Overview Of The Problem
Test anxiety is on the rise for students, starting in elementary school all the way through college (Segool, Carlson, Goforth, von der Embse, & Barterian, 2013a). Recent studies reveal that in universities in the United States and Europe, students are experiencing severe anxiety when it comes to taking tests (Hyseni Duraku, 2017).
High school students today are often faced with insurmountable pressures from parents and school districts to achieve, resulting in a deep fear of failure and performance anxiety (Embse & Hasson, 2012). Pressure may stem from parents who wish for their children to excel in high school to improve college chances. Students receive pressure, either directly or indirectly, from teachers whose job performance is based upon student achievement, academic performance, and test performance (Embse & Hasson, 2012).
The Problem and Its Origins
Students who attend magnet and/or STEM (Science, Technology, Engineering, and Math) certified schools are often under increased pressure from parents. Students in these programs have either tested as gifted, or having a high achievement capability; or, they have been placed into honors and advanced placement (AP) level classes by their parents or well-intentioned teachers and counselors. Some gifted students are too anxious to stand the heat of the STEM program kitchen (Zeidner & Schleyer, 1999); and may, consequently, sabotage themselves, receiving poor or average grades so they will not have to compete under such pressure.
Many students believe they have no shot at a good college if they do not graduate with a STEM, magnet, or International Baccalaureates diploma seal. The reality is that many colleges and universities simply want to see that students have been challenged during their high school careers (Rubenstone, 2007). For example, most magnet schools will not accept new students into the program after 9th grade, however, if a student in a regular high school setting takes honors and AP courses, they are demonstrating to prospective universities that they are able to take classes that offer the most rigor available to them, which is often what selective schools want to see (Abrams, n.d.)
For students who have been pressured to remain in these programs, some are only able to keep up with the rigor with hours of tutoring. For already anxious children, this excess studying may be creating symptoms of anxiety commonly referred to as test anxiety (Huberty, 2010).
Parents and Other Adults Who Contribute to the Problem
The type of pressure these students feel originated long before high school, probably in pre-k when parents, convinced their children were gifted, made sure their children were tested and vetted into gifted programs through their elementary schools. By the time school children like this reach middle school, they are burned out. The form of anxiety these children experience is largely from external sources, and if the child is already prewired for anxiety, then these forces make it even worse.
Parents do not often realize that conversations with their children about success can sometimes cause more harm than good (Niditch& Varela, 2012). For a teenager, a pep talk about success can be easily translated into, "Son, you are a failure, and we are disappointed in you." rather than, "Son, we want you to be successful because we love you".
The dialogues parents have with their children have the potential to follow them into the testing environment, increasing natural anxiety and become obstacles to that child doing his or her best. Too much pressure applied to a child preparing to take a high-stakes test is like setting a pressure cooker with a faulty release valve which ultimately can result in performance anxiety, difficulty concentrating, negative thoughts around test taking, and other symptoms of test anxiety.
Parents do not often realize that conversations with their children about success can sometimes cause more harm than good (Niditch & Varela, 2012). For a teenager, a pep talk about success can be easily translated into, "Son, you are a failure, and we are disappointed in you." rather than, "Son, we want you to be successful because we love you.”
The dialogues parents have with their children have the potential to follow them into the testing environment, increasing natural anxiety and become obstacles to that child doing his or her best. Too much pressure applied to a child preparing to take a high stakes test can be like setting a pressure cooker with a faulty release valve.
A Broader View of the Problem
While it is true that anxiety is a part of life, for some individuals, it can be crippling, causing the individual to freeze up mentally, and to avoid doing tasks or other daily activities that are important or even critical for work or school. Test anxiety is very common for persons who are already prone to anxiety (Huberty, 2010). Individuals who become extremely anxious over taking a test generally experience some form of anxiety relative to other performance-related issues such as public speaking or meeting project deadlines.
Anxiety is a form of stress, and just like stress, there is good anxiety and there is bad anxiety. It can either spur an individual forward, or it can cause that individual to freeze and feel incapable of thought or action. Some extreme cases of anxiety manifest as physiological symptoms (Segool, et al., Barterian, 2013). Below are some common physical indicators of stress and anxiety.
