Mental Health: Symptoms and Coping Strategies for Students - Psychiatry

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I'm not sure what's going on?


Hello Doctor, when I was in middle school, I saw a television program that discussed ways to improve memory while studying.
It mentioned that "writing things down is easier to remember than just reading them." At that time, I thought if I could remember this phrase "write it down," I could just keep repeating it in my mind while studying.
However, after thinking this way, I started to feel dizzy, and some strange symptoms appeared.
My gastrointestinal system began to have issues, such as diarrhea and bloating.
Initially, it felt like gas was being pushed in from the outside, because I had undergone a colon X-ray where air was introduced through the rectum, and I felt it was the same sensation.
My abdomen would start to feel gassy, and I experienced similar sensations during bloating, but I wasn't sure if this was actually bloating.
Some doctors said it didn't count as bloating, stating that true bloating would cause the abdomen to swell significantly.
Additionally, I found it difficult to study; I couldn't even enjoy watching dramas or movies anymore.
I used to immerse myself in the storylines, but now I could only watch without understanding.
A few years later, in my senior year of high school, one night I was in another room when I heard my dad angrily scolding my brother in the living room.
I wanted to go to the living room to get something, and as I entered, I thought about my dad yelling, but I wasn't scared.
I wondered if I was thinking something in my mind that made me feel unafraid.
Then I recalled a phrase: "Do you think you're the only one who can get angry?" I wanted to remember this phrase so that I could repeat it in the future and not be afraid when being scolded.
However, after thinking this way, I started to feel dizzy again and felt very heavy.
Doctor, could you please tell me what is happening? Sincerely, Joe, 21 years old.

Joe, 20~29 year old female. Ask Date: 2002/09/09

Dr. Tang Xinbei reply Psychiatry


Dear Joe: It seems that you are feeling confused about your thoughts and questioning the state of your mind.
After reviewing your concerns, I sense that your thoughts may lack coherence and exhibit some illogical patterns.
You also appear to be feeling overwhelmed by your thoughts.
I recommend that you visit a nearby hospital's psychiatric department for a more thorough evaluation and explanation from a professional physician.
If necessary, please follow the doctor's advice regarding any recommended treatments and medications.
Wishing you peace and happiness!

Reply Date: 2002/09/09

More Info


Hello Joe,
Thank you for sharing your experiences and concerns regarding your mental health. It sounds like you have been navigating a complex landscape of emotions and physical sensations that can be quite overwhelming. Understanding mental health, especially in the context of academic pressures and personal experiences, is crucial for students like yourself.

From what you've described, it seems that you may be experiencing symptoms of anxiety, which can manifest in various ways, including physical symptoms like gastrointestinal issues, feelings of dizziness, and difficulty concentrating. These symptoms can often be exacerbated by stressors such as academic demands, family dynamics, and the pressure to perform well.


Symptoms of Anxiety and Stress
1. Physical Symptoms: Anxiety can lead to a range of physical symptoms, including gastrointestinal disturbances (like bloating and diarrhea), headaches, and a general feeling of unease or dizziness. This is often due to the body's stress response, which can affect digestion and overall physical well-being.

2. Cognitive Symptoms: Difficulty concentrating, as you mentioned, is a common symptom of anxiety. When your mind is preoccupied with worries or negative thoughts, it can be challenging to focus on tasks, whether it's studying or enjoying a movie.

3. Emotional Symptoms: Feelings of fear or apprehension, especially in response to external stimuli (like hearing your father raise his voice), can trigger anxiety. This can lead to a cycle where you become increasingly anxious about situations that remind you of past experiences.


Coping Strategies
1. Mindfulness and Grounding Techniques: Practicing mindfulness can help you stay present and reduce anxiety. Techniques such as deep breathing, progressive muscle relaxation, or grounding exercises (focusing on your surroundings) can help alleviate feelings of dizziness and anxiety.

2. Cognitive Behavioral Techniques: Cognitive Behavioral Therapy (CBT) is effective for many individuals dealing with anxiety. It involves identifying negative thought patterns and replacing them with more constructive ones. For instance, instead of repeating a phrase that may trigger anxiety, try to focus on positive affirmations or grounding statements.

3. Physical Activity: Regular exercise can significantly reduce anxiety levels. It helps release endorphins, which are natural mood lifters. Even simple activities like walking or stretching can make a difference.

4. Healthy Lifestyle Choices: Maintaining a balanced diet, getting adequate sleep, and avoiding excessive caffeine or alcohol can help manage anxiety symptoms. These factors play a significant role in your overall mental health.

5. Seeking Professional Help: If your symptoms persist or worsen, it may be beneficial to consult a mental health professional. They can provide tailored strategies and, if necessary, discuss treatment options such as therapy or medication.


Conclusion
It's important to remember that you're not alone in this experience. Many students face similar challenges, and seeking help is a sign of strength, not weakness. By understanding your symptoms and implementing coping strategies, you can work towards improving your mental health and overall well-being. Don't hesitate to reach out to trusted friends, family, or professionals who can support you on this journey.

Take care, and I wish you the best in managing your mental health challenges.

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