SAT anxiety is real, and if you are feeling the pressure as the SAT or ACT gets closer, you’re not alone. A lot of teens walk into test season already consumed by it.
What will it be like? How will I do? What if I don’t hit the score I need?
On top of your own nerves, there is often outside pressure too, from parents, coaches, or the quiet competition of knowing what a sibling scored or what a certain school requires. At Davis-Smith Mental Health in New Lenox, IL, we help teens with test stress and anxiety, and here is what can help.
Why SAT Anxiety Makes Tests Harder
Here’s the thing about test anxiety that most people don’t talk about. Worry actually gets in the way.
When your brain is stuck in an anxious spiral, it doesn’t have the same ability to think clearly, recall information, or work through problems the way it can when you feel calm. That makes managing your anxiety part of performing well, right alongside studying.
A few butterflies are normal and can even help you focus. When nerves build past that point, SAT anxiety can show up like this:
- A racing heart, sweaty palms, or shaky hands
- A nervous stomach or no appetite on test morning
- Trouble falling asleep the week of the test
- Going blank on things you know well
- Thoughts like “Everyone else is better at this” or “I’m going to ruin my chances”
Start by Getting Out of Your Head
One of the simplest things you can do is write down what you’re worried about. You are not trying to solve anything yet, just getting it out of your head and onto paper.
Once it’s there, look at each worry and ask yourself honestly: is this a real concern, or is my brain spinning a story? Anxiety has a way of making things feel more certain and more catastrophic than they actually are, and naming that can take away some of its power.
Here is what that can look like on paper:
| The worry | Real concern or a story? | What you can do |
|---|---|---|
| “I’m going to fail.” | A story. You have been preparing, and the test has not even happened yet. | Focus on the next practice section, not the final score. |
| “I don’t know where the test center is.” | A real concern, and an easy one to fix. | Look it up now and plan your route. |
| “This one score decides my whole future.” | A story. You can retake it, and colleges look at much more than a test score. | Remind yourself this is one piece of a bigger picture. |
| “I always run out of time on math.” | A real concern you can work on. | Do a few timed practice sections to get used to the pace. |
Sleep and Food Matter More Than One More Study Session
The night before your exam, your brain needs rest more than it needs more information. Avoid the all-nighter.
Instead, do something that actually helps you wind down. Light a candle, journal, pray, listen to something calming, or do whatever helps you settle.
A tired brain struggles to think clearly, recall what it knows, and make good decisions under pressure. The Sleep Foundation has a helpful guide on teens and sleep if you want ideas for resting better in the weeks before the test.
In the morning, eat something. Even if nerves make you feel like you can’t, try.
My grandma always said to have a glass of juice for blood sugar and some peanut butter toast for protein and carbs. Honestly, it’s not bad advice.
If you don’t usually drink coffee or energy drinks, test day is not the day to start. Extra caffeine can make a racing heart race even faster.
Your First Score Need Not Be Your Last
This is worth saying clearly. The SAT and ACT can be taken more than once, and that is simply how this works.
I took the ACT four times before I felt good about my score. Each time I learned something about where I needed more practice, how to pace myself, and what the experience actually felt like.
That wasn’t failure. It was strategy, and it can be yours too. Knowing you have more than one chance can turn test day from a make-or-break morning into one step in a process.
If taking it multiple times isn’t an option for you, practice tests are the next best thing. The College Board has official practice and prep resources, and you can also find prep books at the library.
Getting familiar with the structure, the timing, and the way questions are worded can make test day feel a lot less like unknown territory. To get the most out of practice:
- Take at least one full practice test in one sitting, timed, the way it will feel on test day.
- Go back over every question you missed and figure out why. Was it a careless slip, a timing problem, or something you have not learned yet?
- Notice when your nerves spike during practice, so you can plan what to do if it happens for real.
- Spread your studying out over several weeks instead of cramming the last few days.
Practical Things That Actually Help on Test Day
SAT anxiety often spikes because things feel out of control. These small steps can bring some of that control back.
Before test day
- Know the test location and your room number ahead of time.
- Check what you are allowed to bring, then lay out your clothes and materials the night before.
- Set more than one alarm.
