Mental health is one of the major issues highlighted by the Malaysian government. Taking into account the increasing number of Malaysian facing with mental health problems such as depression, anxiety and stress, this study was conducted specifically among the semester 1 students, Centre for Science Foundation, Universiti Malaysia Sabah, in order to get a preliminary view on the student’s mental health level. A total of 98 students were involved using the Depression Anxiety Stress Scale (DASS) questionnaire and the inventory of Beck’s Depression (BDI). Environmental change and the transformation of learning patterns from school to university, have put pressure on students as well as holding the trust and expectation of parents in seeing their success. Considering that mental issues do not count on one’s background, this study focuses on the pattern of mental health problems among the academic excel students to examine what dominates their thinking from an emotional point of view. Findings show that students are more dominated by the feelings of anxiety in relation to academic performance and overthink each event happening in life. In order to cope with these negative emotions, majority of the students opt to sleep, eat, hearing music, share with significant others, and meditation such as praying, dua’ and reciting the Al-Quran in order to reduce their anxiety feelings. Therefore, this study is expected to provide a preliminary picture of the emotional level of students as well as exploring their coping mechanisms that includes spirituality in reducing the level of anxiety so that it does not lead to a more serious mental health level.