Experiencing anxiety before exams, including an upset stomach, trembling, and even blackouts, can feel overwhelming, but you’re not alone in this. If breathing exercises haven’t worked, that’s okay—everyone responds differently to anxiety management. You can try Progressive Muscle Relaxation (PMR) by tensing and relaxing muscle groups or use cold exposure, like splashing water on your face, to reset your nervous system. Slow movements, such as stretching or mindful walking, can also help. Mentally, cognitive reframing can shift anxious thoughts from "I’m going to fail" to "I have prepared, and I will do my best." Instead of resisting anxiety, paradoxical intention allows you to acknowledge it without fear. Visualization—picturing yourself confidently completing the exam—can also be effective. Engaging your senses through the 5-4-3-2-1 grounding technique or chewing gum can help redirect focus. Structuring study sessions, avoiding last-minute cramming, and maintaining a healthy routine can also reduce stress. If these feelings persist, counseling can provide deeper strategies to manage anxiety and improve focus.

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It seems to be performance anxiety which is a type of Anxiety disorder. It needs to be treated asap otherwise it may get complicated. It can be well treated in a holistic approach for complete recovery. It needs to be addressed with counseling sessions and homeopathic medicine effectively. You need an expert Psychologist who is a good homeopathic physician.

Hi, Consult a psychologist

Hi Your anxiety is triggering a fight-or-flight response during exams, making your body react with trembling, blackout, and stomach issues. It’s worse in the main exam because your brain sees it as high-stakes. Quick Fixes: 1. Muscle Clenching – Tighten and release your fists to relax your body. 2. Simulated Practice – Take full-length tests under strict conditions to desensitize your fear. 3. Rescue Plan – If you blank out, pause, sip water, and start with the easiest question. 4. Reframe Anxiety – Replace “What if I fail?” with “I am prepared and capable.” 5. Consult a Doctor – If needed, discuss beta-blockers for managing physical symptoms. You’ve studied—trust yourself! You can handle this. If you want to take online therapy sessions, connect with me on nine two six six seven two six zero six five.

It sounds like you're experiencing performance anxiety, particularly in high-stakes situations like your main exam. This is completely understandable, and you're not alone—many people face similar struggles. Since your symptoms intensify during the actual exam but not as much during pre-tests, this suggests that the pressure of the real exam triggers a stronger stress response. While breathing exercises are helpful, they may not be enough on their own.Additionally, focusing on “process over outcome” and reminding yourself that you have prepared well can reduce anticipatory anxiety.

Consult with a psychological Counselor for a therapy personally either online or Offline to overcome this issue..

Hi... Do you really know what is the cause of your anxiety? Why it is happening more in the main exam and less in pre-tests? These are very basic questions that need to be answered before we jump to the treatment. This inconsistency suggests it is more cognitive in nature. When your performance is being measured and the stakes are high it happens more. We first need to understand how you prepare for pre-tests and main exams. Do you take mock tests before going into real ones. Taking mock tests and solving previous years question papers is the most common technique to overcome performance anxiety in exams. Breathing exercises are useful if you have learned it properly and practiced it before hand. Deep Breathing is easy to learn and very effective. But you need to first learn it and practice. There are no quick fixes. Also, I would suggest you to reach out to your school/college Counselling facility. It is free and easy to access. You can also seek paid professional help online/ offline.

You seem to have anxiety issues which you are unable to manage yourself, for a reasonably long time now. I get a feeling that you may need some medication from an experienced psychiatrist, possibly for a longer period of time. Since it seems to have been proven that your personal efforts to manage your mental health all by yourself is not working very much, I would recommend you visiting a mind-doctor (psychiatrist) and follow the line of treatment as advised. After you see the psychiatrist, please visit a psychologist for help in managing your anxieties in future.

If a blackout occurs, take a few deep breaths, sip water if allowed, and refocus on one question at a time. Practice timed mock exams under similar conditions to desensitize anxiety triggers.