the Emotional Struggles of Students Under Pressure - Psychiatry

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I often feel like crying at night?


I feel so much pressure in my third year of high school; every day is either an exam or studying, over and over again.
Sometimes I really want to end it all, thinking that would relieve me from the stress of exams.
However, I don't have the courage to commit suicide.
Even when I have a knife in my hand, I only manage to make a light cut.
At night, I really want to cry, and I don't even know if I'm sick...
I think it might also be because my health has been poor; I catch colds easily and have inflammation in my spine...
It's so frustrating.

Lizi^^, 10~19 year old female. Ask Date: 2003/10/26

Dr. Tang Xinbei reply Psychiatry


Dear Lizzie: It seems that you are feeling quite down, facing the repetitive daily routine and the heavy academic pressure, which makes you feel helpless and depressed?! Additionally, your physical condition doesn't seem to be good; your resistance and immune system appear to be weak, and your discomfort is adding to your emotional burden?! I suggest that you clearly express your discomfort to your family.
If you find it difficult, you can also reach out to your school counselor or advisor.
I hope you can promptly visit a psychiatric facility nearby for an evaluation by a professional healthcare provider, who can conduct a thorough examination and provide the necessary support.
Wishing you peace and joy!

Reply Date: 2003/10/26

More Info


It sounds like you are experiencing a significant amount of emotional distress and pressure, particularly related to your studies and the expectations placed upon you. The feelings of wanting to escape from your situation, including thoughts of self-harm, are serious and should not be taken lightly. It's important to acknowledge that you are not alone in feeling this way; many students face similar pressures, especially during critical academic periods like exams.

The pressure to perform academically can lead to a range of emotional struggles, including anxiety, depression, and feelings of hopelessness. These feelings can be exacerbated by physical health issues, such as frequent illnesses or chronic pain, which can further impact your emotional well-being. It’s crucial to understand that mental health is just as important as physical health, and both can influence each other significantly.

When you mention thoughts of self-harm, even if you do not intend to go through with it, it indicates a need for immediate support. These thoughts often arise from overwhelming feelings of despair and helplessness. It’s vital to talk to someone who can help, such as a mental health professional, a trusted teacher, or a family member. They can provide you with the support and guidance you need to navigate these feelings.

Here are some strategies that might help you cope with the pressure and emotional struggles you are facing:
1. Reach Out for Help: Don’t hesitate to talk to someone about how you’re feeling. This could be a school counselor, a psychologist, or a trusted adult. They can help you process your feelings and develop coping strategies.

2. Practice Self-Care: Make sure you are taking care of your physical health. This includes getting enough sleep, eating nutritious meals, and engaging in physical activity. Even light exercise, like walking, can help improve your mood.

3. Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and improve your emotional state. These practices can help ground you and provide a sense of calm amidst the chaos.

4. Limit Exposure to Stressors: If possible, try to manage your study schedule to avoid cramming and overwhelming yourself. Break your study material into manageable chunks and take regular breaks to avoid burnout.

5. Connect with Peers: Sometimes, talking to friends who are going through similar experiences can help. You may find comfort in knowing that others share your struggles and can provide support.

6. Journaling: Writing down your thoughts and feelings can be a therapeutic way to express what you’re going through. It can help you process your emotions and identify patterns in your thinking.

7. Seek Professional Help: If your feelings of distress persist or worsen, it’s crucial to seek professional help. A mental health professional can provide therapy and, if necessary, medication to help manage your symptoms.

8. Emergency Support: If you ever feel like you might hurt yourself or have thoughts of suicide, it’s essential to seek immediate help. Contact a crisis hotline, go to the nearest emergency room, or call a trusted person who can help you get the support you need.

Remember, it’s okay to ask for help, and doing so is a sign of strength. You deserve support and care, especially during challenging times. Your mental health is important, and taking steps to address your feelings can lead to a healthier and happier life.

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