Wang, female, 15 years old, has always had good academic performance, but since she started high school, she has been nervous before each mid-term and final exam, and her study efficiency has decreased. When taking exams, I would get some simple questions wrong, and I always felt that my “head was not working well”, so my grades dropped significantly. She said that she had always felt that she was not under much pressure to study, and that she usually felt very relaxed when studying and did not know any subjects. This is a typical case of test anxiety, and there are more cases like this in the counseling clinic recently. When it comes to test anxiety, many people would think that it is due to the high pressure of studying, increased academic competition, poor education system, etc. The core performance of this case is the anxiety and tension symptoms due to the expected worry about the test results. However, in this case, Wang’s test anxiety and performance are somewhat “different”. She has always been very smart, and there is no obvious pressure in the learning process, so she learns very easily and her grades are always very good. Since she was brought up by her grandparents, the influence of intergenerational education has caused her to be subjective, arrogant, self-centered, good at expressing herself, and jealous. Therefore, she was always uncomfortable and worried that others would do better than her before every exam. During the counseling process, the focus was on making her understand some shortcomings in her personality and some unreasonable perceptions about her studies and ranking, and improving her emotional state through cognitive adjustment.