Anyone who cares about the outcome of a test or other significant project is prone to experiencing some level of anxiety. When symptoms are as extreme as those mentioned above, there may be underlying problems. It could be that the individual is a high achiever who needs to obtain certain test scores in order to reach a goal of better grades to get into an elite school, such as getting into their medical school of choice. This individual is able to manage levels of anxiety on any given day through increasing activity, taking mental breaks, taking deep breaths, getting enough sleep, prioritizing their health, or meditating (von der Embse, Barterian, & Segool, 2013). These all help. However, when sitting in a test cubical or at a desk with pencil and answer bubbles, claustrophobia can suddenly take over. When sitting for a high-stakes test such as the ACT, SAT, LSAT, GRE, MCAT, etc., taking a break, other than a mental break while seated, is not an option. Because these tests are timed, and the proctor is updating the time on a whiteboard or digital device, anxiety is only increased.
Again, test anxiety is normal. The above symptoms can occur in individuals who ordinarily do not feel overwhelmed easily. There can be mitigating circumstances, such as cramming in all night study sessions, caffeine overload, dehydration, or the feeling that this test is all or nothing.
For the individual experiencing the "all or nothing" form of anxiety, the feelings may stem from other factors in that person's life. For example, if this individual's perception is that his or her entire future is reliant upon getting into one school, or achieving a certain score, these feelings can become overwhelming.
Test Anxiety Does Not Graduate High School
Test anxiety does not just happen with elementary through high school students, nor does it end there. According to Hyseni Duraku (2017), there is an increasing number of university students who experience high test anxiety. One of the reasons for such stress is that many students feel they are stuck on the path defined by their majors and may feel boxed in (Hyseni Duraku, 2017).
To illustrate, let us look at a hypothetical case:
Jason is a 22-year-old college graduate. He has planned nearly his whole life to go to law school. He has just graduated from prelaw, and that is all he knows. He is beginning to regret he did not just major in liberal arts or business because he feels entirely unprepared for any other line of work. His friends tease him; constantly telling him he can always be a paralegal. Jason's grades in prelaw were acceptable, but not stellar. He must score in the upper 90th percentile on the LSAT if he has any chance of getting into a state program, especially in his state. He has researched some smaller and private law schools, that are easier to get into, but they are either too far away, or too expensive.
Jason has planned his whole life to go to law school at the large state university that is only four hours from his parent's home. If his scores are too low, all his plans will be thwarted; he may feel anxious and trapped.
This is also a trap of his own making. Jason has created a scenario in which, for him, there is no way out. If things do not turn out the way Jason has scripted for himself, he will feel he has failed. For Jason, it is all or nothing.
For Jason, his anxiety, though related to a particular situation, is not situational anxiety. Jason has done this to himself his entire life. His parents first noticed this about him when he was in middle school. If he could not get the position on the football team he wanted, he did not want to play. If he did not get the project he wanted in science class, he did not want to do one at all.
In each of these types of situations, Jason's parents encouraged him. Based upon Jason's family history, his relationship with his family, and his own medical history there is no organic or hereditary issue related to his anxiety.
If Jason was in counseling, he and his therapist could investigate the underlying causes of his anxiety (Salend, 2011), and more importantly, why he feels the need to box himself in. The first thing the counselor would want to determine is Jason's level of awareness regarding his actions. It may well be that Jason does not realize he does this, and if this has ever been pointed out to him by friends, family, or even instructors, he has refused to acknowledge the validity of their claims.
Jason feels he must pass or fail, there is no in between. In his current situation, Jason feels that to attend any school other than the one he feels he must attend, is a failure. Jason's situation and his form of anxiety is based upon a script Jason has devised for himself.
When individuals live a scripted life, they seldom go off-book. They do not know who they are, or what their choices are if they do. It is a means of maintaining a level of control. People such as Jason would do very well in the military, where even though there are choices, the environment is one that is based upon incredible discipline and routine.
Jason has lied to himself in that he feels he cannot do anything else but be a lawyer, but the only way he wants to become a lawyer is through education in one school. This kind of scripting usually ends up in failure. A good therapist would want to know how much Jason really does want to go to law school, for all the evidence points to the contrary.
