Coping with Adjustment Disorder: A High School Student's Struggle - Psychiatry

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Adjustment Disorder


I am a high school student who originally attended a vocational school but later transferred to a technical high school because I couldn't adapt.
However, I found that I was gradually becoming unhappy at school.
I can't quite describe the reasons for my unhappiness; I often cry during class, after class, or on the bus.
I know that no matter how I try to change my situation, I feel stuck.
I don't have many people to talk to, and there have been times on the bus when I've wished for a vehicle to hit me.
I don't know what's happening to me in high school; I'm afraid to socialize, and recently I've been wanting to fill my time with activities.
I only feel happy one day a week, and I'm gradually becoming more timid.

Te, 10~19 year old female. Ask Date: 2021/04/12

Dr. Wu Menghuan reply Psychiatry


Hello: It sounds like your condition may be more than just an adjustment disorder.
It is advisable to have a physician evaluate the possibility of a depressive disorder.
I recommend that you go to a child and adolescent psychiatry clinic for assessment and treatment, accompanied by a family member.

Reply Date: 2021/04/12

More Info


Coping with adjustment disorder, especially as a high school student, can be incredibly challenging. It sounds like you are experiencing a significant amount of emotional distress, which is not uncommon during such a transitional period in life. The feelings of sadness, anxiety, and isolation that you describe are serious and deserve attention.
Firstly, it's important to recognize that what you are feeling is valid. Transitioning from one educational environment to another can be overwhelming, and it's normal to struggle with feelings of inadequacy or sadness during this time. The fact that you are crying frequently and having thoughts of self-harm indicates that you may be experiencing symptoms of depression or anxiety, which can often accompany adjustment disorders.
Here are some strategies that may help you cope with your situation:
1. Seek Professional Help: It is crucial to talk to a mental health professional, such as a psychologist or psychiatrist. They can provide you with a safe space to express your feelings and help you develop coping strategies. If you are feeling suicidal or having thoughts of self-harm, please reach out for immediate help. Many schools have counseling services, and there are hotlines available where you can talk to someone who understands.

2. Talk to Someone You Trust: Sharing your feelings with a trusted friend or family member can be incredibly relieving. Sometimes, just having someone listen can make a significant difference. If you feel comfortable, consider discussing your feelings with a parent, sibling, or a close friend.

3. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process what you are going through. It can help you identify patterns in your emotions and may provide clarity on what triggers your sadness or anxiety.

4. Establish a Routine: Creating a daily routine can provide structure to your day and help you feel more in control. Include time for activities that you enjoy, even if they feel difficult to engage in right now. This could be reading, drawing, or any hobby that brings you joy.

5. Practice Self-Care: Make sure to take care of your physical health as well. Regular exercise, a balanced diet, and adequate sleep can significantly impact your mood and overall well-being. Even short walks or simple stretches can help alleviate feelings of anxiety.

6. Limit Social Media: Sometimes, social media can exacerbate feelings of inadequacy or loneliness. Consider taking a break from social media platforms to focus on your mental health.

7. Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and improve your mood. There are many apps and online resources available that can guide you through these practices.

8. Set Small Goals: Setting small, achievable goals can help you regain a sense of accomplishment. This could be as simple as getting out of bed at a certain time or completing a small task each day.

9. Join Support Groups: If you feel comfortable, consider joining a support group for students who are experiencing similar challenges. This can help you feel less isolated and provide you with a community of understanding peers.

10. Be Patient with Yourself: Healing takes time, and it’s important to be gentle with yourself during this process. Understand that it's okay to feel what you're feeling and that seeking help is a sign of strength.

In conclusion, while it may feel overwhelming right now, know that you are not alone in this struggle. Many students face similar challenges, and there are resources available to help you navigate through this difficult time. Please prioritize your mental health and reach out for support. You deserve to feel happy and fulfilled in your school life.

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