Severe test anxiety might kill my shot at becoming a doctor?

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zigzagalkel

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So, here's the story:


My major is Mathematical Biology, sort of a hybrid of math to biology, at a 3:1 ratio, respectively. At my university, all mathematics majors have to also specialize in a science (excluding actuarial and finance math majors). Even though I'm mathematical biology, which has biology in it, my degree is still under the college of mathematics, so I need specialize in a science anyway.

No problem, I specialized in "Physical Sciences", which is specialized to include classes that have my pre-med classes as prerequisites, which means I'll take 18 hours from P-Chem I, P-Chem II, Dynamics, Fluid Mechanics, and Modern Physics.


My Mathematical Biology curriculum has standard biology classes like microbiology, genetics, etc.


See, the problem is.....well

When I have to take a test in a class that deals with numbers, for example, partial differential equations or discrete mathematics, I have no problem during the test. In fact, it's fun, and it's almost like stress relief working problems out and killing time.

I'm like that with Genetics too, because it's very interesting, and I've come up with my own methods to analyze mutant crosses, and being heavy into the computational aspects of biology, genomics is so easy. So genetics is easy. Microbiology is just interesting and I have a knack for colors, so all the aesthetically appealing stains and oil droplets (can't say too much about the lab's smell) help me learn the nomenclature and physiology really easily.


HOWEVER, my problem unfortunately, is with molecular biology. Not Bio I or II, but classes in like neurophysiology or proteomics, where so much memorization of pathways and results is required. I can easily draw them at home or when I'm not under stress, I lead my own study groups (to help me practice) for the students in my class and they all do well because they say I'm a good teacher...however, come test day, I blank out so bad. These memorize and regurgitate classes are starting to become a source of B's on my transcript.

If it's something logical, numeric, or proof based, like P-Chem, Diff EQ, Java Programming, I can do well and derive results on my own, fly by with A's.

It's just those darn classes with the memory and recall, like neurophys or proteo. On test days in those classes, despite studying, I start jittering, my jaw tickles, I start inhaling and exhaling really loudly, my exhales come out piping hot, saliva gets super warm, head feels like a fried circuit, stomach folds in on itself...and I usually bomb the tests with C's or sometimes get mid B's. Then, when I come home and I'm not under stress, I can easily recall all the info and even correct my own mistakes that I remembered without opening a book.


This is obviously going to be a huge problem on an MCAT or medical school test. It's not the aptitude, I exhibit the aptitude well, I KNOW the information, I understand it, but it's just that not being in a form compatible with my way of thinking is providing a problem.


Any suggestions? I'm worried anti-anxiety meds will play with my mind, thought process, and make me drowsy (my dad once told me he took a low dosage of Lorazepam for the same anxiety attacks when he was a student in pharmacy school, and he could barely keep his eyes open for a biopharmacuetics midterm).....

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you lack confidence in yourself. Realize that you're a smart guy and you can kill these tests.
 
Well 90% of preclinical years is pure recall anyway. U sure u wan doctor??
 
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Well 90% of preclinical years is pure recall anyway. U sure u wan doctor??


Well, from some of my old peers who are in medical school now, they say there's a lot of biochem, which is not a problem at all. Anatomy is okay to handle, it's put in a more explicit context most of the time, but it's still iffy. I know I can take on Genetics, and I can take on embryology, imo. Human behavior seems straight forward from the talks, old notes, and books they've showed me when we've gone out over the breaks. Anatomy, neuroscience, immuno, and physiology, however.....well that's the whole problem of "I know the material, I can write a book on with a pencil and paper with my own two hands, but I crash and burn on test days and make B's"....so yes, I think I "wan doctor".
 
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I think you should seek out your GP. Different medications will have different side-effects. I know someone who suffered something similar and they had to try several medications before they found one that helped treat their anxiety without side effects like drowsiness...etc. But again, you should really speak to your GP.

Perhaps simulating the test environment might help too? Do you have access to past tests/practice tests for these courses? Try doing them timed and in environment like your exam room, maybe a library. Do it with a friend as well for added pressure. Maybe repeated exposure to this kind of environment will help boost your confidence in the testing room.
 
The stuff you are struggling with is not tested in the same way in medical school as you are being tested on it in undergrad. While you are expected to be familiar with complex pathways, you only need to identify key points in them (e.g. where the cycle halts due to a common enzyme deficiency) and overall concepts (e.g. different types of metabolism). The further along you get, the fewer details you will need to know about the less interesting parts of the pathway. I think the material you will need to draw upon will be presented in a way that is more within your comfort zone -- that is more logic based and asking cause and effect rather than regurgitation of enzymes/precursors/products. Also, from MCAT onward, the exams tend to be multiple choice, so you get clues to jog your memory. I don't know of any medical schools that administer open-answer tests outside of anatomy, and for the very reasons you gave for your poor test performance, anatomy was a big sore spot for me. Nonetheless, I made it through.

You can go to a learning specialist or occupational therapist to develop behavioral skills to better anticipate/cope with these situations.
You can try seeing health services if you think you have a genuine anxiety problem rearing its head.

When it comes time to apply to schools, you should double check what type of exams are administered -- again, I think everywhere does multiple choice, but I could be wrong, so I'd check. And you can ask how anatomy (or any other subjects tested with open answer formats) gets factored into your grade -- at some schools, each organ system/block will have a gross anatomy exam that gets factored into your grade for the block, while at others, anatomy is done in a big chunk as its own block. In the latter, if you struggle to regurgitate, you may have trouble passing anatomy as a stand-alone course.
 
