The state of mental health has become increasingly concerning, particularly with the impact of the COVID-19 pandemic. Emerging adulthood is a time of adjustment and growth, and for many youths this includes attending college. The transition to college often comes with significant challenges that impact student mental health. This study uses thematic analysis to analyze qualitative responses from focus groups with college students (N = 22) following an innovative credit-bearing mental health course at a large university in the Southern U.S. Students discussed various aspects of mental health, including stressors such as academic rigor, social expectations, and challenges to seeking mental health care. In addition to stressors, students highlighted engaging in coping strategies such as physical health, positive relationships, spirituality, and more to manage stress, which suggests students applied skills garnered in the mental health course. Implications for practice and research are discussed.