhelmingly my leading source of mental health stress for at least the last six months. And it is only one of several different high-stakes checkpoints that grad students are expected to complete, always threatened with defunding or outright expulsion from the graduate program if the checkpoint is not met by a certain arbitrary deadline.

The first of these was the qualifying exams. Then comes advancement to candidacy. Then I have to complete and defend a second-year paper, then a third-year paper. Finally I have to complete and defend a dissertation, and then go onto the job market and go through a gauntlet of applications and interviews. I can’t think of any other time in my life when I was under this much academic and career pressure this consistently—even finishing high school and applying to college wasn’t like this.

If universities really wanted to improve my mental health, they would find a way to get rid of all that.

Granted, a single university does not have total control over all this: There are coordination problems between universities regarding qualifying exams, advancement, and dissertation requirements. One university that unilaterally tried to remove all these would rapidly lose prestige, as it would not be regarded as “rigorous” to reduce the pressure on your grad students. But that itself is precisely the problem—we have equated “rigor” with pressuring grad students until they are on the verge of emotional collapse. Universities don’t seem to know how to make graduate school difficult in the ways that would actually encourage excellence in research and teaching; they simply know how to make it difficult in ways that destroy their students psychologically.

The job market is even more complicated; in the current funding environment, it would be prohibitively expensive to open up enough faculty positions to actually accept even half of all graduating PhDs to tenure-track jobs. Probably the best answer here is to refocus graduate programs on supporting employment outside academia, recognizing both that PhD-level skills are valuable in many workplaces and that not every grad student really wants to become a professor.

But there are clearly ways that universities could mitigate these effects, and they don’t seem genuinely interested in doing so. They could remove the advancement exam, for example; you could simply advance to candidacy as a formality when your advisor decides you are ready, never needing to actually perform a high-stakes presentation before a committee—because what the hell does that accomplish anyway? Speaking of advisors, they could have a formalized matching process that starts with interviewing several different professors and being matched to the one that best fits your goals and interests, instead of expecting you to reach out on your own and hope for the best. They could have you write a dissertation, but not perform a “dissertation defense”—because, again, what can they possibly learn from forcing you to present in a high-stakes environment that they couldn’t have learned from reading your paper and talking with you about it over several months?

They could adjust or even remove funding deadlines—especially for international students. Here at UCI at least, once you are accepted to the program, you are ostensibly guaranteed funding for as long as you maintain reasonable academic progress—but then they define “reasonable progress” in such a way that you have to form an advancement committee, fill out forms, write a paper, and present before a committee all by a certain date or your funding is in jeopardy. Residents of California (which includes all US students who successfully established residency after a full year) are given more time if we need it—but international students aren’t. How is that fair?

The unwillingness of universities to take such actions clearly shows that their commitment to improving students’ mental health is paper-thin. They are only willing to help their students improve their work-life balance as long as it doesn’t require changing anything about the graduate program. They will provide us with counseling services and free yoga classes, but they won’t seriously reduce the pressure they put on us at every step of the way.
I understand that universities are concerned about protecting their prestige, but I ask them this: Does this really improve the quality of your research or teaching output? Do you actually graduate better students by selecting only the ones who can survive being emotionally crushed? Do all these arbitrary high-stakes performances actually result in greater advancement of human knowledge?

Or is it perhaps that you yourselves were put through such hazing rituals years ago, and now your cognitive dissonance won’t let you admit that it was all for naught? “This must be worth doing, or else they wouldn’t have put me through so much suffering!” Are you trying to transfer your own psychological pain onto your students, lest you be forced to face it yourself?