Test anxiety accompanies many pupils and students throughout their entire educational career. What many sufferers do not know is that this form of anxiety does not have to be a permanent companion. With the right methods, it can not only be alleviated in the short term, but also overcome in the long term.
In this article, we present effective therapeutic approaches and long-term strategies that will help you get rid of your exam anxiety permanently. From classic forms of therapy to hypnosis and modern coaching approaches - we show you what options are available and how you can find the right method for you.
- The best therapy approaches to overcome exam anxiety in the long term
- How Hypnosis Helps with Exam Anxiety and What You Can Expect
- Coaching vs. Therapy: Which Approach Suits You Best?
- What costs does the health insurance company cover for test anxiety therapy?
- Self-help strategies and modern solutions for more security in exams
Professional therapeutic approaches to test anxiety
If exam anxiety becomes a recurring problem and everyday coping strategies are no longer sufficient, professional therapy may be the right way to go. Several approaches have proven particularly effective:
Cognitive Behavioral Therapy (CBT)
Cognitive behavioral therapy is considered the gold standard in the treatment of test anxiety. It starts where the fear arises: the negative thought patterns and behaviors that maintain the fear.
In exam anxiety therapy with a CBT approach, you learn to identify and question the thoughts that trigger your anxiety. Typical thoughts such as "I will definitely fail" or "If I don't pass this exam, my future will be ruined" are examined for their reality content and replaced with more constructive alternatives.
At the same time, behavioral therapy trains you to gradually confront the exam situations you fear. This process, also called exposure, helps you to gradually reduce your fear and build self-confidence.

Cognitive behavioral therapy usually includes 10-25 sessions and shows initial results for most sufferers after just a few weeks. The success rate is around 70-80%, which makes CBT one of the most effective methods for overcoming test anxiety in the long term .
If you have acute symptoms before an upcoming exam, you can find additional strategies for immediate use in our article Immediate measures against exam anxiety .
Hypnosis therapy for exam anxiety
An increasingly popular approach to combating exam anxiety is hypnosis . Unlike what is shown in films, you do not lose control - rather, you reach a state of deep relaxation and increased concentration in which the subconscious is particularly receptive to positive changes.
Hypnosis directly addresses the unconscious fear patterns. The therapist leads you into a trance state and then works with suggestive images and suggestions that are intended to change your attitude to exam situations. Resources from your life in which you were confident and competent are often activated.
A typical hypnosis session lasts about 60-90 minutes. For lasting success, 3-6 sessions are usually recommended, often combined with self-hypnosis techniques for at home.
Systemic Therapy
Systemic therapy does not view test anxiety as an isolated problem, but as part of a larger system. It examines the role your social environment - family, friends, teachers - plays in the development and maintenance of your test anxiety.
In systemic therapy, you learn to recognize the dynamics that could increase your fear. Perhaps there is a particularly high ideal of achievement in your family? Or are you unconsciously carrying the expectations of others around with you? These connections are uncovered and new, healthier relationship patterns are developed.
coaching and self-help strategies
In addition to traditional forms of therapy, there are other ways to overcome test anxiety . Coaching approaches and targeted self-help strategies can also be effective ways, especially for people who do not have a pronounced clinical anxiety disorder.
exam anxiety coaching
Coaching differs from therapy in that it is more solution- and goal-oriented. While therapy often explores the causes of test anxiety, a coach focuses on developing concrete strategies for dealing with the current situation.
A good test anxiety coach will work with you on:
- Effective learning strategies that boost your self-confidence
- Mental techniques for coping with stressful situations
- Practical tools for dealing with blockages during the exam
- Individual objectives and their step-by-step achievement

Coaching sessions are usually shorter than therapy sessions and extend over a manageable period of 5-10 appointments. The advantage of coaching is its pragmatic nature: you learn concrete, everyday methods to overcome your exam anxiety .
self-help programs
There are now numerous high-quality self-help programs available for people who want to get rid of their exam anxiety on their own:
- Online programs and apps : Digital offerings provide structured courses with videos, exercises and often even community support. They teach scientifically based methods for managing anxiety and guide you through the process step by step.
- Books and work materials : There are numerous guides and workbooks on the subject of test anxiety. The best of these not only offer explanations, but also concrete exercises, worksheets and reflection questions.
When choosing a self-help program, you should make sure that it uses evidence-based methods and has a clear, structured structure.
Long-term self-help strategies
To get rid of exam anxiety permanently, these self-help strategies can be particularly effective:
- Mindfulness and meditation : Regular mindfulness training trains your ability to stay in the moment and not drift into catastrophic thoughts.

- Continuous relaxation training : Techniques such as progressive muscle relaxation, autogenic training or guided visualizations should not only be practiced immediately before exams, but regularly.
- Developing exam skills : This involves specifically training the skills required in exam situations.
The key to success lies in regularity: one-off or sporadic measures are usually not sufficient to overcome test anxiety in the long term.
Cost coverage and practical aspects
A common question from those affected concerns whether the health insurance company will cover the costs of test anxiety therapy . Here is the good news: If your test anxiety is diagnosed as a mental disorder that requires treatment, the statutory health insurance companies in Germany will cover the costs of psychotherapeutic treatment.
Requirements for cost coverage
In order for exam anxiety therapy to be paid for by the health insurance company , the following steps are necessary:
- Diagnosis by a specialist : A psychiatrist or neurologist must classify the anxiety disorder as requiring treatment. In some cases, a referral from your family doctor is sufficient.
- Application for psychotherapy : A licensed psychotherapist submits an application to the health insurance company after a few trial sessions.
- Approval of therapy : After reviewing the application, the health insurance company usually approves 12-24 sessions initially; more can be requested if necessary.
In cases of particularly severe test anxiety with physical symptoms, it may be useful to consider other support options in addition to psychotherapeutic treatment. Our article on medicinal and natural remedies for test anxiety provides additional information on this.
private practices and self-payers
Not everyone wants to go through the health insurance company or accept waiting times. Alternatives are:
- Private practices : Therapists without health insurance approval often offer quicker appointments, but charge fees between 80-120 euros per hour.
- University outpatient clinic : Many psychology institutes at universities offer low-cost therapy provided by advanced psychology students under supervision.
- Online therapy : More and more providers are offering therapeutic support via video conferences, some of which are covered by health insurance.
Innovative tools for more safety in exams
In addition to therapeutic approaches, there are also practical solutions that can help you overcome exam anxiety. A particularly innovative option is our SpickProfi set - a modern alternative for pupils and students who need more security in exam situations.
The SpickProfi Premium Set: Your companion for stress-free exams
Our state-of-the-art set consists of two components that will support you discreetly and reliably:
- Hidden Shirt Button Camera : Disguised as an ordinary shirt button, this camera connects directly to your smartphone. It records high-resolution videos without attracting attention - perfect for keeping an eye on important information at all times.
- Invisible headphones : Our invisible earphones remain completely unnoticed from the outside and deliver crystal clear sound. With a battery life of five hours, they are sufficiently dimensioned for any exam situation.
The set gives you the security you need to approach exams more relaxed. Many users report that just knowing that they have this "security" has significantly reduced their exam anxiety - even if they ultimately didn't have to actively use the set.
You can find out more about the SpickProfi Premium Set and how it can help you get rid of your exam anxiety in our shop.