Elite campuses report a sharp rise in formal disability accommodations: Stanford registered roughly 40% of undergraduates as receiving accommodations, The Atlantic and other outlets reported, with Harvard, Brown and Cornell also noting substantial increases. Administrators point to rising diagnoses of ADHD, anxiety and depression plus broader access to mental-health care as drivers; critics argue the growth strains disability offices and raises questions about assessment standards. The trend affects instructional design, faculty workload, assessment practices and resource allocation. Colleges must balance legal obligations under disability law with robust verification, scalable support services, and clear academic integrity policies to manage growing demand without compromising standards.