Coping with Anxiety and Stress: A Guide for Students Facing Pressure - Psychiatry

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Hello, doctor.
I am a student preparing for the national exam, and sometimes I feel very stressed.
Recently, I saw news about young people being diagnosed with cancer, which has made me anxious and worried.
I am afraid of being alone at home, and I easily become anxious and have trouble sleeping at night.
Sometimes I experience palpitations and chest tightness, similar to when I had stomach discomfort.
I underwent an endoscopy, and the doctor said it was inflammation caused by excessive stress and gastroesophageal reflux.
Whenever I feel unwell, I start to worry if I have cancer.
I lack motivation in life and feel somewhat powerless.
Sometimes I tell myself that I am overthinking, but at night, I easily become anxious and scared.
Occasionally, I feel overwhelmed and cry a lot.
Doctor, what can I do to restore my previous way of life?

gigi, 20~29 year old female. Ask Date: 2017/06/18

Dr. Liang Sunyuan reply Psychiatry


Hello Gigi: Focusing can help alleviate anxiety, especially since you are preparing for the national exam.
You might want to try concentrating on your studies to see if it improves your situation.
I suggest starting with the subjects you feel most confident about.
Anxiety and the persistent worry about developing cancer can indeed be very uncomfortable.
When those worries arise, it may be helpful to redirect your attention—perhaps by listening to your favorite music, going for a walk, or chatting with friends and family.
It's important to accept that you may be prone to anxiety and worry, but since your medical check-ups have shown no issues, try to reassure yourself and focus on what you need and want to do.
However, if you continue to feel significantly troubled, seeking professional help is also advisable.
Wishing you a speedy recovery.

Reply Date: 2017/06/18

More Info


Hello! It sounds like you are going through a very challenging time, and I want to assure you that what you're experiencing is not uncommon among students, especially those preparing for significant exams like the national exam. The pressure to perform well can lead to heightened anxiety, which can manifest in various physical and emotional symptoms, as you've described.

Firstly, it's important to recognize that anxiety can often lead to a cycle of worry and physical symptoms. When you experience stress, your body can react in ways that may feel overwhelming, such as heart palpitations, chest tightness, and gastrointestinal issues like acid reflux. These physical symptoms can, in turn, increase your anxiety, leading to a vicious cycle. It’s crucial to address both the mental and physical aspects of your anxiety.

Here are some strategies that may help you cope with the anxiety and stress you are experiencing:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce anxiety. Techniques such as deep breathing exercises, progressive muscle relaxation, or guided imagery can be beneficial. Apps like Headspace or Calm offer guided meditations that can help you unwind.

2. Physical Activity: Regular exercise is a powerful stress reliever. It can help reduce anxiety, improve mood, and enhance overall well-being. Even a short daily walk can make a significant difference in how you feel.

3. Healthy Sleep Hygiene: Since you mentioned having trouble sleeping, establishing a calming bedtime routine can be helpful. Try to go to bed and wake up at the same time every day, limit screen time before bed, and create a restful environment. If your mind races at night, consider keeping a journal by your bedside to jot down your thoughts before sleeping.

4. Limit Exposure to Stressors: If reading distressing news articles exacerbates your anxiety, consider limiting your exposure to such content. Instead, focus on positive or neutral activities that uplift your mood.

5. Talk About Your Feelings: Sharing your thoughts and feelings with someone you trust can be incredibly cathartic. Whether it's a friend, family member, or a mental health professional, talking about what you're going through can help alleviate some of the burdens you feel.

6. Seek Professional Help: If your anxiety continues to interfere with your daily life, it may be beneficial to seek help from a mental health professional. They can provide you with coping strategies tailored to your specific situation and may recommend therapy or medication if necessary.

7. Set Realistic Goals: Break down your study material into manageable chunks and set achievable goals for each study session. This can help reduce feelings of being overwhelmed and give you a sense of accomplishment as you complete each task.

8. Practice Self-Compassion: Be kind to yourself during this stressful time. Acknowledge that it's okay to feel anxious and that you're doing your best under the circumstances. Self-compassion can help reduce feelings of guilt or inadequacy.

9. Engage in Enjoyable Activities: Make time for activities that you enjoy and that help you relax. Whether it's reading, watching a favorite show, or engaging in a hobby, these moments of joy can provide a much-needed break from stress.

10. Nutrition and Hydration: Eating a balanced diet and staying hydrated can also impact your mood and energy levels. Try to incorporate a variety of fruits, vegetables, whole grains, and lean proteins into your meals.

In summary, coping with anxiety and stress, especially during exam preparation, requires a multifaceted approach. By incorporating relaxation techniques, physical activity, and seeking support, you can gradually regain a sense of control over your life. Remember, it's okay to ask for help, and taking care of your mental health is just as important as your academic success. Good luck, and take care!

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