Abnormal Learning and Living States in Adolescents

Abnormal learning and living conditions?

Hello Doctor: I am a high school freshman, and since the start of school in September, I have frequently noticed some abnormal conditions that I didn't experience in middle or elementary school.
1.
I have difficulty concentrating; I often zone out during class.
Even though class has just started for less than five minutes, I find myself unable to absorb any information and only perceive the teacher speaking.
I can quickly realize that I'm zoning out, but I can't seem to pull myself back.
2.
My memory is very poor; I often forget what someone just said moments ago, and I frequently misplace things.
I often forget what I was about to do, misplace my phone, or leave my keys in the door after unlocking it.
3.
I constantly feel very fatigued and lack energy.
Previously, I only slept three to four hours to study, and my parents said this was the reason for my lack of concentration.
So, I later started sleeping at least five to six hours, but it hasn't improved; in fact, it seems to have worsened.
I don't feel sleepy in the morning during class, but my mind feels foggy, and I can't retain any information.
4.
My emotions fluctuate greatly, which even surprises me.
One moment I can be laughing uncontrollably, and the next, I feel very low and want to cry.
I have little hope for life and often express negative thoughts, such as wishing I could just die to escape it all.
My mother doesn't think I'm sick; she dismisses it as me not trying hard enough.
However, I am genuinely worried that there might be something wrong with my mental health.
With finals approaching, I feel like I'm not learning the material I need to know for the exams, despite my serious efforts in class.
Should I see a doctor? I'm not even sure what I would be seeking help for or what kind of improvement or treatment I could receive.

Wang Xiaoyun, 10~19 year old female. Ask Date: 2024/01/03

Dr. Wu Enliang reply Psychiatry

It is advisable for netizens to first discuss with the school counselor to hear professional advice.
If the counselor also believes that medical intervention is necessary, one can visit a child and adolescent psychiatrist for consultation.
Dr.
Wu Enliang.

Reply Date: 2024/01/03

More Info

It sounds like you're experiencing a range of concerning symptoms that are affecting your ability to focus, remember things, and manage your emotions. These issues can be quite distressing, especially as you navigate your high school years, which can be challenging enough on their own. Let's break down your concerns and discuss what steps you might consider taking.

1. Attention and Concentration Issues: Difficulty concentrating in class, especially when you find yourself zoning out, can be indicative of several underlying issues. It could be related to attention deficit hyperactivity disorder (ADHD), anxiety, or even depression. The fact that you recognize when you're zoning out but struggle to refocus is a common experience for many students facing these challenges.
2. Memory Problems: Forgetting things shortly after they are said, or misplacing items frequently, can also be linked to attention issues. When your mind is preoccupied or overwhelmed, it can be difficult to encode new information into memory. This can be exacerbated by stress or lack of sleep, both of which you've mentioned.

3. Fatigue and Low Energy: Feeling constantly tired and unable to muster the energy to engage in activities is another significant symptom. Sleep is crucial for cognitive function, and while you’ve attempted to increase your sleep duration, the quality of your sleep and other factors such as stress or anxiety could still be impacting your energy levels.
4. Emotional Instability: The rapid shifts in your mood, from extreme highs to lows, and feelings of hopelessness are particularly concerning. Expressing thoughts about wanting to escape life can be a sign of deeper emotional distress. It’s important to take these feelings seriously, as they can indicate depression or anxiety disorders.

Given these symptoms, it is advisable to seek professional help. Here are some steps you might consider:
- Consult a Mental Health Professional: A psychologist or psychiatrist can provide a comprehensive evaluation. They can assess your symptoms, help determine if you have ADHD, depression, anxiety, or another condition, and discuss appropriate treatment options. Treatment may include therapy, medication, or a combination of both.

- Talk to Your Parents: While it may be challenging, discussing your feelings and experiences with your parents is crucial. They may not fully understand the severity of your situation, and your openness could help them see the need for professional help.

- School Resources: Many schools have counselors or psychologists who can provide support. They can help you navigate your academic pressures and emotional challenges.

- Self-Care Practices: While waiting for professional help, consider implementing self-care strategies. Regular physical activity, a balanced diet, and mindfulness practices can improve your mood and cognitive function. Additionally, maintaining a consistent sleep schedule is vital for your overall well-being.

- Journaling: Writing down your thoughts and feelings can help you process your emotions and identify patterns in your mood and behavior. This can also be a useful tool to share with a therapist.

In conclusion, your symptoms are significant and warrant attention. Seeking help is a proactive step towards understanding and managing your experiences. Remember, you are not alone in this, and there are resources available to support you through these challenges. Taking the first step to talk to someone can lead to meaningful improvements in your life.

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