There are many Jasons out there in colleges, universities and graduate schools, who were placed on this path by well-meaning, but demanding parents, teachers, and school districts (Niditch & Varela, 2012). The problem is trickle-down, and for someone like Jason, the odds of him actually finishing law school are slim. He has not learned to make choices because his parents raised him with the narrow view of Achieve or Bust.
Conclusion and Recommendations
Children, adolescents, and young adults who suffer test anxiety face each day on the edge, for they are not just anxious over tests. Nevertheless, in their minds, a test reveals whether they are a failure or success. They are afraid the test will reveal that the lie they tell themselves is true.
For parents, teachers, and counselors there are interventions that can be implemented to mediate test anxiety for school-aged children (Salend, 2011). Teachers can create a better testing environment for students (Yeo, Goh, Liem, & D, 2016), and also realize their demeanor regarding the test has a significant impact on students. There are many things that can go wrong on test days such as technology issues, interruptions, or even disruptive students. How teachers manage these issues will make a difference in how these things affect the students.
For the child or teen who suffers extreme test anxiety, parents should consider counseling. A counselor can teach children and teens breathing exercises, how to change their scripted thinking, and strategies specific to test days. Learning to mediate anxiety through cognitive and behavioral interventions should be the first step towards managing anxiety, and is a healthy, and safe alternative to anxiety medications.
BetterHelp for Test Anxiety
Research shows that online therapy is an effective way of managing emotions that often stem from test anxiety. For example, one study examined the effects of internet-based cognitive-behavioral therapy (CBT) on symptoms of anxiety, noting that it is as impactful as face-to-face counseling. Online therapy platforms often provide access to exercises, groupinars and webinars, and counseling sessions that will help those experiencing test anxiety to confront complicated feelings related to their accomplishments. Cognitive-behavioral therapy aids in reframing negative thoughts and behaviors, such as those associated with success and achievement, in order to handle testing situations more calmly.
As mentioned above, online therapy can make a huge difference in how you or your child deal with tests and manages their test anxiety. If your schedule is already tight, BetterHelp allows you to easily book and modify appointments—online or through the app—without having to make an appointment weeks or months ahead of time. And you won’t have to waste any time driving or commuting to and from an office. You can attend sessions and access resources from anywhere you get an internet connection. Licensed therapists can help you deal with the stress that comes with test anxiety. Read below for reviews of counselors, from those dealing with similar issues.
Counselor Reviews
“Julaine is compassionate, kind and attentive. She is also extremely knowledgeable. I feel like I have gained so many tools to overcome my anxiety and struggles. I am so grateful to her!”
“Dr. Pam has helped me begin the work of understanding where my anxiety comes from and why I need to overcome certain things. She’s kind, respectful and works very hard to tailor our sessions productively.”
References
Abrams, T. (1368438829). Advice From a Dean of Admissions on Selecting High School Courses. Retrieved March 30, 2017, from https://thechoice.blogs.nytimes.com/2013/05/13/selecting-high-school-courses/
Embse, N. von der, & Hasson, R. (2012). Test Anxiety and High-Stakes Test Performance Between School Settings: Implications for Educators. Preventing School Failure: Alternative Education for Children and Youth, 56(3), 180-187. https://doi.org/10.1080/1045988X.2011.633285
Huberty, T. J. (2010). Test and performance anxiety. The Education Digest, 75(9), 34.
Hyseni Duraku, Z. (2017). Factors Influencing Test Anxiety among University Students. The European Journal of Social and Behavioural Sciences, 1(1), 2325-2334. https://doi.org/10.15405/ejsbs.206
Niditch, L. A., & Varela, R. E. (2012). Perceptions of Parenting, Emotional Self-Efficacy, and Anxiety in Youth: Test of a Mediational Model. Child & Youth Care Forum; New York, 41(1), 21-35.
