A massive expansion in student numbers in higher education, coupled with an overall reduction in funding, has led to higher staff–student ratios and a reduction in the amount of staff time available to support students. This has been linked to rising demands being placed on student support services. This article draws on case studies of five students experiencing mental health difficulties, to provide insight into these issues from the student perspective. The students confirmed that aspects of the higher education environment had exacerbated their difficulties. An innovative model of support is described. Traditionally interventions for students with mental health difficulties have focused at the individual level. We argue that attention also needs to be paid to changing aspects of the environment and that this would improve the learning experience for all students.