Studying with Depression: How to Reduce the Burden
Summary

Studying with depression is an enormous challenge—but it is no reason to give up. It is entirely possible to find a way through your studies, even when it currently robs you of your strength. Learn how you can reduce burdens, find help, and utilize your rights.

Studying with Depression – Key Takeaways

  • A serious illness, not a weakness: Depression is a real medical condition, not a personal flaw, and it goes far beyond standard sadness or stress. Seek professional help, as the illness typically does not go away without treatment.
  • You are not alone: Mental health strain among students is high. As of 2023, 17 percent of students in Germany—one in six—had at least one diagnosed mental health disorder (Technical University of Munich, 2023).
  • You have a right to support: This holds true whether you already started university with depression or if academic pressure, self-doubt, or anxiety about the future triggered the illness during your studies.
  • Campus counseling: The psychological counseling service (Psychologische Beratung) at your student union (Studierendenwerk) can guide you through your options and provide initial orientation.
  • Doctor's visit, treatment, and medical certificates: See a doctor for an evaluation and advice. They will make a diagnosis, determine a treatment plan, and issue a medical certificate of inability to study or take exams, which unlocks the next three steps.
  • Disability accommodations (Nachteilsausgleich): This allows you to have exams adapted to your specific needs. The academic requirements and content remain exactly the same.
  • Leave of absence: Taking a semester off due to illness is an available option.
  • BAföG extension: Extending your student financial aid is feasible by submitting a special application based on your medical certificate.
  • Digital support: The Digital Health Application (DiGA) deprexis offers daily therapeutic support. Your doctor can write a prescription for it, and health insurance covers the costs.
  • In Case of an Acute Crisis: If you are experiencing an immediate crisis, please call the emergency services at 112, or reach out to the TelefonSeelsorge (Crisis Counseling) online or by phone at 0800 1110111, 0800 1110222, or 116 123.

What is Depression?

A depression is more than just a phase of deep sadness reacting to stress or setbacks. It is a serious, medically recognized mental illness characterized by profound symptoms that persist over weeks or months. Unlike normal low mood, clinical depression is often marked by a persistently depressed mood, a loss of joy and interest, and a severe lack of motivation. It affects not only the psyche but the entire body and lifestyle.

Key symptoms include concentration and sleep disorders, which directly impact studying by making learning and organization nearly impossible. These are often accompanied by intense feelings of guilt, a massively reduced self-esteem, and a sense of inner emptiness. Because it is an illness with biological, psychological, and social causes, professional treatment in the form of therapy—potentially combined with medication—is necessary. This is the only way to break the cycle and restore the ability to study.

First Steps and Contact Points on Campus

When university life takes a toll on your mental health, you might feel isolated—but you are not alone. The first and most vital message when studying with depression is that help is quickly available. Most universities offer psychosocial counseling and confidential assistance, which is usually free of charge and easily accessible.

Checklist for Your First Steps

  • Schedule an appointment with your general practitioner (GP) immediately. They will examine you, provide a diagnosis, and advise you on potential treatment steps.
  • Request a medical certificate. Ask your doctor for a certificate stating that you are currently unable to study or take exams. This certificate forms the legal foundation for almost all upcoming applications, including exam withdrawals, deadline extensions, disability accommodations, and BAföG extensions.
  • Check your examination regulations: Take a quick look to see if an official public health officer's certificate is required, though standard medical certificates are usually sufficient.
  • Contact the Student Union's Psychological Counseling Service. These appointments are free, confidential, and provide excellent guidance. You will receive an initial assessment and support with the upcoming formal steps, often available digitally. An overview of the 57 student unions in Germany is provided by the Deutsches Studierendenwerk.
  • Briefly inform your faculty or examination office. Send a short, objective email stating that you have sought counseling due to health reasons and are currently reviewing deadlines. Request a temporary preservation of deadlines until you can submit the required documentation. You can find a template for this further down.
  • Prepare your applications. Depending on your personal situation, start preparing the paperwork for disability accommodations, exam withdrawals, deadline extensions, or a leave of absence, see the next section, "Legal Rights & Forms."

Digital Support with deprexis

  • What it is: deprexis is a certified Digital Health Application (DiGA) specifically designed for depression and listed in the official directory of the Federal Institute for Drugs and Medical Devices (BfArM).
  • How to get it: You can get a prescription for it from your doctor, and the costs are fully covered by public health insurance companies.
  • The benefit: deprexis can provide immediate therapeutic support—anywhere, anytime.

Legal Rights and Forms

Dealing with depression during your studies makes it crucial to protect yourself formally and give yourself some breathing room. Always follow your specific examination regulations, which govern the exact details. The examination regulations are a binding set of rules at every university that define the requirements, procedures, and framework for all exams. Below, you will find practical guidance and support, including an email template for the examination office.

Disability Accommodations at a Glance

Disability accommodations (Nachteilsausgleich) are designed to compensate for formal disadvantages caused by a chronic illness or disability. It does not alter the academic content or requirements of the exam—only the format and conditions under which it is taken.

