Need help breaking free from addiction?
Call 24/7 for treatment options. Who Answers?

Do I Need Help?


I’m a 21 year old medical student. Recently I don’t know what’s happening to me. I am going to have an important exam soon. Since approximately one month the whole night i keep on dreaming. I am unable to have a deep sleep. I argue with my boyfriend over stupid things. I get angry over things that hardly matter and I tend to hurt myself when I am angry. An example is giving a punch to the wall or something like that. Then I cry a lot and I calm down. Do I need help or am I just stressed because of my exams?

This Disclaimer applies to the Answer Below
  • Dr. Schwartz responds to questions about psychotherapy and mental health problems, from the perspective of his training in clinical psychology.
  • Dr. Schwartz intends his responses to provide general educational information to the readership of this website; answers should not be understood to be specific advice intended for any particular individual(s).
  • Questions submitted to this column are not guaranteed to receive responses.
  • No correspondence takes place.
  • No ongoing relationship of any sort (including but not limited to any form of professional relationship) is implied or offered by Dr. Schwartz to people submitting questions.
  • Dr. Schwartz, Mental Help Net and CenterSite, LLC make no warranties, express or implied, about the information presented in this column. Dr. Schwartz and Mental Help Net disclaim any and all merchantability or warranty of fitness for a particular purpose or liability in connection with the use or misuse of this service.
  • Always consult with your psychotherapist, physician, or psychiatrist first before changing any aspect of your treatment regimen. Do not stop your medication or change the dose of your medication without first consulting with your physician.

The answer to your question is, “Yes, you do need help.” The reasons have a lot to do with the nature of medical school. In fact, among medical students, there is a high rate of depression, anxiety and, yes, extreme stress. Some students drop out of school because they cannot take the stress but do not go for help.

You are on the road to becoming a medical doctor, an important and rewarding career. In addition to your studies and work, you must take care of yourself.

So, first, I urge you to see a psychiatrist in your school. Trust me, there will be nothing unusual about a medical student seeking psychiatric help. The psychiatrist may or may not prescribe medication and may refer you to one of the clinical psychologists on staff.

In addition, it is important that you find time for some exercise, good nutrition and rest. You may not have a lot of time for exercise but most medical schools have gyms and you should use it if only for thirty minutes.

Please, go and get help now.

Best of Luck

More "Ask Dr. Schwartz" View Columnists


Call the Helpline Toll-FREE

To Get Treatment Options Now.

1-888-993-3112 Who Answers? 100% Confidential

Get Help For You or a Loved One Here...

Click Here for More Info.


Call The Toll-FREE Helpline 24/7 To Get Treatment Options Now.

100% Confidential
Get Treatment Options From Your Phone... Tap to Expand