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How to overcome test anxiety: what actually helps at university

How to overcome test anxiety at university: what research knows, which techniques have helped in studies, and when to get support from counselling.

Title "How to overcome test anxiety" next to a card listing five things that help, from practising like it is the exam to breathing slowly

Test anxiety rarely disappears completely. With the right preparation, though, it gets small enough that it no longer ruins your exam.

Three days before the exam, your head is full of questions that have nothing to do with the material: What if I forget everything? What if I fail? You are far from alone. In a survey of 1,000 students in Germany by the health insurer Techniker Krankenkasse, 44 percent said in 2023 that they often feel stressed. Exams were the top cause.

Some nerves before an exam are normal and even useful. Anxiety becomes a problem when it blocks your revision, costs you sleep or leads to a blank in the exam itself. This article covers what research knows about test anxiety, which techniques have helped in studies, and when to get support.

What test anxiety is and when it becomes a problem

Test anxiety is the fear of failing in an exam, together with the physical reaction to it: a racing heart, sweaty hands, a knot in your stomach. Your body is getting ready for a challenge. That alone does no harm.

It gets difficult when worry takes up space in your head that you need for thinking. That is the idea behind the work of researchers Gerardo Ramirez and Sian Beilock: if you are worrying during the exam, your working memory has less capacity left for the questions. A meta-analysis of 238 studies found that test anxiety is linked to lower results in standardised tests, entrance exams and grade point averages. The effect was small to moderate. So test anxiety costs marks, but it rarely decides the result on its own.

Typical signs that it is more than ordinary nerves:

  • You put off revising because even thinking about the material makes you panic.
  • You have been sleeping badly or barely eating for days.
  • You have blanked in exams before, even though you knew the material.
  • You are thinking about avoiding exams altogether or dropping out.

Practise like it is the exam: the best preparation against anxiety

A lot of test anxiety comes from uncertainty: you do not know whether you really know the material or what to expect. Rereading does little against that, because it feels familiar without showing whether you can actually recall anything. Testing yourself shows you. This is called retrieval practice, and a major review of study techniques rates it among the most effective there are.

It also seems to help with nerves. In a survey of 1,408 middle and high school students whose classes included regular low-stakes quizzes, 72 percent said this made them less nervous before tests and exams. The study was run in schools and relies on self-reports. The idea carries over to university, though: if you have recalled the material many times, the exam feels less like a leap into the unknown.

How to put it into practice:

  1. Do past papers under real conditions. Same time limit, no notes, phone away. Then mark them honestly and note where you got stuck.
  2. Close the gaps you found. After a practice exam, work through exactly the topics that did not stick instead of rereading all your notes.
  3. Test yourself briefly every day. Flashcards or practice questions in short sessions spread over several days work better than one long session.
  4. Rehearse the setting. If you can, practise once in the exam hall or somewhere similar. What feels familiar is less frightening.

A plan that works backwards from the exam date helps too. Write down which topics will come up and spread them over the weeks you have left. Keep the last week for practice exams and revision only. A plan removes some of the worry about whether you will finish in time. It also shows you early when time is getting tight, so you can set priorities while you still can.

The last few days: sleep beats all-nighters

Studying through the night before an exam feels productive but achieves little. In a study of students in a chemistry course whose sleep was measured with activity trackers, better, longer and more regular sleep went with better grades. The interesting detail: sleep on the single night before a test was not related to the result. What counted was sleep in the week and month before.

That is good news if nerves keep you awake the night before. One restless night does not undo weeks of preparation. Plan your last few days like this:

  • Only learn new material if it is definitely on the exam. Otherwise review and test yourself.
  • Keep regular bedtimes in the days before, even if it feels like lost time.
  • Do a short self-test the evening before, then deliberately stop.
  • Pack everything for exam day the night before: ID, pens, calculator, route and start time.

Timeline against test anxiety: practise past papers four weeks before, sleep regularly and test yourself one week before, stop and pack the evening before, and write down your worries and breathe slowly ten minutes before

On exam day: three techniques backed by studies

For the minutes before and during the exam, there are simple techniques that have helped in experiments. They are no substitute for preparation. They do leave anxiety less room.

1. Write your worries down

Ramirez and Beilock asked high school and university students to spend ten minutes before an important exam writing about their worries. Across two lab and two field experiments, this improved scores, especially for people prone to test anxiety. The idea: what is on paper no longer has to be held in your head. A sheet of paper and a few minutes outside the exam hall are enough.

2. Read your nerves as energy

A racing heart before an exam feels like a sign that something is going wrong. In an experiment by Jeremy Jamieson and colleagues, one group preparing for the GRE, a graduate admissions test in the US, was told before a practice test that arousal can improve performance. This group scored higher on the maths section than the control group, and again in the real test one to three months later. You can use this: tell yourself that your body is supplying energy for the task.

3. Breathe slowly

Slow breathing at fewer than ten breaths a minute is linked to more relaxation and less anxiety, according to a systematic review. Breathe in for about four seconds and out for about six, for a few minutes. You can do this outside the door and in the middle of the exam.

If you go blank

Put your pen down for a moment and take a few slow breaths. Then move to a question you find easy and jot down notes on anything you can remember about the blocked topic. The knowledge often comes back by a detour. Go back to the hard question once you have secured a few marks.

When to get help

Test anxiety that weighs on you for weeks is a health issue. At that point, study technique alone rarely solves it. If you recognise yourself in the warning signs above, talk to someone who knows about it.

  • Your university's counselling service: most universities have a counselling service for students, and test anxiety is a familiar topic there. Your student union or welfare office can point you to it.
  • A doctor: your GP is a good first port of call if anxiety comes with sleep problems, panic attacks or low mood.
  • In a crisis: contact your local emergency number or a crisis line, such as Samaritans on 116 123 in the UK and Ireland or 988 in the US.

Asking for help is not an admission that you cannot cope with university. Many students use these services, and early support often stops fear of one exam from turning into fear of all of them.

Confidence comes from practice

What reduces test anxiety most is preparation that leaves you knowing you can recall the material. Above all, that means practising with questions that look like the real exam. That is what acemate is built for. You upload your slides and past papers, and acemate creates new practice exams in the same style, with feedback on your answers. Whatever you practise with, start today with a short daily session of testing yourself.

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Mock exams from your slides, answers with page numbers

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