🇭🇰Hong Kong·Policy·7 Nov 2026·via South China Morning Post

    In China’s fierce race for success, mental health struggles are starting earlier

    Teenagers in China are reportedly facing increased academic pressure to secure places in higher secondary schools, a shift from previous competition focused primarily on college entry. This intense environment is linked to early onset mental health challenges, with some students experiencing severe physical symptoms that initially lead to misdiagnosis, as seen in a recent case from Chongqing.

    The competitive academic landscape in China is reportedly intensifying for younger students, with pressure now extending to securing higher secondary school placements, a shift from previous focus on college entry. This suggests an earlier onset of the "fierce race for success" mentioned in the article's title, impacting student well-being at a younger age.

    The immediate impact of this pressure can manifest as significant physical distress. One 15-year-old student, Moon Chen, experienced a "suffocating weight" and "erratically fluttering" heart while struggling with schoolwork. These symptoms were severe enough to prompt her mother to seek cardiology care, highlighting how academic stress can produce physical ailments not immediately recognized as psychological.

    Medical professionals are reportedly observing these physical symptoms as indicators of underlying mental health conditions. In Chen's case, a cardiologist advised a psychiatric consultation, indicating that the medical community is starting to identify and re-route such cases. This suggests a growing awareness, though perhaps not yet widespread understanding, of the psychosomatic effects of academic stress.

    Share this article

    Original reporting by South China Morning PostWe don't republish, read the full story →

    Related reading

    6 stories