Rubenstone, S. (2007, June 20). Will Magnet School Hurt College Chances? Retrieved from http://www.collegeconfidential.com/dean/000349/
Segool, N. K., Carlson, J. S., Goforth, A. N., von der Embse, N., & Barterian, J. A. (2013a). Heightened Test Anxiety Among Young Children: Elementary School Students' Anxious Responses to High-Stakes Testing. Psychology in the Schools, 50(5), 489-499. https://doi.org/10.1002/pits.21689
Segool, N. K., Carlson, J. S., Goforth, A. N., von der Embse, N., & Barterian, J. A. (2013b). Heightened Test Anxiety Among Young Children: Elementary School Students' Anxious Responses to High-Stakes Testing. Psychology in the Schools, 50(5), 489-499. https://doi.org/10.1002/pits.21689
Teens Prescribed Anti-Anxiety or Sleep Meds More Likely to Abuse Those Drugs. (n.d.). Retrieved March 30, 2017, from http://www.apa.org/news/press/releases/2014/11/anxiety-medications.aspx
von der Embse, N., Barterian, J., & Segool, N. (2013). Test Anxiety Interventions for Children and Adolescents: A Systematic Review of Treatment Studies from 2000-2010. Psychology in the Schools, 50(1), 57-71. https://doi.org/10.1002/pits.21660
Yeo, L. S., Goh, V. G., Liem, G. A., & D. (2016). School-Based Intervention for Test Anxiety. Child & Youth Care Forum; New York, 45(1), 1-17.
Zeidner, M., & Schleyer, E. J. (1999). The Big-Fish-Little-Pond Effect for Academic Self-Concept, Test Anxiety, and School Grades in Gifted Children. Contemporary Educational Psychology, 24(4), 305-329. https://doi.org/10.1006/ceps.1998.0985
Frequently Asked Questions
What are the signs of test anxiety?
Test anxiety can have both physical and emotional symptoms, as well as other cognitive symptoms. Physical symptoms include:
Emotional symptoms of this mental health issue include:
How do I overcome test anxiety?
If you have severe test anxiety making it hard to focus during tests or experience panic attacks, the best thing you can do is reach out for help. Start by getting medical advice from a doctor to ensure there's no medical problem behind your symptoms. If there isn't, then talk to a mental health counselor. They can help you learn stress management techniques, develop test taking strategies, find healthy ways to reduce stress and practice examining and refuting unhelpful negative thoughts. You can also get more information on mental health subjects like anxiety and depression from the Depression Association of America. It may also help to breathe deeply when you feel symptoms of test anxiety coming on and make sure you get a good night’s sleep before your test.
What causes test anxiety?
Many of the causes of test anxiety are rooted in the way you think about yourself and what the test means to you. It may be normal for everyone to experience some levels of stress or a little nervousness from a test, but some individuals may experience more severe symptoms of test anxiety. You may have an intense fear of failure if you believe that poor test results or poor performance during one exam indicate you have no value as a student or even as a person. If you've done poorly on tests before, you might have test anxiety because you believe what happened before will happen again which creates a vicious cycle causing stress and high levels of anxiety on your next exam.
Test anxiety is a type of performance anxiety that can also happen because your parents, teachers, and others have put too much pressure on you to achieve a high score. Another cause has to do with perfectionism. If you believe you will be a failure if you miss just one question, you might become extremely afraid to take the test and hinder your true abilities.
Other factors of this mental health problem are more practical in nature. For example, you might have waited until the last minute to prepare for the test, not prepared for it at all, or didn’t get a good night’s sleep. When you have to take the test, you know you're not ready, and it's easy to panic. And, if you don't get a good night's sleep or drink too much caffeine before the test, those things can add to your feelings of nervousness, loss of focus and anxiety reactions.
Is test anxiety a mental illness?
Test anxiety is certainly a mental health problem. However, it is not included in the Diagnostic and Statistical Manual (DSM-5) as such. Sometimes, test anxiety is considered to be a manifestation of social phobia, which is a psychiatric disorder listed in the DSM-5. The anxiety and depression association of test anxiety are mental illnesses and can deeply affect an individual's mental health.
The most important thing to remember is that if you are struggling because of test anxiety, mental health help can not only help you feel better but once you tame the anxiety, it can improve your test performance and reduce test anxiety symptoms.
