International students can experience pressure from study, housing, finances, distance from family, language, culture and uncertainty about the future. These experiences do not establish a diagnosis or tell someone what treatment they need. They can be a reason to seek an assessment led conversation with the right service. University wellbeing, counselling, health and student support teams may offer different forms of help. UKCISA advises students to contact their institution, students' union or international office to identify the appropriate route. A GP can also be an important contact when mood, sleep, energy, concentration or physical symptoms change. New, severe, unexplained or concerning physical symptoms should not be assumed to be stress or anxiety. Seeking support is not the same as making a study status decision. If a student is considering interruption, attendance changes or another decision that could affect sponsorship, they should speak directly with their university's international student advice team or an appropriately qualified immigration adviser. This guide is general education, not immigration, financial, legal or medical advice. In an emergency, call 999 or go to A&E. For urgent mental health help in England that is not an emergency, call 111 or use 111 online. A clinician can assess whether a private CBT consultation is appropriate and what other support may also be needed.