I have a concern that I would like to consult with a physician about?
Hello, Doctor: I am currently a student about to graduate.
I feel fine when interacting with others outside of class; however, every time I sit in the classroom, I experience an inexplicable sense of tension and pressure.
It feels like there is a tense atmosphere surrounding the classroom, and I have the impression that my classmates around and behind me are watching me, which makes me feel restless and unable to concentrate naturally on the class.
I also experience symptoms such as rapid heartbeat, trembling, and sweaty palms.
My neck becomes stiff and shakes, and I have to support my head with my hands to prevent it from shaking.
It feels embarrassing to let my classmates see me tremble.
I am particularly afraid of being called on by the teacher or having to present in front of the class; seeing so many classmates looking at me makes my heart race and I become easily shaky.
I only feel a sense of relief when the class bell rings.
I often think to myself how foolish I am for being afraid, yet that feeling returns as soon as I sit in the classroom.
During exams, this sense of tension intensifies.
As a student, attending classes and taking exams is a normal part of life, but I don’t understand what is happening to me, and I can’t stand feeling this way.
Should I consider this anxiety? Should I see a doctor? I hope you can advise me on what to do.
Thank you sincerely.
Rachel, 20~29 year old female. Ask Date: 2004/03/12
Dr. Chen Wenke reply Psychiatry
Hello Rachel: After reading your clear description, I believe the answer is quite evident; you indeed have an anxiety disorder.
I recommend that you consult a psychiatrist, as your symptoms are directly affecting your classes and performance.
Additionally, do you experience similar symptoms outside of the classroom? If so, that may indicate the presence of agoraphobia.
These types of conditions are treatable, but it is essential to cooperate fully with your physician.
You can also learn to practice some relaxation techniques, such as deep breathing and stretching exercises, to alleviate physical discomfort.
Reply Date: 2004/03/12
More Info
Overcoming classroom anxiety is a significant challenge faced by many students, and your feelings of tension and discomfort in the classroom are not uncommon. It sounds like you are experiencing symptoms consistent with anxiety, particularly social anxiety, which can manifest in various ways, including physical symptoms like rapid heartbeat, sweating, and trembling. These feelings can be overwhelming, especially in a learning environment where you feel scrutinized by peers and teachers.
Firstly, it’s important to acknowledge that what you’re experiencing is valid. Many students face similar challenges, and recognizing that you are not alone can be a comforting first step. Anxiety in academic settings can stem from various factors, including fear of judgment, pressure to perform, and the inherent stress of being in a competitive environment.
Here are some strategies that may help you manage your anxiety:
1. Seek Professional Help: Consulting with a mental health professional, such as a psychologist or counselor, can be incredibly beneficial. They can provide you with coping strategies tailored to your specific situation and help you understand the root causes of your anxiety. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps you identify and challenge negative thought patterns.
2. Practice Relaxation Techniques: Incorporating relaxation techniques into your daily routine can help reduce anxiety symptoms. Techniques such as deep breathing exercises, progressive muscle relaxation, or mindfulness meditation can help calm your mind and body. For instance, before entering the classroom, take a few deep breaths, inhaling deeply through your nose and exhaling slowly through your mouth. This can help ground you and reduce immediate feelings of panic.
3. Gradual Exposure: Gradually exposing yourself to the situations that trigger your anxiety can help desensitize you over time. Start by participating in smaller group discussions or speaking in front of a trusted friend before progressing to larger groups. This gradual exposure can help build your confidence and reduce the fear associated with speaking in front of others.
4. Positive Self-Talk: Challenge negative thoughts that contribute to your anxiety. Instead of thinking, "I will embarrass myself," try reframing it to, "I am prepared, and I can handle this." Positive affirmations can help shift your mindset and reduce feelings of inadequacy.
5. Connect with Supportive Peers: Building a support network of friends or classmates who understand your struggles can provide comfort and encouragement. Sharing your experiences with others can help alleviate feelings of isolation and remind you that many students face similar challenges.
6. Limit Caffeine and Sugar: High levels of caffeine and sugar can exacerbate anxiety symptoms. Consider reducing your intake of these substances, especially before class or exams, to help manage your physical symptoms.
7. Establish a Routine: Having a consistent routine can provide a sense of stability and predictability, which may help reduce anxiety. Make sure to include time for relaxation and self-care in your schedule.
8. Focus on the Present: Anxiety often stems from worrying about future events. Practice staying present by focusing on the task at hand rather than what might happen next. Mindfulness exercises can help you cultivate this skill.
9. Consider Medication: If your anxiety is significantly impacting your daily life and functioning, discussing medication options with a healthcare provider may be appropriate. Medications such as selective serotonin reuptake inhibitors (SSRIs) can be effective in treating anxiety disorders.
Remember, overcoming anxiety is a process that takes time and effort. Be patient with yourself and recognize that progress may be gradual. Seeking help is a sign of strength, and taking proactive steps to address your anxiety can lead to a more fulfilling and enjoyable academic experience. You deserve to feel comfortable and confident in your learning environment.
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