How common is test anxiety?
According to peer-reviewed studies by American Test Anxieties Association, test anxiety is the most common school-related impairment. About 18% of students have moderately high test anxiety, and another 16-20% have severe test anxiety. However, too much anxiety can be incredibly harmful to both your physical and mental health as your body releases hormones such as cortisol and adrenaline which in excess may cause health issues.
Is there medication for test anxiety?
Often, doctors prescribe anti-anxiety medications for people with severe test anxiety. Some students take stimulants to try to help themselves overcome emotional or physical symptoms. Interestingly, one 2019 study had a unique solution with a positive result. They gave students a placebo, told them it was a placebo, and then had them take the test. Even though the students knew the pill didn't have any active ingredients, they still felt more relaxed and had better test performance.
How can I calm my anxiety?
Managing test anxiety is very similar to dealing with other types of anxiety. Whenever you have anxiety symptoms, there are several things you can do to reduce your anxiety, stress, and discomfort. According to Princeton Review, here are a few anxiety tips to practice before, during, and after a stressful situation to reduce the physical and emotional symptoms of test anxiety.
Does test anxiety affect scores?
Test anxiety may cause individuals to perform poorly on a test. People tend to get lower scores when they are troubled by severe test anxiety that brings on extreme physical and emotional symptoms.
How do I get diagnosed with anxiety?
Talk to a psychiatrist or a psychologist. They can give you anxiety rating scales, such as the Zung Self-Rating Anxiety Scale or the Hamilton Anxiety Scale. These simple tests help identify symptoms of anxiety. A counselor can also help you explore when your anxiety happens, how it affects your test performance, and what makes it worse. After a diagnostic interview, your mental health provider can determine whether you meet the criteria for test anxiety diagnosis.
Why do I get texting anxiety?
Texting anxiety is anxiety related to sending text messages on your phone or tablet. You might feel anxious because you send a message and feel nervous, waiting for a reply. You might also feel stress at being constantly available for others to intrude on your personal time with a text. If you sleep with your phone within reach, you might not even be able to sleep well at night, knowing that someone could text you with bad news at any moment. And your body releases stress hormones whenever you feel this stress, causing you to have physical symptoms like a fast heart rate or sweating.
Is test anxiety considered a disability?
At this point, test anxiety is not considered a disability under the Americans with Disabilities Act. You don't get any accommodations for a disability unless it seriously limits one of your major life activities. However, since testing is a vital part of schooling, some experts suggest that severe test anxiety should be considered a disability.
Can you get extra time for anxiety?
If you have a diagnosis of anxiety, your teacher or school should be able to make accommodations like giving you more time to take tests. This may help reduce anxiety in stressful situations.
Can you get a 504 for test anxiety?
Actually, the 504 would be for anxiety, such as generalized anxiety or social anxiety disorder. However, the 504 plan for anxiety should cover accommodations for test anxiety. Your teacher may help you manage your symptoms during tests by:
Can't work because of anxiety?
Sometimes, people with anxiety can feel so overwhelmed with anxiety symptoms that they can't do their work. They may feel so paralyzed by fear that they can't force themselves to even get ready for or drive to work. If your anxiety is that severe, you may need intensive psychotherapy and medication so you can function well enough to hold down a job. With the right help, you can overcome your anxiety enough to live a more fulfilling life.
What's a good job for someone with anxiety?
There really isn't one job that's low-stress for everyone as every individual may feel stress in certain situations. Many people with anxiety don't do well with jobs that come with extreme responsibility or have a high stress level. On the other hand, some people feel fewer anxiety symptoms if they can actively make significant improvements.
Some people with anxiety do well at quiet jobs, such as working in a library or a bookstore or being an accountant. Working outdoors can decrease anxiety symptoms. Outdoor jobs include landscaping or forestry work. Many people feel calmer when they work with pets, such as at a veterinarian's office, a pet store, or being a dog walker or pet groomer. If you feel calmer at home, you may benefit from working a remote job where you can sit in your home office and write, do customer service, service accounts, work as a computer programmer or IT technician, or do other tasks that can be done from home.