I think you should seek out your GP. Different medications will have different side-effects. I know someone who suffered something similar and they had to try several medications before they found one that helped treat their anxiety without side effects like drowsiness...etc. But again, you should really speak to your GP.

Perhaps simulating the test environment might help too? Do you have access to past tests/practice tests for these courses? Try doing them timed and in environment like your exam room, maybe a library. Do it with a friend as well for added pressure. Maybe repeated exposure to this kind of environment will help boost your confidence in the testing room.

This.
 
Seek out your school's counseling and/or learning center and get some help for this. If you don't find a way to deal with this, your medical career is indeed over, because we're addicted to standardized testing in medical school .

So, here's the story:


My major is Mathematical Biology, sort of a hybrid of math to biology, at a 3:1 ratio, respectively. At my university, all mathematics majors have to also specialize in a science (excluding actuarial and finance math majors). Even though I'm mathematical biology, which has biology in it, my degree is still under the college of mathematics, so I need specialize in a science anyway.

No problem, I specialized in "Physical Sciences", which is specialized to include classes that have my pre-med classes as prerequisites, which means I'll take 18 hours from P-Chem I, P-Chem II, Dynamics, Fluid Mechanics, and Modern Physics.


My Mathematical Biology curriculum has standard biology classes like microbiology, genetics, etc.


See, the problem is.....well

When I have to take a test in a class that deals with numbers, for example, partial differential equations or discrete mathematics, I have no problem during the test. In fact, it's fun, and it's almost like stress relief working problems out and killing time.

I'm like that with Genetics too, because it's very interesting, and I've come up with my own methods to analyze mutant crosses, and being heavy into the computational aspects of biology, genomics is so easy. So genetics is easy. Microbiology is just interesting and I have a knack for colors, so all the aesthetically appealing stains and oil droplets (can't say too much about the lab's smell) help me learn the nomenclature and physiology really easily.


HOWEVER, my problem unfortunately, is with molecular biology. Not Bio I or II, but classes in like neurophysiology or proteomics, where so much memorization of pathways and results is required. I can easily draw them at home or when I'm not under stress, I lead my own study groups (to help me practice) for the students in my class and they all do well because they say I'm a good teacher...however, come test day, I blank out so bad. These memorize and regurgitate classes are starting to become a source of B's on my transcript.

If it's something logical, numeric, or proof based, like P-Chem, Diff EQ, Java Programming, I can do well and derive results on my own, fly by with A's.

It's just those darn classes with the memory and recall, like neurophys or proteo. On test days in those classes, despite studying, I start jittering, my jaw tickles, I start inhaling and exhaling really loudly, my exhales come out piping hot, saliva gets super warm, head feels like a fried circuit, stomach folds in on itself...and I usually bomb the tests with C's or sometimes get mid B's. Then, when I come home and I'm not under stress, I can easily recall all the info and even correct my own mistakes that I remembered without opening a book.


This is obviously going to be a huge problem on an MCAT or medical school test. It's not the aptitude, I exhibit the aptitude well, I KNOW the information, I understand it, but it's just that not being in a form compatible with my way of thinking is providing a problem.


Any suggestions? I'm worried anti-anxiety meds will play with my mind, thought process, and make me drowsy (my dad once told me he took a low dosage of Lorazepam for the same anxiety attacks when he was a student in pharmacy school, and he could barely keep his eyes open for a biopharmacuetics midterm).....
 
Any suggestions? I'm worried anti-anxiety meds will play with my mind, thought process, and make me drowsy (my dad once told me he took a low dosage of Lorazepam for the same anxiety attacks when he was a student in pharmacy school, and he could barely keep his eyes open for a biopharmacuetics midterm).....

There are non sedative medications that work for certain types of anxiety.
 
I had a buddy in college who nobody would sit next to during exams. He'd literally freak out. It would be stressful to sit next to him because he's just raking his hands through his hair and madly rifling through the pages of his exam. Now he's in dental school and had a 3.9 GPA.

You know the s*** or you don't. Maybe you have to study a bit extra to avoid blanking on exam day, but it's all doable with enough mental elbow grease.
 
As others said, this is something you should seek help for. Maybe you'll get some help, maybe not, but it can't hurt to ask.

The reality is that most of medical school is the "straight memorization" kind of knowledge rather than the "think it through and solve a problem" kind of knowledge. That's not to say that the latter doesn't happen, but it happens in the context of knowing a whollllllle lot of the former. Just something to keep in mind. I won't say to reconsider your career, but it is absolutely something that you'll need to get over if you want to succeed in med school.

Good luck.

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Man I feel bad for you OP. Im a junior now and during freshman year for exams I would get all sweaty and jumpy during tests--just because I was so anxious. This might have negatively impacted my grades a bit--but honestly what helped me the most is increasing my studying to the point where I knew the material so cold I began to feel cocky going into the test. A lot of test anxiety stems from not being 100% prepared. Start studying way in advance so the day and two before the test you are just casually reviewing the material that you already LEARNED. I will still get a little anxious right before a test, but this is normal sympathetic NS kicking/test adrenaline which is why I avoid any stimulants the day of the test because my test adrenaline is more than enough to motivate me. Good luck!
 
Well 90% of preclinical years is pure recall anyway. U sure u wan doctor??

Lots of people have some sort of anxiety. As long as it is managed through some sort of therapy- relaxation techniques or other- I think OP will do just fine. This is especially true considering he/she has a directed anxiety towards a particular type of exam, and not a broad sweeping/crippling issue.
 
OP: see a therapist. Seriously. A good one will help you work through this
 
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