Recognizing And Relieving Test Anxiety

By Gerda J. Worth


Many parents have come to me and expressed their frustration that their son or daughter is a straight A student but keeps bombing on major tests like the ACT. Their concern is that their student needs a good ACT test score to get into the college of their choice, but while they are a straight A student in every other aspect of school, it just sees that tests make them freeze up.

In worse cases, nonetheless, people with anxiety disorder become withdrawn to their surroundings. When left untreated, anxiety disorder may get in the way of living a normal life. Some may even feel that they are on the verge of a nervous breakdown.But the condition won't go this far if the symptoms are easily detected and promptly treated.It is of course daunting for most people to draw the line between normal fear and anxiety disorder, especially when there is lack of information on what the condition really is. This is why an anxiety test is performed by doctors among individuals who are suspected to have anxiety disorders.Doctors would often furnish their patients a questionnaire. The queries solicit how the patients would react to certain situations. For example, some of the questions may be about feelings of guilt in doing certain activities. Other items may ask whether or not the patient feels scared of things that are reminiscent of the past.

As expected, the written tests are not too reliable, especially when the patient starts holding back some information. Some fall short in providing honest answers as they try to convince doctors and peers that they are mentally and psychologically healthy. This often occurs when a patient worries about getting judged or mistreated because of anxiety disorder.Doctors would then perform another round of oral tests. The questions are practically the same as those written in the questionnaires, but asking them face to face allows the experts to read non-verbal expressions of the patient. The "interview" also allows the doctors to further assess the intensity of the patient's anxiety as they can do follow up questions to elaborate the response to the queries.

In some clinics, the doctors may also present several items to the patient. The facial expression, heart beat and other bodily movements are measured as each item is flashed. People who developed traumas from vehicular accidents, for instance, may be shown photos of busy roads, car keys, or other items recovered from the place of the accident. The dilation of the pupil, heart rate, and blood pressure are often measured to evaluate whether the reactions are still within the bounds of normal responses. Levels of anxieties can be measured through an anxiety test. Experts adopt several scales that are utilized depending on the severity of a patient's anxiety disorder:Hamilton Anxiety Scale (HAM-A) - provides rating scale that can rate the intensity of the anxiety symptoms and determine how well a patient can respond to treatments. This anxiety test is performed by a trained professional who can measure the severity of the symptoms from zero to four - 4 being the most intense. The symptoms that are assessed include somatic muscle complaints, somatic sensory complaints, anxious mood, depression, palpitations or fast heart beat, insomnia, intellectual impairment and tension.

Hopkins Symptom Checklist (SCL-90) - involves providing real-time rating during the interview. The rates recorded will be compared to those jotted down from the last screening to measure how the symptoms have changed, and whether or not the patient has shown improvements. In contrast to the HAM-A, the ratings will be provided by the patients themselves. The test takes about 20 minutes to complete. There will be 90 items - 83 of which are subdivided in 9 categories including anger, phobia, sleeping patterns, appetite disturbances, psychotic symptoms, paranoia, signs of obsessive-compulsive disorder and somatisation.

There are different ways to reduce test anxiety but in this article I list the most effective ways to reduce stress before, during and after a test.Optimize your physical needs - the physical improvement directly effects mental anxiety.Rest- this is the most crucial of all ways to reduce test anxiety! Get two full nights sleep (8 hours or more each night) before an exam.

Lots of bright students of all ages report significant anxiety related to exams. To some extent, it is understandable since the world is quite competitive today and test scores can impact the kind of college you attend, the kind of career you have and the amount of money you earn.Test anxiety impacts children and adults. I have treated doctors, lawyers and graduate students who have had a huge amount of tension and anxiety related to licensure exams, certification exams and entrance exams. Adult students tend to recognize the symptoms of anxiety.

This condition often occurs among students who are high achievers, perfectionists or those who simply worry a lot. Students today are under a great deal of pressure to perform; pressure from parents, siblings, teachers and peers. While some pressure to achieve good marks can be helpful, too much pressure can feel overwhelming, leading the student to feel the stressful physical effects and emotional discomfort associated with test anxiety.Just like an athlete who experiences a surge of anxiety before stepping onto the field for a big game, many students get a burst of energy right before they sit down to take a test, quiz or exam. This is usually a good thing, since this heightened level of alertness helps to increase self-confidence, leading to better test results.However, for some students their pre-test energy is excessive, leading to serious consequences for the students. Some students who experience test anxiety are so overwhelmed with thoughts, feelings and physical symptoms that they are completely unable to complete their tests or exams.

Symptoms of this kind of anxiety include insomnia, nausea, a racing heart and sweaty palms. Some students report feeling dizzy and weak. Obviously, it is difficult to concentrate and perform well when you have these kinds of bodily sensations.When I counsel somebody with test anxiety, there are several things which must be explored. First, it is important to determine the person is anxious about other issues in their life. Some patients who report test anxiety are quite anxious in other situations as well. Some have multiple fears and phobias. This person requires a different kind of treatment than does someone who reports anxiety that is restricted to exams.

Second, it is useful to get a thorough history and understanding as to the history and the etiology of the problem. Sometimes, test anxiety surfaces after a person does poorly on an important test. The person then begins to fear the next test.People who suffer from test anxiety benefit from training in test taking skills. I encourage them to do as many practice exams as they can and to develop a system for attacking the exam. Most people like having a uniform game plan for approaching specific parts of a standardized test. This helps them to feel comfortable in the exam room.We also spend time on the student's pre-exam preparation. We talk about what they need to do the month before the test, the week before the test and the day of the test in order to feel ready and psychologically comfortable.I also teach people with test anxiety skills for feeling relaxed, focused and confident. These techniques include ego building techniques, exercise, relaxation training, meditation and self-hypnosis. The majority of these patients can be helped without any medication.




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