Am I Okay? Anxiety and Mental Health for Teachers - Psychiatry

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Is my mental condition still okay?


I am a middle school teacher and the head of the student affairs department (formerly known as the management department).
For the past two to three years, I have frequently experienced headaches, nausea, and a lack of energy before going to work.
If I have to deal with a student behavioral issue the next day, I often cannot sleep well at night, finding it difficult to close my eyes until two or three in the morning.
I have previously requested the principal to adjust my position, but the principal refused.
Is my mental state normal? Do I have anxiety disorder? Should I seek treatment from a psychiatrist?

grant, 30~39 year old female. Ask Date: 2000/11/15

Dr. Liao Dinglie reply Psychiatry


Hello Mr.
Grant: You have clearly pointed out the physical symptoms that arise before a stressful situation, and you have also raised the issue of whether the emotions are anxious.
This issue is indeed two sides of the same coin, and both aspects should not be overlooked.
Anxiety disorders refer to emotional tension and anxiety, while the physical symptoms should also be addressed appropriately.
Typically, physicians will conduct necessary physical examinations or further laboratory tests regarding your headache and nausea symptoms to ensure there are no underlying organ pathologies.
Treating both physical symptoms (such as headache and nausea) and emotional symptoms (such as anxiety and depression) simultaneously can yield excellent results.
When physical symptoms or illnesses are influenced by emotions, psychiatry refers to this as psychosomatic disorders, which serves as a reminder for physicians to pay attention to both the physical and emotional aspects of the patient.
Your emotional issues indeed need to be addressed.
I believe that if you seek cognitive behavioral therapy, relaxation training, or biofeedback training in psychosomatic medicine or psychiatry, along with appropriate medication, you could achieve significant improvements.
Of course, temporarily distancing yourself from stressful situations is an effective solution.
Although the principal is unwilling to allow you to adjust your duties, perhaps you could take a vacation.
You might consider going abroad for a relaxing holiday and then decide whether to continue battling with the students—or with the principal—upon your return.
Psychiatry can certainly provide you with some assistance.

Reply Date: 2000/11/15

More Info


As a middle school teacher and a head of the student guidance department, it’s understandable that you are feeling overwhelmed and anxious, especially given the responsibilities you carry. The symptoms you describe—headaches, nausea, difficulty sleeping, and a constant sense of dread about handling student behavior—are indeed concerning and suggest that you may be experiencing anxiety, possibly to the point of an anxiety disorder.

Anxiety in educators is not uncommon. The pressures of managing a classroom, ensuring student success, and meeting the expectations of parents and administration can create a high-stress environment. Your feelings of nausea and headaches, particularly before work, are physical manifestations of anxiety. These symptoms can be exacerbated by the anticipation of stressful situations, such as dealing with behavioral issues in students. It’s important to recognize that these physical symptoms are real and can significantly impact your quality of life and job performance.

You mentioned that you have difficulty sleeping, often lying awake at night worrying about the next day. This is a classic symptom of anxiety. The inability to relax and the constant worry about performance can lead to a cycle of stress that is hard to break. It’s also worth noting that your request for a job adjustment was denied, which can add to feelings of helplessness and frustration. This situation can create a sense of being trapped, further intensifying anxiety.

It’s crucial to address these feelings and symptoms. Seeking help from a mental health professional, such as a psychologist or psychiatrist, can be a beneficial step. They can provide a proper assessment and determine whether you are experiencing an anxiety disorder. Treatment options may include therapy, such as cognitive-behavioral therapy (CBT), which is effective for anxiety, and possibly medication if deemed necessary. Therapy can help you develop coping strategies to manage anxiety and improve your overall mental health.

In addition to professional help, there are self-care strategies you can implement to alleviate some of your anxiety. Regular physical activity, mindfulness practices such as meditation or yoga, and ensuring you have a support system in place can be incredibly beneficial. Engaging in hobbies or activities that you enjoy can also provide a necessary distraction and help reduce stress.

It’s also important to communicate with your administration about your mental health needs. While it may feel daunting, advocating for yourself is crucial. If you feel comfortable, consider discussing your situation with your principal again, emphasizing the importance of mental health in maintaining a productive and positive learning environment for both you and your students.

Lastly, remember that you are not alone in this. Many educators face similar challenges, and it’s okay to seek help. Prioritizing your mental health is essential not only for your well-being but also for your effectiveness as a teacher. When you take care of yourself, you are better equipped to support your students and create a positive classroom environment.

In summary, your symptoms suggest that you may be experiencing anxiety, and it would be wise to seek professional help. Implementing self-care strategies and advocating for your needs within your school can also contribute to your mental well-being. Remember, taking care of yourself is not just beneficial for you; it ultimately enhances the learning experience for your students as well.

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