Managing Anxiety in Students: Overcoming Pressure and Focus Issues - Psychiatry

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Anxiety issues


Hello doctor, regarding the student in the third year of junior high school who had erection issues, after listening to your explanation, he suddenly felt less anxious.
However, after about one to two weeks, he started feeling pressure again.
This time, the anxiety is related to both his erection issues and the upcoming exams; he fears he won't perform well.
The concerns about the exams are more prominent now, while the worries about erections have decreased.
He keeps telling himself to study, but ends up scrolling on his phone and can't focus.
Then he thinks about how he hasn't studied at all while scrolling on his phone, and worries about the exams.
Honestly, I don't even know what to ask right now, but I really want to express this, so I can only share it with you.
Your responses make me feel better, and I don't even know why.
Thank you for listening, doctor.

En en, 10~19 year old female. Ask Date: 2021/03/28

Dr. Lin Mianzhang reply Psychiatry


Hi there! I can sense your anxiety.
Although the entrance exam may seem very important, it is actually just a small hurdle in life.
Your destiny will not be drastically different based on how well or poorly you perform on this exam.
As Professor Peng Ming-Hui from National Tsing Hua University wrote: "Life is a long-term and continuous accumulation process; it will never be ruined by a single event, nor will it be saved by a single event." Let go of your obsession with the exam results and broaden your perspective; you will naturally be able to face it with a calm mind.
If you're interested in Professor Peng's article, you can search online for that quote to find the original text.
Due to copyright, I won't reproduce it here.
Wishing you health, peace, and good luck on your exam!

Reply Date: 2021/03/28

More Info


Managing anxiety, especially in students, is a multifaceted challenge that requires understanding the underlying causes and implementing effective strategies to cope with stress. Your experience reflects a common issue among students: the pressure to perform academically can lead to anxiety, which in turn affects focus and overall well-being.

Firstly, it's important to recognize that anxiety is a natural response to stress. In your case, the pressure of upcoming exams, such as the high school entrance exam, can create a sense of urgency that may lead to feelings of being overwhelmed. This is compounded by the fear of not performing well, which can create a vicious cycle of anxiety and distraction. The fact that you find yourself scrolling through your phone instead of studying is a common symptom of anxiety; it serves as a temporary escape from the pressure you feel.

To manage this anxiety effectively, consider the following strategies:
1. Structured Study Schedule: Create a realistic study plan that breaks down your study material into manageable sections. Allocate specific times for studying and include short breaks to prevent burnout. This structure can help reduce feelings of being overwhelmed and improve focus.

2. Mindfulness and Relaxation Techniques: Incorporate mindfulness practices such as deep breathing, meditation, or yoga into your daily routine. These techniques can help calm your mind and reduce anxiety levels. Even a few minutes of focused breathing can make a significant difference in how you feel.

3. Limit Distractions: Identify what distracts you the most during study time. If your phone is a major distraction, consider keeping it in another room or using apps that block social media during study sessions. This can help you stay focused on your work.

4. Seek Support: Don’t hesitate to reach out to friends, family, or school counselors about your feelings. Sometimes, just talking about your anxiety can alleviate some of the pressure. They may offer support or strategies that have worked for them.

5. Physical Activity: Regular exercise is a powerful stress reliever. It can help improve your mood and reduce anxiety. Even a short walk or a few minutes of physical activity can help clear your mind and improve focus.

6. Professional Help: If your anxiety continues to interfere with your daily life, consider seeking help from a mental health professional. Therapy, such as cognitive-behavioral therapy (CBT), can be particularly effective in addressing anxiety and developing coping strategies.

7. Healthy Lifestyle Choices: Ensure you are getting enough sleep, eating a balanced diet, and staying hydrated. These factors significantly impact your mental health and ability to focus.

8. Positive Self-Talk: Challenge negative thoughts that contribute to your anxiety. Instead of thinking, "I will fail," try reframing it to, "I will do my best, and that is enough." Positive affirmations can help shift your mindset.

9. Gradual Exposure: If you find certain situations, like speaking in class or taking exams, particularly anxiety-inducing, practice gradual exposure. Start with smaller, less intimidating tasks and gradually work your way up to more challenging situations.

In conclusion, managing anxiety as a student involves a combination of practical strategies, emotional support, and self-care. It's essential to acknowledge your feelings and take proactive steps to address them. Remember, it's okay to seek help, and you are not alone in this experience. With time and the right strategies, you can overcome these challenges and improve your focus and overall well-being.

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