Managing Anxiety and Sleep Issues: Tips for Students Facing Exams - Psychiatry

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Anxiety disorder with panic concerns?


Hello, Doctor.
Ever since I received my midterm exam results last month, which were very disappointing, I have been worried about failing.
Additionally, there is an upcoming exam in a subject I am not good at, making it hard for me to concentrate on studying.
I am also anxious about performing well on the final exam, but I feel lost on how to approach studying for the upcoming subject.
Another concern is that next semester I will be doing an internship in another city and need to rent a place.
The rental market is very competitive, and I am afraid I won’t find a place to live.
Every time I check rental websites, I feel very anxious.

Moreover, I need to play videos with sound next to me to fall asleep.
I have tried sleeping without them, but I still feel the need for some background noise.
Initially, I felt very uneasy when it was time to sleep, and now I still feel anxious even when I am awake.
I want to address my sleep issues; I often can’t fall asleep despite being very tired.
I feel that sleeping is a waste of time, yet I still manage to get about 8 hours of sleep each night.
However, I still wake up feeling tired and often take naps during the day that last anywhere from 10 minutes to 2 hours.
Thank you for your response, Doctor.

Niming, 20~29 year old female. Ask Date: 2022/12/09

Dr. Wu Enliang reply Psychiatry


If your anxiety is this severe, it is advisable to seek help from a nearby mental health facility.
Short-term use of some anxiolytic medications may help you get through this difficult time, allowing you to have the energy to manage your current stress.
- Dr.
Wu En-Liang

Reply Date: 2022/12/09

More Info


Managing anxiety and sleep issues, especially for students facing exams, can be a challenging experience. Your situation reflects a common struggle among students who are under pressure to perform academically while also dealing with the stress of impending deadlines and personal expectations. Here are some strategies that may help you manage your anxiety and improve your sleep quality.


Understanding Anxiety and Its Impact on Sleep
Anxiety can significantly affect your ability to concentrate and sleep. When you're anxious about exams or other responsibilities, your mind may race with worries, making it difficult to relax. This heightened state of alertness can lead to insomnia or poor sleep quality, which in turn exacerbates feelings of anxiety. It's a vicious cycle: anxiety disrupts sleep, and lack of sleep increases anxiety.


Tips for Managing Anxiety
1. Practice Mindfulness and Relaxation Techniques: Engaging in mindfulness practices such as meditation, deep breathing exercises, or yoga can help calm your mind. These techniques encourage relaxation and can reduce the physiological symptoms of anxiety, making it easier to focus on your studies and sleep.

2. Establish a Routine: Creating a consistent daily routine can provide structure and predictability, which can be comforting during stressful times. Try to set specific times for studying, relaxing, and sleeping. A regular schedule can help signal to your body when it's time to wind down.

3. Break Tasks into Smaller Steps: When faced with overwhelming tasks, such as studying for multiple exams, break them down into smaller, manageable parts. This can make the workload feel less daunting and help you focus on one thing at a time, reducing anxiety.

4. Limit Caffeine and Stimulants: Caffeine and other stimulants can increase feelings of anxiety and disrupt sleep. Try to limit your intake, especially in the hours leading up to bedtime.

5. Seek Support: Don’t hesitate to talk to someone about your feelings of anxiety, whether it’s a friend, family member, or a mental health professional. Sometimes, just expressing your worries can alleviate some of the burden.


Improving Sleep Quality
1. Create a Sleep-Inducing Environment: Make your bedroom a sanctuary for sleep. Keep the room dark, quiet, and cool. If you find comfort in background noise, consider using a white noise machine or a fan instead of videos, which can be more stimulating.

2. Limit Screen Time Before Bed: The blue light emitted by screens can interfere with your body's natural sleep-wake cycle. Try to avoid screens at least an hour before bedtime. Instead, engage in calming activities such as reading a book or listening to soothing music.

3. Establish a Pre-Sleep Routine: Develop a calming pre-sleep routine to signal to your body that it’s time to wind down. This could include activities like taking a warm bath, practicing relaxation exercises, or journaling your thoughts.

4. Avoid Napping Too Late in the Day: While napping can be beneficial, especially if you’re feeling fatigued, try to avoid long naps late in the day as they can interfere with nighttime sleep.

5. Consider Professional Help: If your anxiety and sleep issues persist, it may be beneficial to consult a mental health professional. They can provide tailored strategies and, if necessary, discuss treatment options such as cognitive-behavioral therapy (CBT) or medication.


Conclusion
Managing anxiety and sleep issues is crucial for academic success and overall well-being. By implementing these strategies, you can create a more balanced approach to your studies and improve your sleep quality. Remember, it’s important to be kind to yourself during this stressful time. Acknowledging your feelings and taking proactive steps can lead to significant improvements in both your mental health and academic performance. If you find that these strategies are not enough, seeking professional help is a positive step towards managing your anxiety and improving your sleep.

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