Rooted in New York City and distinguished by a global network of campuses across 15 other cities, New York University is a composite of the world itself. Its president, Linda G. Mills, is charged with leading this cosmopolitan learning community at a time when many of the world’s problems are reverberating on campus. A therapist by training who is also a lawyer, filmmaker, social scientist, and restorative justice champion, Mills draws from her own diverse background to center wellbeing amidst unrelenting change and uncertainty.  

Before becoming the school’s first woman and first Jewish president, Mills spent many years at NYU, building a mental health infrastructure that has become a national model. In this interview for LearningWell, she is joined by VP of Student Health, Mental Health and Wellbeing, Zoe Ragouzeos, to talk about why that is only one aspect of a larger strategy to make individual and collective wellbeing a part of every student’s experience. In the current climate, that means helping those who come to NYU with mostly homogeneous past experiences thrive in a pluralist society.

LW: How is the uncertainty in the political world today, including on college campuses, affecting the wellbeing of your community?

Mills: When I think about the rapid changes happening at the federal level and their impact on our students, I’m constantly thinking about both the individuals and the community as a whole. What I’m seeing is an undercurrent of anxiety—students feeling deeply unsettled by the sheer velocity of change, regardless of their political perspective.

For those already vulnerable from a mental health standpoint, this uncertainty only amplifies their struggles. But even those who are generally resilient are feeling weighed down, less steady, and often simply confused. And that leads to deeper questions: “How do I process this? Is this something I should bring to therapy?” For some, becoming engaged in a community to advocate for change is an outlet. But if those actions don’t bring a sense of emotional relief, what then? How do they manage that lingering distress?

This moment in time creates a real tension between meeting personal emotional needs and navigating the external events unfolding around us. Finding balance between the two is a challenge we all must confront.

LW: What do you most worry about in terms of how this is affecting people?

Mills: I worry about all of it. In times of intense change, people often struggle to find their footing. That uncertainty can cause them to neglect their own wellbeing—whether it’s their mental health, their academic work, or even just basic daily routines. Reading and concentration become difficult. Decisions feel overwhelming. And stress can lead to choices that may have lasting consequences.

"In times of intense change, people often struggle to find their footing. That uncertainty can cause them to neglect their own wellbeing."

What I worry about most is students making impulsive decisions—choices that could derail their long-term goals—simply because they feel like they’re being swept up in a tidal wave of external events. What they often need most in these moments is to pause, reflect, and take a step back before reacting. But in times of stress, that’s not always easy to do.

LW: Hearing you talk, I am reminded that, among all of your many distinctions, you are a licensed clinical social worker. How has this influenced how you approach your presidency?

Mills: I think it has been really central. I feel like I need to be aware of the therapeutic and resilience elements of our students' lives. My background in clinical social work means I don’t just see the importance of seeking support, whether that’s through therapy, group counseling, or student organizations. I think deeply about students’ inner lives and what this particular moment in history means for them.

I also recognize that my position is unique. I don’t know many university presidents who are trained therapists. That experience gives me a different lens. I approach my role with an acute awareness of the mental health challenges our students, faculty, and staff are facing. It informs how I communicate, how I think, and how we develop programs that support not just the community as a whole but the individuals who need specific interventions.

So, in many ways, I am always thinking in two directions: What does our student body need collectively, and what does each student need individually? And that approach fundamentally shapes the way we build our mental health and wellbeing initiatives here.

LW: You recently hosted a national convening of university presidents on student mental health and wellbeing. What were some of the common concerns and challenges you and your peers discussed?

Mills: Zoe and I have been working on these issues for nearly 20 years. We started with a focus on direct services, ensuring that students who needed one-on-one counseling could access it quickly and effectively. That remains a core priority.

But over time, a larger challenge has come into focus: Not everyone will seek out traditional mental health services. Some students avoid therapy for religious, cultural, or familial reasons. Others struggle with the stigma attached to mental health care. So, our work has expanded beyond simply serving the most vulnerable students. It’s about creating a culture of wellbeing that reaches everyone.

The question we’re asking now is: How do we support mental health in a way that meets students where they are? How do we tailor programs that resonate with different backgrounds and lived experiences? That was the heart of our discussion at the convening—exploring innovative approaches that make mental health support accessible and relevant to all students, not just those who walk into a counseling center. And I was truly inspired by the creative solutions my peers are already testing.

LW: What are some of the challenges to that shift in focus?

Mills: One of the biggest challenges is that college is an incredibly demanding time with competing priorities pulling students in different directions. They have academic goals, study abroad opportunities, research projects, career aspirations—all of which require time and energy. So how do we integrate wellbeing into their daily lives in a way that doesn’t feel like yet another obligation?

That’s where I think Zoe has done this brilliantly, weaving mental health and resilience into every part of the student experience. If college is meant to prepare students for life, then wellbeing has to be a fundamental part of that preparation.

