Struggling to Focus: A Journey Through Mental Health Challenges - Psychiatry

Share to:

Inability to maintain focus while studying?


I used to have excellent grades and studied diligently.
I was very disciplined, never skipped classes, and always completed my assignments.
I even received the mayor's award upon graduating from high school.
However, after my sophomore year, I gradually became more lax, only aiming to pass my courses.
I could only focus when reading books that interested me or when I was immersed in the flow of writing.
Now that I have graduated and am preparing for the college entrance exam, I find it difficult to concentrate.
I enrolled in a tutoring class but later became too lazy to attend.
Currently, I can only study for a maximum of three hours a day, and more often than not, I spend the entire day lying in bed and sleeping.
Until last summer, I was able to wake up at six in the morning to exercise every day, but now even with an alarm, I can't get up at all; by the time I finish breakfast, it's already noon.
I remember the summer between my freshman and sophomore years when I sought help from a psychiatrist due to obsessive-compulsive disorder and anxiety, and I have been on medication ever since.
I initially took Prozac, then switched to Zoloft, Cymbalta, Effexor, and now I'm taking Lexapro along with Remeron.
I wonder if taking these medications has caused me to shift from being disciplined (even overly anxious) to being excessively lax and feeling indifferent about everything.
I have consulted my doctor, who has adjusted my medication, but there has been no improvement.
I feel very frustrated and am at a loss on how to cope with my uncertainty about the future...

Guokao Sheng, 20~29 year old female. Ask Date: 2021/08/08

Dr. Liang Sunyuan reply Psychiatry


Hello: Symptoms of anxiety can indeed affect attention, and typically, attention improves as anxiety decreases.
Anxiety can sometimes become a chronic condition, requiring more patience in treatment.
It is advisable to accept the current situation and collaborate fully with your physician.
When studying, do as much as you can; if you feel tired, allow yourself to take a short break before returning to your studies.
Wishing you a speedy recovery.

Reply Date: 2021/08/08

More Info


It sounds like you are experiencing a significant struggle with focus and motivation, which can be incredibly frustrating, especially given your history of academic success and self-discipline. The transition from high school to college can be challenging for many students, but it seems that your situation has been compounded by mental health issues, medication, and possibly the pressure of preparing for high-stakes exams like the civil service exam.

First, it's important to recognize that changes in focus and motivation can often be linked to mental health conditions, such as anxiety and depression, which you have mentioned in your history. These conditions can manifest in various ways, including difficulty concentrating, lack of energy, and a general sense of apathy towards activities that once brought you joy or fulfillment. The medications you have been prescribed, while intended to help manage your symptoms, can also have side effects that may contribute to feelings of lethargy or disengagement. It’s not uncommon for individuals on certain psychiatric medications to experience changes in their motivation or energy levels.

Given your previous experiences with mental health challenges, it might be beneficial to revisit your psychiatrist or mental health professional to discuss your current symptoms and how they relate to your medication. Sometimes, finding the right medication or combination of medications can take time and may require adjustments based on how you are feeling. It’s crucial to communicate openly with your healthcare provider about your concerns, including the impact of your medication on your daily life and motivation.

In addition to medication management, consider incorporating other strategies to help improve your focus and motivation. Here are some suggestions:
1. Establish a Routine: Creating a daily schedule can help you regain a sense of structure. Set specific times for studying, exercising, and relaxing. Even if you don’t feel like it, sticking to a routine can help signal to your brain that it’s time to focus.

2. Set Small Goals: Break your study sessions into manageable tasks. Instead of aiming to study for several hours, set a goal to study for 25 minutes, followed by a 5-minute break. This technique, known as the Pomodoro Technique, can help improve focus and reduce feelings of overwhelm.

3. Limit Distractions: Identify what distracts you the most and try to minimize those distractions during study time. This could mean turning off your phone, using website blockers, or finding a quiet place to work.

