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The following chronic health conditions intend to highlight the nature of the disease and how it may influence a student’s day-to-day activities. This is not a comprehensive list and is not intended to be used as diagnosis. Explaining every type of health condition is beyond the scope of this toolkit. Therefore, the primary objective in this section is to understand how different health conditions affect a student’s ability to participate in school and in their social life, as both of those areas have a profound impact on student mental health. For any detailed information regarding any of the conditions mentioned, please consult a health care provider (such as a doctor or a nurse) or an expert on the topic (e.g., a scientist).

Mental health conditions traditionally tend to be omitted from the list of chronic health conditions despite these conditions affecting individuals for most of their lives, with physical, emotional and cognitive manifestations. In Ontario, over a third of post-secondary students have reported experiencing some sort of formal mental health diagnosis, with depression and generalized anxiety being the most common (Moghimi et al., 2023). Additionally, no two students experience the same condition in the same way, due to either sociological factors, genetic factors, or both.

Condition Academic Impacts Social Impacts
Depression (Major Depressive Disorder) (Mayo Clinic, n.d.)
  • Inability to focus in class due to low energy or feeling jittery
  • Missing morning classes due to low energy and inability to get out of bed
  • Missing assignment deadlines due to memory issues
  • Loss of motivation and interest to do well in school
  • Feeling inclined to isolate and avoid social activities
  • Reaching out less to friends and family due to internal turmoil
  • Feeling exhausted by pretending to be okay around friends/family
  • Questioning whether family/ friends love you or if you are worthy to them
Anxiety (Generalized Anxiety Disorder) (Cleveland Clinic, 2025)
  • Fatigue during class due to lack of sleep
  • Having to go to the bathroom right before a test/exam due to digestive irritability
  • Being unable to focus in class or studying due to restlessness, mind going blank, or racing thoughts
  • Avoiding social situations as they feel threatening
  • Being scared that you are bothering friends/family
  • Feeling the need to control loved ones due to fear of being hurt

It is important to note that conditions like depression and anxiety can often manifest as a byproduct of a different health condition (as mentioned before in our section on how chronic conditions can overlap) (Turner, 2000).

Neurological health conditions pertain to any condition that occurs due to disruption or injury in any component within the nervous system such as the brain, the cells in the brain, the spinal cord and the nerves anywhere in the body (Cleveland Clinic, 2025).

Condition Academic Impacts Social Impacts
Traumatic Brain Injury (Philipson et al., 2023; Supporting Students With Disabilities, n.d.)
  • Dropping out of school if the injury is severe
  • Inability or difficulty keeping up with classes and assignments due to fatigue and needing frequent rest
  • Challenges in partaking in classes that use online platforms due to screen time
  • Taking time to understand concepts and not remembering what was learnt
  • Increased difficulty in attending social events or gatherings due to fatigue, headaches, sensitivity to light or sounds, etc.
  • Personality or mood changes impacting quality of relationships
  • Anxiety/depression affecting how friendships and relationships are perceived
  • Not reaching out to social supports due to guilt around feeling like a burden
  • Stopping participation of sports or other extracurricular activities that attend to social needs
Migraines (Mayo Clinic, n.d.)
  • Increased difficulty or inability to attend class, study or complete assignments due to intense pain that can last multiple days
  • Missing class due to light and sound sensitivity
  • Dealing with nausea or vomiting while on campus
  • Missing social gatherings and plans due to intense pain of a migraine
  • Having to cancel or reschedule plans due to an unpredictable migraine
Multiple Sclerosis (MS) (Hoffman et al., 2019; Mayo Clinic, n.d.)
  • Trouble getting to different classes or taking more time than usual
  • Inability to partake in class effectively due to fatigue, vision problems, or trouble with processing/remembering information
  • Dealing with symptom flare ups due to stress from school, thereby making it harder to complete schoolwork.
  • Limited accommodations by professors/instructors due to not understanding the nature of MS
  • Not having lots of time for social plans due to things like needing naps due to fatigue, going to appointments, etc.
  • Limited options for socializing that accommodate MS symptoms

 

Endocrinological health conditions are health conditions that manifest due to irregularities of hormone levels or disruption in how the hormones affect our body.

Condition Academic Impacts Social Impacts
Diabetes (Type 1 and Type 2) (Hagger et al., 2022)
  • Feeling self-conscious about having to bring food to class and eat in front of people, even potentially get in trouble by the instructors
  • Missing class/labs/study opportunities due to spaces prohibiting food to manage hypoglycemia
  • Fatigue and poor concentration in class due to fluctuating blood glucose levels
  • Not attending parties or other social events that may not be accommodating to the needs of someone who has diabetes
  • Being unable to confide in someone about the struggles of diabetes due to stigma or shame
  • Feeling anxiety and struggling with body image due to stigma, diet culture, and fatphobia
Addison’s Disease (Mälstam et al., 2018)
  • Feeling extreme anxiety during high stress periods (ex. exams)
  • Taking more time to get between classes due to physical fatigue
  • Having to step outside of class or missing class due to nausea
  • Inclination to decline social events due to fatigue
Hypothyroidism (British Thyroid Foundation, n.d.; Mohammed et al., 2023)
  • Challenges in focusing and partaking in class due to fatigue and sleep issues
  • Forgetting details in classes
  • Spending time catching up on work due to missed classes when attending appointments or catching up on sleep
  • Increased sense of loneliness
  • Having trouble with conversations due to brain fog or memory issues

Chronic respiratory diseases are conditions that impact the respiratory system such as the lungs and the airways, and impact how one can breathe. While there are genetic factors to some of these conditions, environmental factors such as air pollution and tobacco smoke can play a role (Public Health Ontario, n.d.).

Condition Academic Impacts Social Impacts
Asthma (Carpentier et al., 2007; Mayo Clinic, n.d.)
  • Having a hard time breathing in rooms that may be dusty or if there is an allergic reaction
  • Flare-ups of asthma at night can impact sleep, thereby impacting attention and focus in class
  • Limited participation in sports or physical activity depending on the severity of the asthma
Cystic Fibrosis (Cystic Fibrosis Canda, n.d.)
  • Not being able to study collaboratively due to various appointments
  • Difficulty keeping up with courses compared to peers without the disease
  • Struggling with body image may lead to stress when meeting with friends/family
  • Finding time to socialize can be challenging when there are other competing demands like physiotherapy, doctors’ appointments, rest, etc.

Student Success Story: Elspeth Arbow

Diagnosed with cystic fibrosis, Elspeth Arbow at the University of Toronto shows that academic success is possible with patience, lots of support, and strength.

“Take your time,” she says. “The only rush is when you think you have to meet a four-year standard or whatever… It doesn’t matter as long as you get it done. If that takes you four years, great. If it takes six years, cool. If it takes you 10 years – it’s all the more powerful when you do finish.”

You can read her journey here.

 

Myth or Fact Activity

The Supporting Students with Disabilities Module (developed by the Anglophone postsecondary institutions of New Brunswick) provides an insightful section on chronic health conditions. You can test your knowledge and understanding of chronic health conditions in the myth and facts section. In the same module, you can also find a section on scenarios that may give insight into a student’s day-to day life with chronic health conditions.

Section: 8 of 27

Impact of Different Chronic Health Conditions

Toolkits & Infosheets

Documentation to help campus staff and students with mental health issues.