Some students arrive with strong wellbeing skills. They’ve been working on this for years. But others come to us with no foundation in self-care or emotional resilience—sometimes even with deeply ingrained stigma around mental health. For them, we’re starting from scratch, or even from a deficit.

So where should this integration happen? In student affairs? In study abroad programs? In the classroom? Faculty are often surprised when we suggest that mental health belongs in academic spaces, but the reality is it’s already showing up there. When a student asks for an extension on an assignment or when they can’t finish a course due to a personal issue, those are mental health concerns manifesting in academic life. Universities need to recognize this and build systems that support students holistically.

LW: Zoe, from your perspective, how do you see this shift in thinking taking shape?  

Ragouzeos: Linda often spoke about “the student in the back of the calculus class”—the person who never raises their hand, who may never step forward to seek help. She instilled in us the importance of not just serving those who come to our counseling services but actively reaching those who won’t. And that philosophy, in many ways, is the foundation of the public health model we embrace today.

So, the real question becomes: How do we reach that student?  Because this work isn’t just about clinical services, though those are critically important. It’s about every touchpoint a student has within our institution. Whether it’s an interaction with a faculty member, a peer, the physical environment, or student services, what messages are they receiving? What are we doing to strengthen their ability to cope?

At its core, resilience is the challenge we must address. While this model was initially built to support our most vulnerable students, we now recognize that every student benefits from stronger coping and resilience skills, regardless of where they start. In fact, we see it as our responsibility. By the time a student leaves here, they should not only have gained academic knowledge and the ability to think critically but also a greater capacity to navigate life’s challenges. That’s part of our mission.

With that in mind, how do we, as an institution, ensure that every student—not just those who seek support—leaves us more resilient than when they arrived?

LW: What’s the most effective thing a university president can do to address mental health on campus?

Mills: Modeling and reinforcing.

I often say that to be an effective therapist, you have to have gone to therapy yourself. The same is true for leadership around mental health. We need to model the idea that seeking support isn’t a weakness. It’s a fundamental part of a productive, healthy life.

That means speaking about it openly, normalizing conversations around mental health, and ensuring that our institutional policies reflect those values. We have to create a culture where prioritizing wellbeing is not just accepted but expected.

LW: What are your thoughts on the current state of higher education? What kind of change do you think is needed, especially in light of public skepticism?

Mills: Despite definite concerns about higher education, people still deeply believe in its value. The sheer volume of applications to NYU—over 120,000 this year—tells us that. Higher education remains the single most important factor in setting individuals and families up for success.

But beyond academic and professional preparation, universities also have a broader responsibility. We need to cultivate critical thinking, civic engagement, and the ability to navigate diverse perspectives.

One of the most urgent gaps I see is in bridge-building. Many students arrive on campus from homogenous communities, whether in the U.S. or abroad, and are suddenly immersed in one of the most diverse environments they’ve ever encountered. That transition can be jarring, especially in today’s polarized world.

Social media and cancel culture have made it even harder to engage across differences. We need to teach students the skills to have difficult conversations, to coexist with people who think differently, and to build meaningful connections across divides.

Interestingly, our research shows that students who study abroad improve their ability to navigate cultural differences. So how do we bring that kind of growth into all aspects of university life? Just as we integrate mental health and resilience from day one, we need to be just as intentional about fostering cross-cultural understanding and communication.

LW: Zoe, do you have any thoughts on that?

Ragouzeos: Resilience isn’t just about personal coping. It’s also about how we engage with the world around us. When we truly listen to one another and appreciate differences, we become more adaptable, more open, and, ultimately, more resilient. The ability to navigate life’s challenges is deeply connected to our capacity for understanding perspectives beyond our own.

"Resilience isn’t just about personal coping. It’s also about how we engage with the world around us."

This is one of the reasons why study abroad experiences can be so transformative. When students immerse themselves in a different culture, they naturally give themselves permission to accept differences in a way they might not at home. As visitors, they recognize that they are stepping into a world with different customs, perspectives, and ways of life, so they adjust. They observe, and they grow.

Yet, back home, that openness often fades. In familiar environments, people tend to default to expecting things to function as they always have within the norms of their own communities. This can create resistance to difference, rather than a willingness to embrace it.

So the question becomes: How do we cultivate that same openness and adaptability within our own communities? How do we encourage students to bring that study abroad mindset—one of curiosity, acceptance, and resilience—into their daily lives, even in places that feel familiar?

LW: Do you ever get asked about your own mental health? This is a tough time to be a college president, but I’m guessing there’s no support group for that.  

Mills: As a therapist by training, I think about my own mental health constantly. I believe that if I didn’t, I’d be failing my community. We all have to prioritize our wellbeing, especially in leadership roles where the pressures are relentless.

These are incredibly challenging times, and I have to be at my best to lead effectively. Some days are tougher than others, especially when events hit close to home, like my personal experiences with antisemitism. But those moments also deepen my understanding of resilience, making me a better advocate for our students. At the end of the day, I’m not just leading this community. I’m living these challenges alongside them.