Overcoming Anxiety: A Nursing Student's Struggle with Fear and Isolation - Psychiatry

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I have been feeling unhappy lately?


Hello, Doctor: I am a nursing student.
Since I started studying nursing, I have felt that people are very fragile and that it seems easy to develop cancer.
These thoughts have shifted to myself since last November.
Whenever I feel a little unwell, I keep repeating these thoughts and become afraid that I might have cancer, leading to terrifying treatments I have seen during my internships, and then I might die.
After I die, my mom and family would be very sad.
I feel anxious all day long, and sometimes I experience inexplicable tension and anxiety, but I don't know who to talk to about it.
I am especially afraid to tell my mom, fearing that it would worry her.
I am also very scared of being alone.
Additionally, I have to retake the second-level nursing exam in April this year, and I can't focus on my studies, often thinking about skipping classes.
Recently, I have been really unhappy and frequently experience palpitations and shortness of breath.
I wonder if it's related to often hearing my parents argue.
Whenever the TV volume is a bit loud, I also feel palpitations.
I am really exhausted...

Ting Ting, 20~29 year old female. Ask Date: 2008/02/04

Dr. Xie Dicheng reply Psychiatry


Hello: I'm not sure if you have spoken with the counseling and guidance teacher at your school, but if you have many concerns in your life that you don't know who to talk to, it might be a good idea to try discussing them with a counselor.
It can be really tough under the multiple stressors you are facing.
If the emotional and physical responses you are experiencing last more than a few days, perhaps continuing for a week or longer, and if you are having issues with sleep, appetite, or thoughts of self-harm, it is important to seek help from a psychiatrist (or mental health specialist) nearby for prompt improvement.
Additionally, the psychiatric department should also be able to arrange for individual counseling or psychotherapy.

Reply Date: 2008/02/04

More Info


It sounds like you are experiencing a significant amount of anxiety and fear, which is not uncommon, especially for nursing students who are often exposed to the realities of illness and death. Your feelings of vulnerability and fear of serious illness, such as cancer, can be exacerbated by the stress of your studies and the pressures of your environment. It's important to recognize that these feelings are valid and that you are not alone in experiencing them.

First and foremost, it is crucial to understand that anxiety can manifest in various ways, including physical symptoms like palpitations and shortness of breath, which you mentioned. These symptoms can be distressing and may lead to a cycle of increased anxiety. When you feel a physical symptom, it can trigger thoughts of serious illness, which in turn heightens your anxiety, creating a feedback loop that can be hard to break.

Here are some strategies that may help you cope with your anxiety:
1. Talk to Someone: It’s important to share your feelings with someone you trust. This could be a friend, family member, or a mental health professional. Since you mentioned that you are hesitant to talk to your mother for fear of worrying her, consider reaching out to a school counselor or therapist. They can provide a safe space for you to express your feelings and help you develop coping strategies.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help reduce anxiety. These techniques can help ground you in the present moment and reduce the tendency to ruminate on negative thoughts. Apps like Headspace or Calm can guide you through these practices.

3. Limit Exposure to Triggers: If certain situations, like hearing arguments or loud noises, trigger your anxiety, try to limit your exposure to these triggers when possible. Create a calming environment for yourself, perhaps with soothing music or a quiet space where you can retreat when you feel overwhelmed.

4. Stay Active: Physical activity can be a powerful tool for managing anxiety. Exercise releases endorphins, which can improve your mood and reduce stress. Even a short walk or some light stretching can help.

5. Focus on What You Can Control: It’s easy to feel overwhelmed by thoughts of illness and fear of the future. Try to focus on what you can control in your life right now. This might include your study habits, your self-care routines, and your social interactions.

6. Seek Professional Help: If your anxiety persists or worsens, it may be beneficial to seek professional help. A mental health professional can provide therapy and, if necessary, medication to help manage your symptoms. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders and can help you reframe negative thoughts.

7. Connect with Peers: As a nursing student, you are likely not the only one feeling this way. Connecting with classmates who may share similar experiences can provide support and understanding. Consider forming a study group or a support group where you can discuss your feelings and experiences openly.

8. Educate Yourself: Sometimes, understanding more about anxiety and its effects can help demystify your experiences. Reading books or articles on anxiety management can provide you with tools and insights to better cope with your feelings.

Remember, it’s okay to ask for help, and taking the first step towards addressing your anxiety is a sign of strength. You are not alone in this journey, and there are resources available to support you. Prioritize your mental health just as you would your physical health, and take the time to care for yourself.

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