Dr Phil Kieran: Should we manage our son’s Leaving Cert anxiety with medication? (2026)

Navigating Teenage Anxiety: A Delicate Balancing Act

As a parent, witnessing your child's anxiety leading up to a major exam can be heart-wrenching. The Leaving Cert, a significant milestone in Irish education, brings a unique blend of stress and anticipation. When a parent reaches out for advice on managing their son's anxiety, it sparks an essential conversation about the delicate balance between support and intervention.

The Challenge of Teenage Anxiety:

Anxiety in teenagers is a complex issue, especially when it comes to high-stakes exams like the Leaving Cert. The pressure to perform can be overwhelming, and it's crucial to address it early. In this case, the son's sensitivity and past struggles with the Junior Cert indicate a pattern of anxiety-related challenges. Personally, I believe it's vital to recognize that each individual's experience with anxiety is unique, and what works for one person may not work for another.

Medication: A Last Resort?

The question of medication is a tricky one. As a professional, I'd exercise caution when considering pharmaceutical solutions for teenage anxiety. While selective serotonin re-uptake inhibitors (SSRIs) are commonly prescribed for anxiety, they are not a quick fix. These medications take weeks to reach their full effect, and their use should be carefully considered. What many people don't realize is that these drugs can have side effects and may not be suitable for everyone, especially in the high-pressure environment of exam preparation.

Furthermore, the suggestion of 'relaxers' or 'anxiolytics' (benzodiazepines) should be approached with even more caution. These sedatives can be addictive and are generally not recommended for students. In my opinion, the potential risks outweigh the benefits, especially when there are alternative, non-pharmacological approaches available.

Exploring Alternative Solutions:

I strongly advocate for exploring other avenues to support teenagers dealing with exam anxiety. Cognitive Behavioral Therapy (CBT) has shown promising results in helping individuals manage stress and anxiety. Services like Jigsaw.ie, which specializes in youth mental health, can provide valuable resources and support. Additionally, apps such as Headspace and Clear Fear offer tools to cope with anxiety, promoting self-management skills.

Exercise is another powerful tool in managing anxiety. It provides an enjoyable outlet, improves concentration, and has proven effects in treating and preventing anxiety. Encouraging physical activity during exam preparation can be a healthy way to manage stress and maintain perspective.

A Holistic Approach:

The key to supporting teenagers through exam anxiety is a holistic approach. While medication may have its place in severe cases, it should be a last resort. Instead, focusing on counseling, therapy, and lifestyle adjustments can empower individuals to develop long-term strategies for managing stress and anxiety. This approach not only helps them through the immediate challenge of exams but also equips them with valuable skills for life.

In conclusion, addressing teenage anxiety requires a nuanced understanding of the individual's needs. It's about finding the right balance between support and autonomy, allowing young people to build resilience and face challenges head-on. This approach ensures that they not only survive the Leaving Cert but also thrive in the face of future pressures.

Dr Phil Kieran: Should we manage our son’s Leaving Cert anxiety with medication? (2026)

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