Struggling to Focus: Coping with Study Anxiety and Pressure - Psychiatry

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I don't know why, but recently I have been completely unable to concentrate on studying.
I can't focus for more than ten seconds, and I constantly feel the urge to move around.
It feels more comfortable to exert myself physically.
I've tried playing basketball and relaxing, but nothing seems to help.
I only have 20 days left until the entrance exam, and I initially thought that if I put in some effort during these days, I could do well.
However, it has turned into this situation.
What should I do? My parents put a lot of pressure on me, and I have high expectations for myself.
My father is quite straightforward, and since I was young, I've often argued with him.
Now, I almost fight with him every day, and I end up crying.
It seems that when I get scolded, my condition worsens.
I feel like I might have a bit of obsessive-compulsive disorder because I constantly feel the need to exert myself to feel comfortable.
I keep making promises to myself.
I previously visited a doctor who suggested that I might need to take some medication and have regular check-ups, but I don't have time for that.
What should I do?

p~, 10~19 year old female. Ask Date: 2001/06/12

Dr. Zhang Zhehong reply Psychiatry


Hello: Based on your expectations of yourself and your recent difficulties in concentrating, along with a constant urge to move around, it seems that you are someone with high self-imposed standards.
Now, facing the college entrance examination, you are experiencing significant anxiety.
This kind of anxiety is unavoidable; in fact, a moderate level of tension can enhance exam performance.
However, when it exceeds a certain threshold, it can lead to the issues you described.
You might try relaxation techniques such as adequate rest, exercise, and leisure activities.
Additionally, temporarily shifting your focus away from the entrance exam and maintaining a calm mindset while studying can also be helpful.
If you have tried various methods but still cannot calm your mind (considering how important the entrance exam is), a small dose of anti-anxiety medication may provide some assistance, but it must be prescribed by a physician, and the dosage should be determined based on your response to the medication.
Keep in mind that anti-anxiety medications can also have sedative effects, which may impact cognitive function.
However, if your current situation does not improve, medication may still be necessary.
Wishing you success in your exam.

Reply Date: 2001/06/12

More Info


Coping with study anxiety and pressure is a significant challenge that many students face, especially when preparing for important exams or deadlines. Your experience of being unable to focus, feeling restless, and struggling with high expectations from both yourself and your parents is not uncommon. It's essential to address these feelings constructively to improve your mental well-being and academic performance.

Firstly, it's important to recognize that anxiety is a natural response to stress, particularly in high-pressure situations like studying for exams. However, when anxiety becomes overwhelming, it can hinder your ability to concentrate and perform effectively. The symptoms you describe, such as restlessness and difficulty focusing, may be exacerbated by the pressure you feel from your parents and your own perfectionistic tendencies.

Here are several strategies that may help you cope with study anxiety and improve your focus:
1. Break Tasks into Smaller Steps: Instead of viewing your study material as one large, daunting task, break it down into smaller, manageable sections. This approach can help reduce feelings of being overwhelmed and make it easier to start studying. Set specific, achievable goals for each study session, such as completing a chapter or practicing a set of problems.

2. Establish a Routine: Creating a structured study schedule can provide a sense of control and predictability. Allocate specific times for studying, breaks, and leisure activities. Consistency can help train your mind to focus during designated study periods.

3. Practice Mindfulness and Relaxation Techniques: Incorporating mindfulness practices, such as deep breathing exercises, meditation, or yoga, can help calm your mind and reduce anxiety. These techniques can improve your ability to focus and create a sense of inner peace. Even short sessions of mindfulness can be beneficial.

4. Limit Distractions: Identify and minimize distractions in your study environment. This may include turning off notifications on your phone, finding a quiet space, or using apps that block distracting websites. A focused environment can significantly enhance your concentration.

5. Communicate with Your Parents: If your parents' expectations are contributing to your anxiety, consider having an open conversation with them about how you feel. Expressing your concerns can help them understand your perspective and potentially alleviate some of the pressure you feel.

6. Seek Professional Help: Since you mentioned having seen a doctor before, it may be beneficial to follow up with a mental health professional. They can provide tailored strategies and, if necessary, discuss medication options that can help manage your anxiety. Therapy can also offer a safe space to explore your feelings and develop coping mechanisms.

7. Engage in Physical Activity: While you mentioned that playing sports didn't seem to help, regular physical activity is known to reduce anxiety and improve mood. Consider incorporating short bursts of exercise into your routine, such as a quick walk or stretching, to help release built-up tension.

8. Practice Self-Compassion: It's crucial to be kind to yourself during this stressful time. Acknowledge that it's okay to struggle and that perfection is not the goal. Focus on progress rather than perfection, and celebrate small achievements along the way.

9. Limit Caffeine and Sugar: High caffeine and sugar intake can exacerbate anxiety symptoms. Consider reducing your consumption of these substances, especially before studying or exams.

10. Visualize Success: Spend a few moments each day visualizing yourself successfully completing your studies and performing well on your exams. Positive visualization can help reduce anxiety and build confidence.

In conclusion, coping with study anxiety and pressure requires a multifaceted approach that includes self-care, communication, and professional support. By implementing these strategies, you can create a more conducive environment for studying and improve your overall mental health. Remember, it's essential to take care of yourself and seek help when needed. You are not alone in this struggle, and with the right tools and support, you can overcome these challenges.

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