4. Engage in Physical Activity: Regular exercise can significantly improve mood and energy levels. Even a short walk or some light stretching can help clear your mind and boost your motivation.

5. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve concentration. These techniques can help you become more aware of your thoughts and feelings, allowing you to manage them more effectively.

6. Seek Support: Don’t hesitate to reach out to friends, family, or support groups. Sharing your feelings and experiences with others can provide emotional relief and help you feel less isolated in your struggles.

7. Consider Therapy: In addition to medication, therapy can be a valuable tool for addressing underlying issues related to anxiety and depression. Cognitive-behavioral therapy (CBT) is particularly effective for helping individuals develop coping strategies and challenge negative thought patterns.

Lastly, it's essential to be kind to yourself during this process. Recovery and improvement take time, and it's okay to have setbacks along the way. Acknowledge your achievements, no matter how small, and remember that seeking help is a sign of strength. You are not alone in this journey, and with the right support and strategies, you can regain your focus and motivation.

Similar Q&A

Struggling to Focus: Overcoming Study Challenges and Mental Health Issues

Hello, doctor. I often feel that my study efficiency is very poor. In the past, I could memorize things quickly and had no issues understanding concepts. Now, I can’t focus on studying like I used to. I often spend a lot of time sitting in the library but end up reading much less...


Dr. Dai Wanxiang reply Psychiatry
Hello: Based on your description, it is currently only possible to confirm that you are experiencing issues such as feeling very down, difficulty concentrating, and tinnitus. It is not yet possible to determine what specific mental illness it may be. I recommend seeking assistanc...

[Read More] Struggling to Focus: Overcoming Study Challenges and Mental Health Issues


Struggling with Focus and Communication: Understanding Mental Health Challenges

Since kindergarten, I have been slower to react than my peers and have difficulty concentrating. When communicating with others, I take some time to think about how to respond. People have pointed out that sometimes what I say may not be logical, and they have trouble understandi...


Dr. Wu Enliang reply Psychiatry
Hello, online user: It is recommended to visit a psychiatric outpatient clinic for differential diagnosis to determine whether the issue is Attention Deficit Hyperactivity Disorder (ADHD) or anxiety and depression. Appropriate treatment can then be administered based on the diagn...

[Read More] Struggling with Focus and Communication: Understanding Mental Health Challenges


Facing Mental Health Challenges: Seeking Help and Understanding Your Journey

Hello, Doctor: Since I became ill at the age of 20, I have been on medication until now. To be honest, being sick has made me realize certain things, while also leaving me confused about others. There is a doctor online who says that treating mental illness requires addressing th...


Dr. Liao Dinglie reply Psychiatry
Hello, dear reader: From your letter, I can sense the immense pressure you are feeling. You are facing a situation where almost all your relatives and friends are not on your side, and your interactions with others are either filled with conflicts or completely disconnected. Inde...

[Read More] Facing Mental Health Challenges: Seeking Help and Understanding Your Journey


Understanding Mental Health Struggles: Symptoms and Seeking Help

Currently, my condition involves long-term issues such as difficulty concentrating with my eyes, slight hearing loss, and an inability to focus mentally. I personally believe these problems stem from a mental issue, which has led to the eye and ear problems. The first day of thes...


Dr. Wang Chongren reply Psychiatry
Dear Mr. Hsiao-Cheng, I hope this message finds you well. In your letter, you mentioned several causes and consequences that have led to your current state of mental distress. Given that your difficulties with concentration, pessimistic thoughts, and depressive emotions have per...

[Read More] Understanding Mental Health Struggles: Symptoms and Seeking Help


Related FAQ

Difficulty Concentrating

(Psychiatry)

Attention

(Psychiatry)

Mental Illness

(Psychiatry)

Facing Death

(Psychiatry)

Cbt

(Psychiatry)

Adhd-Related

(Psychiatry)

Breathing

(Psychiatry)

Worry

(Psychiatry)

Emotional Instability

(Psychiatry)

Self-Injury

(Psychiatry)