Emotional Instability: Coping with Anger and Anxiety in Teens - Psychiatry

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Emotional instability?


Doctor, I have been getting angry over small issues lately and feel like shouting, but I don’t want my family to know, so I hold it in.
Besides feeling angry, I also cry.
I’ve noticed that I unconsciously shake my legs when I’m angry, which I didn’t do before.
In the past, listening to music would help improve my mood, but now it doesn’t seem to work.
I’m currently a sophomore in a gifted program, and my grades recently dropped to the bottom of my class.
I’m not sure if this is related.
Thank you, doctor.

123, 10~19 year old female. Ask Date: 2016/04/16

Dr. Liang Sunyuan reply Psychiatry


Hello, high stress or negative emotions can affect learning, and poor academic performance can also lead to negative feelings, creating a reciprocal impact.
It is possible that many stressors accumulate, causing physical and mental strain, leading to feelings of restlessness and intolerance.
It is recommended to write down all potential sources of stress and then list coping strategies or mindsets for each stressor.
If we identify what is causing our distress, we can better understand the direction for resolution and more easily regain a sense of control.
If there is no improvement, seeking medical assistance is also advisable.
Wishing you all the best.

Reply Date: 2016/04/16

More Info


It sounds like you are experiencing a challenging time with your emotions, particularly with feelings of anger, anxiety, and sadness. These feelings can be overwhelming, especially during the teenage years when many changes are happening both physically and emotionally. Let's break down some of the factors that may be contributing to your emotional instability and explore some coping strategies that could help you manage these feelings more effectively.

Firstly, it's important to recognize that emotional fluctuations are common during adolescence. Hormonal changes, academic pressures, and social dynamics can all contribute to heightened emotions. In your case, you mentioned that your academic performance has declined, which can lead to feelings of frustration and disappointment. This can create a cycle where negative emotions impact your performance, and in turn, poor performance exacerbates your emotional state.

The physical symptoms you describe, such as shaking your leg when angry or feeling the urge to cry, are also common responses to stress and anxiety. These physical manifestations can be your body's way of expressing the emotional turmoil you are experiencing. It's crucial to acknowledge these feelings rather than suppress them, as doing so can lead to further emotional distress.

One effective approach to managing emotional instability is to develop healthy coping mechanisms. Here are some strategies you might consider:
1. Journaling: Writing down your thoughts and feelings can be a powerful way to process your emotions. It allows you to articulate what you're experiencing and can help you identify triggers for your anger or sadness.

2. Physical Activity: Engaging in regular exercise can significantly improve your mood. Physical activity releases endorphins, which are natural mood lifters. Whether it's going for a run, practicing yoga, or participating in a sport, find an activity that you enjoy.

3. Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or mindfulness can help you stay grounded and reduce anxiety. These techniques encourage you to focus on the present moment and can help you manage overwhelming emotions.

4. Talk to Someone: Sharing your feelings with a trusted friend, family member, or counselor can provide relief. Sometimes, just talking about what you're going through can help you feel less isolated and more understood.

5. Limit Stressors: If possible, identify and reduce sources of stress in your life. This could mean managing your time better, setting realistic academic goals, or even taking breaks when you feel overwhelmed.

6. Seek Professional Help: If your feelings of anger and sadness persist or worsen, it may be beneficial to speak with a mental health professional. They can provide you with tailored strategies and support to help you navigate this difficult period.

Lastly, remember that it's okay to feel angry or sad; these are normal human emotions. The key is how you respond to them. By developing healthy coping strategies and seeking support when needed, you can learn to manage your emotions more effectively and improve your overall well-being.

In conclusion, emotional instability during adolescence is a common experience, and it’s important to approach it with understanding and compassion for yourself. By implementing coping strategies and seeking support, you can navigate these challenges and work towards a more balanced emotional state.

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