- Plan to arrive early so you’re not rushing.
During the test
- Read every question carefully before answering.
- Don’t watch what other people are doing around you. Someone who seems to be working faster is not necessarily doing better.
- Keep an eye on the clock, but don’t let it become another source of panic.
- If you don’t know an answer, move on and come back.
- Talk to yourself the way you’d talk to a friend. Kindly.
A quick breathing reset
Breathe. If your heart starts racing in the middle of a section, put your pencil down, set both feet flat on the floor, and take a few slow breaths, making each exhale a little longer than the inhale.
Then picture yourself at home, relaxed, knowing the test is already behind you. Practice this a few times at home first so it feels natural when you need it.
For Parents: How to Help Without Adding Pressure
Parents want to help, and sometimes that help lands as more pressure on a teen who is already dealing with SAT anxiety. A calm, steady presence usually does more than reminders and pep talks.
- Ask how they are feeling about the test, then listen more than you talk.
- Avoid comparing their scores to a sibling’s, a cousin’s, or your own.
- Handle logistics like the ride and breakfast so they can focus on the test.
- Plan something fun for afterward, no matter how they think it went.
If college planning is adding to the stress, our getting ready for college checklist breaks the process into smaller steps.
When SAT Anxiety Is More Than Test Nerves
Some nerves before a big test are expected. For some teens, though, test anxiety is part of a bigger pattern of worry that shows up in school, sleep, and everyday life.
| What you notice | Normal test nerves | Time to get support |
|---|---|---|
| Timing | Shows up the week of the test and fades after | Lasts for weeks or shows up before every test and quiz |
| During the test | Butterflies at first, then you settle in | Going blank, panicking, or needing to leave the room |
| Sleep | A restless night before the test | Trouble sleeping most nights |
| School | Still going to class and turning in work | Avoiding school, skipping tests, or dropping classes |
If this sounds familiar, the National Institute of Mental Health has helpful information on anxiety and how it is treated. The good news is that test anxiety is something you can learn to manage, and you do not have to do it alone.
How Therapy Can Help
Therapy gives teens with SAT anxiety a chance to understand what is going on and practice calming tools well before test day. At Davis-Smith Mental Health, we use Cognitive Behavioral Therapy (CBT) to help teens catch anxious thoughts like “I’m going to fail” and replace them with something more balanced.
Our team also uses EMDR, which can help with anxiety. Sessions with teens are relaxed and conversational, and the goal is to build tools you can use on your own, including in the testing room.
Learn more about our test anxiety therapy and teen anxiety counseling, or read our tips for staying calm during finals.
You’ve Put in the Work
SAT anxiety is real, but it doesn’t have to run the day. You have more in you than your nerves are telling you right now.
Walk Into Test Day Feeling Calm
If test nerves are starting to take over, you do not have to manage them on your own. We see teens in person at our New Lenox office and through telehealth anywhere in Illinois.
We work with families from Joliet, Frankfort, Mokena, Tinley Park, and across Will County. Call (815) 409-5940 or request a session online to get started.
Frequently Asked Questions
Personalized care
Licensed, caring therapists
Every therapist on our team works with anxiety. We will match you with the right therapist for you.
Anxiety at the center
Anxiety is the foundation of everything we do.
EMDR-trained care
EMDR helps clients process what talk therapy alone can’t reach.
Every age and stage
From children and teens to young adults and adults.
In-person and telehealth
Our New Lenox office or secure online therapy anywhere in Illinois.
In-network with
- Aetna PPO
- Cigna / Evernorth
- BCBS PPO
- UnitedHealthcare
- UMR
- Initial assessment $200
- Ongoing sessions $150
Insurance and rates
Insurance Accepted
We work with most major insurance plans and offer self-pay options. We believe quality mental health care should be accessible. Davis-Smith Mental Health is in-network with the following insurance providers.
We also offer self-pay options and can provide a Superbill for out-of-network benefits.



You don’t have to figure this out alone
If something told you to keep reading this far, trust that feeling. Whether it’s for yourself, your teen, or your young adult, the hardest part is deciding to start. We are here when you are ready.
there is courage in change ♥