How might those of us located within post-secondary institutions support students who have experience of the mental health system in a meaningful way? Drawing on scholarship in social movement studies and a case study in Ontario, Canada, I distinguish between the prevailing mental health and wellness offerings of educational institutions and distinct forms of grassroots organising led by and for mad-identified students. This paper reflects on my past engagement with mad student intra-university organising in Ontario. Sifting through archival materials, personal writing and correspondence, I contemplate how my involvement as a past organiser in a radical student-run peer support and advocacy group has shaped and informed my scholarship within the field of Mad Studies. Connections are made between the activist knowledge-practices fostered within mad student groups and the growth of Mad Studies in Canada. Building from social movement studies, I argue for supporting and engaging in activism alongside politicised students who are organising on campuses to confront inequitable social relations, on their own terms. Doing so requires critically unpacking white dominant hegemonic ways of thinking about what constitutes 'mental health and wellness' from a student perspective.