Should I Seek Help? Navigating Mental Health Challenges in Exam Pressure

Should I seek medical attention?

Hello, doctor.
I am a student who has been retaking exams for two years.
During the high school entrance exam, I did not perform well and ended up in a high school that I did not want to attend.
Initially, I resisted this situation, but then I fell into despair and even had suicidal thoughts.
I spent three years feeling gloomy and encountered many setbacks during that time.
My personality changed significantly, my values became confused, and I developed extreme self-doubt.
After enduring three years, I entered a preparatory class for retaking exams, but I felt a strong aversion to everything related to my past high school experience, even things that reminded me of it, as I believed they would contaminate me.
I became very anxious and exhibited symptoms of depression both mentally and physically.
After six months, I sought medical help.
Although I experienced some improvement after taking medication for two months, I still lived unhappily.
My grades in the preparatory class did not improve either.
I have been on medication for two years, and even after retaking the major exams, my scores did not improve significantly.
The pressure I felt was extraordinarily heavy, and my self-confidence continued to decline.
I do not trust myself or others.
I want to study medicine, but my grades make it difficult to get into a national university.
The people around me also believe that I will not succeed, and there is often a mocking tone in our conversations.
I initially wanted to attend additional tutoring, but the thought of entering another preparatory class felt overwhelmingly heavy.
My anxiety has only increased.
I have tried various preparatory classes in Kaohsiung, but I eventually could not tolerate this mental abuse anymore.
I decided to take a break and enrolled in university.
During this time, I experienced some improvement, but fundamentally, I am still the same.
I easily get caught up in imagined scenarios (even if those situations have never occurred).
Negative emotions arise, and I have been unable to let go of the past.
My anxiety, pressure, and lack of confidence persist.
Doctor, what should I do?

A-Kai, 20~29 year old female. Ask Date: 2004/12/02

Dr. Cai Yunlin reply Psychiatry

Hello, A-Kai.
In response to your question, my answer is affirmative.
As you mentioned, your condition has improved after receiving treatment.
The treatment of mental disorders encompasses three aspects: biological, psychological, and social.
Pharmacotherapy is one component of this approach.
I recommend that you return to your original healthcare facility for a face-to-face assessment, as I believe it can provide you with a more comprehensive treatment plan.
Dr.
Tsai.

Reply Date: 2004/12/02

More Info

Navigating mental health challenges, especially in the context of exam pressure, can be incredibly daunting. Your situation reflects a complex interplay of anxiety, depression, and self-doubt, which is not uncommon among students facing high-stakes exams. It’s commendable that you are seeking help and trying to understand your mental health needs.

From your description, it seems you have been experiencing significant emotional distress, including feelings of despair, self-doubt, and anxiety related to your academic performance and future aspirations. These feelings can be exacerbated by the pressure to succeed, especially in a competitive environment like medical school admissions. The fact that you have had suicidal thoughts in the past is particularly concerning and indicates that you should seek professional help as soon as possible.

Here are some steps you can take to navigate your mental health challenges:
1. Seek Professional Help: It is crucial to consult with a mental health professional, such as a psychologist or psychiatrist. They can provide a comprehensive assessment of your mental health and recommend appropriate treatment options, which may include therapy, medication, or a combination of both. Cognitive Behavioral Therapy (CBT) has been shown to be effective for anxiety and depression, helping individuals reframe negative thoughts and develop coping strategies.

2. Medication Management: Since you have previously been on medication, it may be worth discussing your current symptoms with your doctor. They can evaluate whether your current treatment plan is effective or if adjustments are needed. Medication can help stabilize mood and reduce anxiety, making it easier to focus on your studies.

3. Develop Coping Strategies: Engage in activities that promote relaxation and reduce stress. Techniques such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help manage anxiety. Regular physical activity is also beneficial for mental health, as it releases endorphins that improve mood.

4. Build a Support System: Surround yourself with supportive friends and family who understand your struggles. Sharing your feelings with someone you trust can alleviate some of the burdens you carry. Consider joining a support group for students facing similar challenges, as this can provide a sense of community and understanding.

5. Set Realistic Goals: It’s important to set achievable academic goals. Instead of focusing solely on the end result (e.g., getting into medical school), break down your goals into smaller, manageable tasks. Celebrate small victories along the way, which can help build your confidence.

6. Limit Comparisons: It’s easy to fall into the trap of comparing yourself to others, especially in a competitive academic environment. Remember that everyone has their own journey, and your worth is not determined by your academic performance. Focus on your personal growth and progress.

7. Practice Self-Compassion: Be kind to yourself. Acknowledge that it’s okay to struggle and that seeking help is a sign of strength, not weakness. Remind yourself of your achievements and the effort you have put into your studies.

8. Consider Alternative Paths: If the pressure of re-taking exams becomes overwhelming, it might be worth exploring alternative educational paths or career options that align with your interests and strengths. Sometimes, stepping back and reassessing your goals can provide clarity and reduce stress.

In conclusion, it’s essential to prioritize your mental health and well-being. Seeking help from a mental health professional is a critical step in addressing your concerns. Remember, you are not alone in this journey, and there are resources and support available to help you navigate these challenges. Your mental health is just as important as your academic success, and taking care of yourself should always come first.

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