Emotional Distress: When to Seek Help During Exam Stress - Psychiatry

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Emotional distress


Hello doctor, I have been preparing for exams recently and find studying very boring, frustrating, and overwhelming.
I often feel the need to yell to relieve stress, but my family thinks this behavior is abnormal.
Do you think there are any signs that I might need to see a mental health professional for treatment? If you feel that my description is not detailed enough, I can certainly ask again and provide more specific information that you think is necessary.

Xiao B, 20~29 year old female. Ask Date: 2016/04/19

Dr. Qiu Junda reply Psychiatry


Hello: Yelling as a way to relieve stress can be considered a normal outlet, similar to how some people choose to sing loudly in the shower or hit a pillow.
However, if it causes misunderstandings or distress for family members, it may be helpful to make some adjustments, such as yelling into a pillow or looking up some general stress relief methods online.
Choose what works best for you and give it a try.

Reply Date: 2016/04/19

More Info


It sounds like you are experiencing significant emotional distress as you prepare for your exams, which is not uncommon among students facing high-pressure situations. The feelings of boredom, frustration, and the need to yell as a form of stress relief can be indicators of underlying anxiety or stress-related issues. It’s important to recognize that these feelings are valid and that seeking help is a proactive step towards managing your emotional well-being.


Understanding Emotional Distress
Emotional distress during exam preparation can manifest in various ways, including anxiety, irritability, difficulty concentrating, and even physical symptoms like headaches or stomachaches. The pressure to perform well can lead to a cycle of negative thoughts and feelings, which can exacerbate your stress levels. It’s crucial to differentiate between normal stress and distress that may require professional intervention.


When to Seek Help
1. Persistent Symptoms: If your feelings of frustration and boredom persist despite trying to manage them, or if they interfere with your ability to study effectively, it may be time to seek help. This includes feelings of hopelessness or a sense of being overwhelmed.

2. Physical Symptoms: If you are experiencing physical symptoms such as headaches, stomach issues, or significant changes in sleep or appetite, these can be signs that your emotional distress is affecting your overall health.

3. Coping Mechanisms: If your current coping mechanisms, like yelling or isolating yourself, are not helping and may be causing issues with your family or social relationships, it’s a sign that you might benefit from professional support.

4. Negative Impact on Daily Life: If your emotional state is affecting your daily life, including your ability to attend classes, complete assignments, or interact with others, it’s important to reach out for help.


What to Expect from Professional Help
If you decide to seek help from a mental health professional, such as a psychologist or psychiatrist, they will likely conduct an assessment to understand your symptoms better. This may include discussing your emotional state, coping strategies, and any relevant history. Treatment options can vary and may include:
- Therapy: Cognitive-behavioral therapy (CBT) is effective for managing anxiety and stress. It helps you identify negative thought patterns and develop healthier coping strategies.

- Medication: In some cases, medication may be prescribed to help manage symptoms of anxiety or depression. This is typically considered when symptoms are severe or do not improve with therapy alone.

- Lifestyle Changes: Professionals may also recommend lifestyle changes, such as regular exercise, a balanced diet, and mindfulness practices, which can significantly improve emotional well-being.


Self-Help Strategies
While seeking professional help is important, there are also self-help strategies you can implement:
1. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve focus.

2. Structured Study Schedule: Breaking your study material into manageable chunks and setting specific goals can help reduce feelings of being overwhelmed.

3. Physical Activity: Regular exercise can be a powerful stress reliever. Even short walks or physical activities can help improve your mood.

4. Social Support: Talking to friends or family about your feelings can provide relief and help you feel less isolated.

5. Limit Comparisons: Focus on your own progress rather than comparing yourself to others. Everyone has their own pace and challenges.


Conclusion
In summary, your feelings of distress during exam preparation are valid, and it’s important to take them seriously. If you find that your coping strategies are not effective, or if your emotional state is impacting your daily life, seeking help from a mental health professional can be a beneficial step. Remember, taking care of your mental health is just as important as preparing for your exams. You are not alone in this, and there are resources available to support you through this challenging time.

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