Undergraduate student-athletes encounter distinctive challenges that can adversely impact their mental health (Watson & Kissinger, 2007; Rao & Hong, 2016). This study examines the mental health, help-seeking behaviors, and perceived barriers among 76 student-athletes at a Division III university in the Northeastern United States. Through a comprehensive survey assessing demographics, self-reported health, and utilization of mental health services, the research identifies critical factors influencing well-being. Findings indicate a significant prevalence of anxiety and depression within this population. Findings revealed that adherence to traditional masculinity norms is strongly associated with increased depressive symptoms and risk behaviors, such as alcohol use, particularly among male participants. Additionally, negative perceptions from coaches are associated with poorer mental health outcomes and decreased comfort in seeking support, whereas flexible academic accommodations from faculty are linked to improved well-being. Moreover, 60% of participants reported that campus mental health resources were not easily accessible. These individuals experienced poorer general health, higher depression scores, and disrupted sleep patterns, highlighting the importance of accessible support. These insights underscore the necessity for targeted interventions that address stigma, mental health literacy, and improve resource accessibility for student-athletes. Implementing training programs for coaches to foster supportive environments and increasing faculty awareness of student-athletes' unique challenges are recommended strategies. By addressing these areas, institutions can better support the mental health and academic success of their student-athlete populations.