Mental disorders
Hello, doctor.
I am currently studying design, and due to heavy coursework, I have been experiencing a lot of stress lately.
I attend classes during the day and work at night, often discussing assignments until 2 or 3 AM before heading home, sometimes not falling asleep until dawn.
After nearly two weeks of this, I have started to suffer from frequent insomnia and nightmares (waking up feeling anxious and scared).
I am unable to concentrate, and what used to be a fear of the sound of metal spoons scraping against metal dishes has worsened to discomfort from the friction of other materials as well.
The issue of "inability to concentrate" seems to affect me the most.
For example, when I use a utility knife to sharpen a pencil, I suddenly feel an overwhelming surge of emotion, making me want to scream, laugh, or wail to release my feelings.
If I try to suppress these emotions, I find it difficult to continue the task.
I experience similar symptoms with other tasks that require focus.
I would like to ask the doctor what I should do about this.
Should I consider buying sleeping pills for my insomnia? Are these abnormal emotions related to my irregular schedule? Thank you for your help!
Wang Tongxue, 20~29 year old female. Ask Date: 2016/05/07
Dr. Liu Runqian reply Psychiatry
Based on the symptoms you described, they may be related to recent academic stress, possibly indicating some adjustment disorder, along with anxiety and depressive symptoms.
It would be beneficial to learn relaxation techniques and stress relief methods to alleviate the symptoms.
However, if insomnia and anxiety become severe or if the symptoms continue to worsen, it is advisable to consult a professional psychiatrist for a comprehensive evaluation.
Reply Date: 2016/05/07
More Info
Managing stress and sleep issues, especially in a demanding field like design, can be quite challenging. Your situation reflects a common struggle among students who juggle heavy workloads and tight schedules. The symptoms you describe—insomnia, nightmares, heightened sensitivity to sounds, and emotional outbursts—are indicative of stress and anxiety, which can significantly impact both mental and physical health.
Understanding Your Symptoms
1. Insomnia and Nightmares: Chronic stress can lead to insomnia, where you find it difficult to fall asleep or stay asleep. Nightmares can also be a manifestation of anxiety, often reflecting unresolved stressors or fears. The fact that you are experiencing anxiety upon waking suggests that your mind is in a heightened state of alertness, likely due to the pressures you are facing.
2. Emotional Dysregulation: The sudden emotional outbursts you mentioned, such as wanting to scream or laugh uncontrollably, can be linked to overwhelming stress. When under pressure, our emotional responses can become exaggerated, making it difficult to manage feelings appropriately.
3. Sensitivity to Sound: Increased sensitivity to sounds, such as the scraping of utensils, can be a sign of heightened anxiety. This hyper-awareness can be exhausting and can further contribute to your inability to focus.
Strategies for Managing Stress and Sleep Issues
1. Establish a Routine: Creating a consistent daily schedule can help regulate your body's internal clock. Aim to go to bed and wake up at the same time each day, even on weekends. This consistency can improve your sleep quality over time.
2. Relaxation Techniques: Incorporate relaxation practices into your daily routine. Techniques such as deep breathing, progressive muscle relaxation, or mindfulness meditation can help reduce anxiety and prepare your mind for sleep. Apps like Headspace or Calm can provide guided sessions.
3. Limit Stimulants: Be mindful of your caffeine and sugar intake, especially in the hours leading up to bedtime. These substances can interfere with your ability to fall asleep and can exacerbate anxiety.
4. Create a Sleep-Conducive Environment: Ensure your sleeping environment is dark, quiet, and cool. Consider using earplugs or a white noise machine to mask disruptive sounds. Also, limit screen time before bed, as the blue light emitted by devices can hinder melatonin production, making it harder to fall asleep.
5. Physical Activity: Regular exercise can significantly reduce stress and improve sleep quality. Aim for at least 30 minutes of moderate exercise most days of the week. However, try to avoid vigorous workouts close to bedtime.
6. Talk It Out: Sometimes, discussing your feelings and experiences with someone can provide relief. Consider talking to a trusted friend, family member, or a mental health professional. Therapy can be particularly beneficial in developing coping strategies and addressing underlying issues.
7. Professional Help: If your insomnia and anxiety persist despite trying these strategies, it may be beneficial to consult a mental health professional. They can provide a comprehensive evaluation and discuss potential treatments, which may include therapy or medication if necessary.
Regarding Sleep Aids
While over-the-counter sleep aids may seem like a quick fix, they are not a long-term solution and can sometimes lead to dependency. It’s best to explore natural methods and lifestyle changes first. If you feel that medication is necessary, consult a healthcare provider who can guide you on the appropriate options based on your specific situation.
Conclusion
Your symptoms are a clear signal that your current lifestyle may not be sustainable. By implementing these strategies, you can begin to manage your stress and improve your sleep quality. Remember, it’s essential to prioritize your mental health, especially in a demanding field like design. Taking proactive steps now can lead to better academic performance and overall well-being in the long run. If you find that self-help strategies are insufficient, do not hesitate to seek professional support. You are not alone in this, and help is available.
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