Typical measures include:

  • Time extensions for exams or assignments
  • A separate room to reduce stress or distractions
  • Flexible break regulations during exams
  • The use of specific aids or assistive tools
  • Alternative exam formats (e.g., an oral exam instead of a written paper)

The Application Process (Simplified)

  • Submit the application: File a formal request with your examination office explaining your situation. Many universities provide specific standard forms for this.
  • Attach evidence: A medical certificate is the core piece of evidence. Occasionally, an official public health officer's certificate might be required.
  • Observe strict deadlines: The application must always be submitted before the exam takes place or before an assignment deadline. Retrospective submissions are only granted in very rare, exceptional cases.
  • Hardship Applications (Härtefallantrag): Many universities have special hardship regulations. These can come into play if you have missed deadlines—for example, when withdrawing from an exam late or during the allocation of university places. Ask your examination office about the specific criteria required for a hardship application and the correct procedure to follow.

Withdrawal & Deadline Extension

  • Exam Withdrawal: If you are unable to take an exam due to health reasons, you must inform the examination office immediately and submit your medical certificate promptly.
  • Assignment Extensions: For term papers or final theses, you can also apply for a deadline extension based on your illness.

Template Email to the Examination Office (for copying)

Subject: Health Impairment – Request for Preservation of Deadlines / Information

Dear Sir or Madam,

Due to a current health impairment (medical certificate is available), I require advice regarding withdrawal/deadline extension/disability accommodations. I kindly request a preservation of deadlines until I have submitted the required documentation.

Thank you very much.

Sincerely,

(Your Name, Matriculation Number, Degree Program)

Leave of Absence Due to Illness

A leave of absence is possible if you are temporarily unable to properly pursue your studies due to your illness. In most cases, a medical certificate is sufficient. The exact details are regulated by university law or the respective university statutes.

Important: During a leave of absence, your rights to take exams or re-register are often suspended. In some cases, semester fees may be waived. Be sure to clarify with your examination office whether submitting assignments or taking exams is still permitted during your leave.

BAföG (Student Financial Aid)

If your studies are delayed due to a serious illness or disability, your funding period can be extended. It is essential to apply for this in a timely manner before your current approval period ends. Keep in mind the regulations regarding the proof of academic achievement under § 48 BAföG.

  • Form 10: This form serves as the official medical proof for study delays caused by illness.
  • The Three-Month Rule: If the illness lasts longer than three months, special regulations apply. Inform your BAföG office about your situation at an early stage.

Tools to Ease Your Daily Academic Life

When dealing with depression during your studies, you need practical tools to lighten the everyday load. Here is what you can start doing immediately to support yourself.

1) The Minimal Plan (Daily: 3 × 15 Minutes)

When your energy feels depleted, the Minimal Plan is your safety net. It consists of three short blocks and serves as a bridge to keep you afloat until you feel more stable.

  • Block A – "Duty": Complete one very small task to keep your studies moving forward (e.g., opening a single email, looking over a form, or writing down a book title).
  • Block B – "Studying": Work with focus for 15 minutes on a section of your material. Immediately afterwards, note down the next mini-step you can tackle tomorrow.
  • Block C – "Energy": Do something that restores your strength (e.g., taking a short walk, showering, or preparing a healthy meal).

2) Energy Management in Waves

  • Plan for short working phases. For example, use the Pomodoro technique: work for 25 to 40 minutes, followed by a 10-minute break. Schedule your most difficult tasks during times when your energy levels are naturally a bit higher, such as in the morning.

3) Study Technique: "Explain Instead of Highlighting"

  • Instead of just highlighting long texts, try to explain what you have read to someone else in just three sentences. This combats endless rumination, boosts concentration, and makes the study material much more accessible.

4) The "Two-Tab Rule" on Your Computer

  • Open a maximum of two browser tabs for your current task and turn off all notifications. This minimizes sensory overload and distractions, which is incredibly vital when facing concentration difficulties while studying with depression.

5) Social Micro-Steps

  • Consciously choose social interactions that do not overwhelm you: send a quick chat message to a classmate, work in a university study room instead of being alone at home, or find a regular study buddy. Social connections provide an essential support system.

6) Strategic Exam Planning

Focus first on manageable assignments and assessments that offer quick wins. Apply early for disability accommodations or deadline extensions if you know you will require more time.

7) Structuring the Day

  • Maintain fixed times for getting up in the morning, going for a short walk, and eating your meals. A reliable daily routine can provide a sense of stability and support when things feel overwhelming.

FAQs

Types of Depression

Yes, studying with depression is entirely possible if the right framework is put in place. You will need the support of your doctor or a psychotherapist, and you should make use of your formal rights to disability accommodations, a leave of absence, and other forms of relief. Furthermore, a Digital Health Application (DiGA) like deprexis can accompany you effectively day-to-day, providing exercises and inspiration.

Generally, a doctor examines you, makes the decision, and certifies your condition. You then submit this medical certificate to the examination office, which ultimately makes the final legal decision regarding your inability to take the exam.

Disability accommodations (Nachteilsausgleich) are meant to create more manageable conditions for you. This can include a time extension, a private room, additional breaks, permission to use technical aids, or alternative exam formats. It must never include a reduction in academic requirements.

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