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This qualitative study explores the mental health experiences and coping strategies of 22 Chinese international undergraduate students in the U.S., a population facing unique stressors including academic pressure, cultural dissonance, social isolation, and political uncertainty. Guided by stress and coping theory, acculturation theory, and social support theory, in-depth interviews revealed complex adjustment processes, underutilization of institutional support, and a range of coping responses—from peer support to self-reflection. Thematic analysis identified academic stress, social barriers, financial strain, and future uncertainty as key mental health concerns. Findings highlight the need for culturally responsive, embedded mental health strategies in higher education. This study amplifies marginalized student voices and offers actionable insights to improve international student wellbeing through structural and institutional change.