Colleges from elite institutions to small liberal-arts schools report a noticeable increase in enrolled students with disabilities, driven largely by higher diagnoses of ADHD and anxiety. Reporting highlights that institutions must scale disability-services staffing and accommodations to meet demand and comply with federal disability law. Campus disability offices face hiring and funding gaps as accommodations increase across academic programs, residential life and testing centers. The trend raises operational questions for registrars, disability resource centers and faculty about reasonable adjustments, testing integrity and inclusive pedagogy.