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February 21, 2026

The Presidency and Mental Health

Younger generations have been good at destigmatizing mental health and substance abuse. Olders, not so much.

 

By  Rachel Toor

The Sandbox

Inside Higher Ed Insider
image of person pasting on a smile

From Rachel Toor

It is manifest what mighty advantages fiction has over truth, and the reason is just at our elbow: because imagination can build nobler scenes and produce more wonderful revolutions than fortune or Nature will be at the expense to furnish.”
—Jonathan Swift, “A Tale of a Tub”

Maybe it’s because I’ve spent nearly every day of the last three years talking to presidents about the things we don’t tend to read in the news or hear about in faculty senate meetings, and even, according to many, that aren’t shared in gatherings of peers.

“In the proportion that credulity is a more peaceful possession of the mind than curiosity, so far preferable is that wisdom which converses about the surface to that pretended philosophy which enters into the depths of things and then comes gravely back with informations and discoveries, that in the inside they are good for nothing.”

And maybe it’s because I have no gift for small talk and get impatient with anyone who seems like they’re trying to tell me they live in a place where all the women are strong, all the men are good-looking, and all their students are above average.

“Last week I saw a woman flayed, and you will hardly believe how much it altered her person for the worst.” 

But maybe it’s because when most people ask “how are you?” they don’t really want to hear the answer, especially if it’s not “it’s all good.” But there’s something in me that doesn’t love a wall, and even though I know my curiosity can feel colonoscopic, I will keep asking hard questions if I sense a person wants or needs to unload. It seems easy for those in the cheap seats to forget that—and here’s a news flash for you—the people who take these jobs are people. And surprise! They also have personal lives, and carry with them all the hurts and stressors that go along with being human, including plenty of stuff they can’t or won’t share.

“…Whatever philosopher or projector can find out an art to sodder and patch up the flaws and imperfections of Nature, will deserve much better of mankind and teach us a more useful science than that so much in present esteem, of widening and exposing them …”

Still, I am shocked when even those in higher ed learn about what happens to the people who become presidents are surprised to learn the unsightly truths. Death threats, insults to family, name-calling, harassment, hate email, performative public tongue lashings—these all come with the territory. What surprises me is how few people, even those in and around higher ed, really understand the frequency and severity of the toll of being the public face of an institution can take on individuals.

“This is the sublime and refined point of felicity called the possession of being well-deceived, the serene peaceful state of being a fool among knaves.”

Along with my current and former work wives, I will be attending the ACE annual meeting in D.C. starting Wednesday, Feb. 25. If you’ll be there, get in touch and let’s get together.

The writer is a current president.

Even though I know, intellectually and experientially, how impactful it is when educators, particularly those at the “top,” so to speak, share challenging experiences with their students, there is one area where I have not: mental health.

The pandemic was challenging for all of us. For me, two additional challenges layered onto that era. One was institutional existence. My institution was involved in the world of major transitions—staffing reductions, program cuts, mergers, closures—that so many faced, and still face. I believed for a period that my institution would close under my watch (it didn’t). Another was the death of my father, who was definitely thrilled to watch his son’s ascent. In darker moments, mourning was eclipsed by a sort of relief that he wouldn’t have to witness my failure.

I found myself thinking about bizarre scenarios in which my institution found ways to have me secretly killed, so my demise could be an excuse for closure. I would have repeated moments when I envisioned myself pointing an imaginary gun at my face or into my mouth. There were some imagined hangings in there as well. And, while driving over longish distances, I repeatedly thought how easy it would be to just veer off the road into a tree. Someone else could then figure out what to do with the damn institution. (I have never written about any of this, and doing so now is not entirely unterrifying.)

What seems strangest is how normal this came to feel. I didn’t realize how wrong things had become. I am grateful that when I went for my annual physical and was asked the routine question of whether I had considered harming myself, I said yes. Or, at least, I said something like “sort of.” From there began an intervention with an online crisis counseling service, talk therapy, and, ultimately, medication.

My initial diagnosis was somewhere between moderate and severe depression. That seemed extreme to me at the time—I wasn’t severely depressed, I was running an entire institution—and the time I spent thinking about ending it all (my life, not the institution’s) was pretty minimal. But whatever. I liked my social worker well enough, and I made rapid progress according to her, which maybe she tells every patient. The ambitious leader in me, even the severely depressed version, still liked getting good grades.

The medication was a sticking point. I didn’t want to do go onto antidepressants, and I resisted for weeks. Somehow, doing that would make it “real” in a way that the talk therapy didn’t. Finally, she got me to agree to a low dose; it wouldn’t solve everything but would make life a little easier while I worked through my issues in talk therapy. As an educator who has made “scaffolding” a key aspect of my pedagogical work, this should have been easy for me to understand, but I wasn’t an educator in that room. I was a patient—a mental health patient. That was radically new for someone used to being a role model for others. What was I role modeling now?

A lot, actually, if anyone ever knew about it. I used to find it really strange that a student could, one day in class, be amazing in their contributions and the next day catatonic and lethargic. I also didn’t really understand how a student who had clearly been able to write great papers would have a stretch of time when they were unable to produce even a shoddy piece of work. They would say it was because of their mental health. Was it? I was understanding of them because I had to be, on an intellectual level and to follow school policies, but I didn’t really get it.

Now I did. I still functioned in my job, but I noticed that there were days when I had to postpone a task because I just couldn’t do it, and then, sometimes the very next day, the same task was easy to complete. I started to have moments of recognition, seeing behaviors in my students that I was experiencing myself. The students with mental health challenges were becoming role models for me.

How amazing it would have been, and would still be, if I could return the favor. I know, from treasured moments of feedback, that there are students who have found their lives a little (or a lot) easier because I exist, given the various identities we share. It isn’t a leap to conclude that students with depression would find it meaningful to know that depression doesn’t have to hold them back from the top job in whatever field they choose. The kind of leadership I have believed in and modeled for so many years could incorporate another dimension of my identity. Leaders should have no shame about their mental health, no fears about others learning about it, and no concerns that it will hold them back, either in actuality or in perception.

And yet, I do. Maybe with time, I won’t. But for now, anonymous writing is the best I can do.

If you want to get this email, please become a member. If you join now, you will get a subscription for the next two years of IHE.

All previous issues of The Sandbox are available here. 

Harry, a black and white dog with large, pointy ears, with Sandbox swag

Harry is testing out some Sandbox swag. Not sure about the water bottle.

 

 

JOIN TODAY

 

The Sandbox

Not your typical weekly newsletter. This is a space where presidents and chancellors can say what they really think without fear. Everyone is welcome to read, but only those who have been in the top job can submit to us. The Sandbox, by Rachel Toor, is an exclusive benefit of our paid Insider membership program.

 

 

The Sandbox Archive

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The Real Text Messages of Lady Presidents

September 19, 2026

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September 12, 2026

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August 29, 2026

Wackadoodle Newsletter Turns 3

August 22, 2026
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