Is It Stress or a Mental Health Issue? Your Symptoms

Is it due to excessive stress? Or is it an illness?

Hello, I am a full-time national exam candidate.
I resigned from my job nearly two years ago to prepare for the national exam.
My scores have been improving, and I was just one point away from passing the last time.
However, my most recent exam score dropped by more than seven points.
After the exam, I feel unmotivated to do anything.
I thought about relaxing, but I can't concentrate on leisure reading.
I initially planned to look for a job after this exam, but now I have no desire to search (for example, a friend offered a suitable opportunity, but I don't feel like reaching out).
I often experience headaches and nausea, have a poor appetite, and can't muster the energy to study.
I want to sleep and rest, but lying down makes me feel nauseous, disrupting my sleep.
I previously sought treatment for stress-induced gastritis from a gastroenterologist, but I stopped medication once the symptoms disappeared.
The nausea I am experiencing now is different from before (previously, it was mainly stomach pain).
Could this be related to anxiety? Is it necessary to see a psychiatrist? Is there a way to improve this? Thank you.

Xiao Di, 20~29 year old female. Ask Date: 2016/01/29

Dr. Wu Enliang reply Psychiatry

Hello, Xiao Di.
It can be quite discouraging to prepare for exams for many years without success.
The emotions you mentioned do resemble symptoms of psychosomatic disorders or depression, but feeling nauseous while lying down is more indicative of gastroesophageal reflux disease (GERD) or gastritis.
If there is no improvement, it is indeed necessary to consult a gastroenterologist and a psychiatrist.
Wishing you a speedy recovery.

Reply Date: 2016/01/29

More Info

Hello! Thank you for sharing your experiences and concerns. It sounds like you are going through a challenging time, especially as a full-time student preparing for a crucial exam. The symptoms you describe—loss of motivation, headaches, nausea, decreased appetite, and difficulty concentrating—can indeed be related to stress and anxiety, but they may also indicate a more significant mental health issue.

Firstly, it's essential to understand that stress can manifest in various ways, both physically and emotionally. The pressure of preparing for a national exam can be overwhelming, especially when you have experienced setbacks like a drop in your scores. This kind of stress can lead to anxiety, which may explain your symptoms of nausea and headaches. Anxiety often presents itself with physical symptoms, including gastrointestinal issues, which you mentioned experiencing in the past with stress-induced gastritis.

Your feelings of apathy towards activities you once enjoyed, such as reading for leisure or considering job opportunities, are also concerning. This lack of interest, combined with your physical symptoms, could suggest that you might be experiencing symptoms of depression or an anxiety disorder. It's not uncommon for individuals under significant stress to feel a sense of hopelessness or disinterest in their usual activities, which can further exacerbate feelings of anxiety and stress.

Given your history of stress-related gastrointestinal issues, it would be wise to consult with a healthcare professional. A mental health evaluation can help determine whether your symptoms are primarily stress-related or if they indicate an underlying mental health condition, such as generalized anxiety disorder or depression. Mental health professionals can provide a comprehensive assessment and recommend appropriate treatment options, which may include therapy, medication, or lifestyle changes.

In terms of coping strategies, here are a few suggestions that may help alleviate some of your symptoms:
1. Establish a Routine: Creating a daily schedule can provide structure and help you manage your time effectively. Include breaks and leisure activities to ensure you are not solely focused on studying.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help reduce anxiety and improve your overall well-being. These techniques can help you manage stress and improve your focus.

3. Physical Activity: Regular exercise is a powerful stress reliever. Even light activities like walking or stretching can help improve your mood and reduce anxiety.

4. Nutrition and Hydration: Pay attention to your diet and ensure you are eating balanced meals. Staying hydrated is also crucial, especially if you are experiencing nausea.

5. Social Support: Reach out to friends or family members to talk about your feelings. Sometimes, sharing your concerns can provide relief and help you feel less isolated.

6. Professional Help: If your symptoms persist or worsen, seeking help from a mental health professional is essential. They can provide tailored strategies and support to help you cope with your situation.

Regarding your question about whether to see a psychiatrist, it is advisable if you feel that your symptoms are significantly impacting your daily life or if you are unsure how to manage them on your own. Mental health professionals can offer valuable insights and treatment options that can help you regain control over your life.

In conclusion, while stress can lead to various physical and emotional symptoms, it is crucial to assess whether these symptoms are part of a broader mental health issue. Seeking professional help can provide clarity and support as you navigate this challenging period. Remember, taking care of your mental health is just as important as preparing for your exams. Best of luck, and take care!

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