Existential Thoughts: Navigating Anxiety and Pressure in Adolescence

Mental

Hello, Doctor.
I have been troubled by this issue for about a week, and I don't know why.
While watching a movie, a thought suddenly crossed my mind: "This is fake.
Why am I watching this? What is the point?" I have the same feeling when reading comics; as soon as I think about it, all the fun disappears.
As I am facing college entrance exams, I sometimes wonder, "Even if I do well on the exams, then what?" I feel completely disconnected and lack motivation.
I am afraid that these thoughts will persist, but I can't seem to eliminate them.
I initially thought it might be depression, but I still feel normal; I can laugh and talk.
However, when I think about what is funny or why I should laugh, I find myself lost and confused.
Doctor, what is wrong with me, and what should I do? (I often disagree with my parents' words and tone, and they are very concerned about my grades.
I have high expectations for myself, but my personality makes me easily distracted, so I am aware of the pressure I am under.) Nowadays, I feel like I don't understand anything and can't comprehend things properly, as if my understanding is somehow impaired.
Thank you.

Ping~, 10~19 year old female. Ask Date: 2001/04/22

Dr. Huang Xiangxiong reply Psychiatry

There are quite a few mental disorders (including depression, obsessive-compulsive disorder, adjustment disorders, etc.) that may present the phenomena you described.
Additionally, as exams approach, some individuals may experience similar distress under significant pressure.
It is advisable for you to seek an evaluation from a psychiatrist nearby, or to first discuss your concerns with a school counselor.

Reply Date: 2001/04/22

More Info

It sounds like you are experiencing a challenging time filled with existential thoughts and anxiety, particularly as you face significant pressures like exams. This is not uncommon among adolescents, especially when they are under stress from academic expectations and personal relationships. Let's break down your concerns and explore some potential ways to navigate through this period.

Firstly, the feelings you describe—questioning the meaning of activities, feeling detached from enjoyment, and experiencing a lack of motivation—can be indicative of existential anxiety. This type of anxiety often arises when individuals start to ponder deeper questions about life, purpose, and their own existence. It can be triggered by stressors such as academic pressure, social dynamics, or even significant life changes. In your case, the looming exams and the expectations from yourself and your parents may be amplifying these thoughts.

It's important to recognize that while these feelings can be unsettling, they are a part of the human experience, especially during adolescence when identity and purpose are often explored. The fact that you can still engage in social interactions and find moments of joy indicates that you are not in a state of clinical depression, but rather navigating a complex emotional landscape.

Here are some strategies that may help you cope with these feelings:
1. Mindfulness and Grounding Techniques: Practicing mindfulness can help you stay present and reduce anxiety. Techniques such as deep breathing, meditation, or even simple grounding exercises (like focusing on your senses) can help you reconnect with the moment and alleviate overwhelming thoughts.

2. Limit Exposure to Stressors: If certain activities, like watching movies or reading, trigger these existential thoughts, it might be helpful to take a break from them. Instead, engage in activities that you find genuinely enjoyable and fulfilling, even if they seem trivial.

3. Talk About Your Feelings: Sharing your thoughts with someone you trust can be incredibly beneficial. This could be a friend, family member, or a counselor. Expressing what you’re going through can help you feel less isolated and provide you with different perspectives.

4. Set Realistic Goals: With exams approaching, it’s natural to feel pressure. However, setting small, achievable goals can help you regain a sense of control. Focus on what you can do each day rather than the overwhelming picture of the exams as a whole.

5. Seek Professional Help: If these feelings persist or worsen, it may be beneficial to speak with a mental health professional. They can provide you with tailored strategies and support to help you navigate through this period. It’s important to remember that seeking help is a sign of strength, not weakness.

6. Reflect on Your Values: Take some time to think about what truly matters to you. What are your passions? What brings you joy? Reflecting on these questions can help you reconnect with your sense of purpose and may alleviate some of the existential dread you’re experiencing.

7. Physical Activity: Engaging in regular physical activity can significantly improve your mood and reduce anxiety. Whether it’s a sport, walking, or dancing, moving your body can help release endorphins and improve your overall well-being.

In conclusion, while it’s normal to experience existential thoughts and anxiety, especially during stressful times, it’s crucial to take proactive steps to manage these feelings. Remember that you are not alone in this experience, and there are resources and strategies available to help you navigate through it. If you feel comfortable, consider discussing your feelings with a trusted adult or mental health professional who can provide further support.

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