Managing Emotional Distress: Strategies for Anger and Self-Harm - Psychiatry

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Emotional issues


Hello, doctor.
When I get angry or feel down, I often have the urge to throw things or have thoughts of self-harm.
I want to use pain to calm myself down.
I once tried to use a compass to draw on my hand, but I was afraid of the pain, so I did it very lightly.
I have also punched walls.
When I'm angry or upset, I tend to think about past unpleasant experiences, which only makes me angrier.
Occasionally, I find myself cursing.
What can I do to improve this? Thank you.

Niming, 10~19 year old female. Ask Date: 2016/08/04

Dr. Wang Zhenbang reply Psychiatry


Hello, based on your description, since there is a possibility of self-harm, it is recommended to visit a psychiatric or psychosomatic hospital or clinic to seek assistance from a mental health specialist.
Subsequent treatment options, such as psychotherapy, should be determined based on the results of a professional assessment.
Thank you.
Wishing you health and safety.

Reply Date: 2016/08/04

More Info


Managing emotional distress, particularly anger and self-harm tendencies, is a significant concern that many individuals face. Your experiences of wanting to break things or harm yourself when feeling upset are serious and warrant attention. It’s essential to understand that these feelings, while distressing, are not uncommon, and there are effective strategies to help manage them.

Firstly, it’s crucial to recognize the triggers that lead to these emotional outbursts. You mentioned that recalling past unpleasant experiences exacerbates your anger. This suggests that you might benefit from developing coping mechanisms that allow you to process these memories without letting them control your emotions. One effective method is cognitive-behavioral therapy (CBT), which helps individuals identify negative thought patterns and replace them with more constructive ones. A therapist can guide you through this process, helping you to reframe your thoughts and reduce the intensity of your emotional responses.

In addition to therapy, there are several practical strategies you can implement in your daily life to manage anger and emotional distress:
1. Physical Activity: Engaging in regular physical exercise can be a powerful way to release pent-up energy and reduce stress. Activities like running, swimming, or even brisk walking can help improve your mood and provide a healthy outlet for frustration.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, or yoga can help you develop greater awareness of your emotions and learn to respond to them more calmly. These techniques encourage you to focus on the present moment, which can be particularly helpful when you feel overwhelmed by anger or sadness.

3. Journaling: Writing down your thoughts and feelings can serve as a therapeutic outlet. It allows you to express your emotions without judgment and can help you identify patterns in your anger. Over time, journaling can provide insights into what triggers your emotional responses and how you can manage them more effectively.

4. Creative Outlets: Engaging in creative activities such as drawing, painting, or playing music can provide a constructive way to express your feelings. These activities can serve as a distraction and help you channel your emotions into something positive.

5. Establishing a Support System: Surrounding yourself with supportive friends or family members can make a significant difference. Sharing your feelings with someone you trust can alleviate the burden of emotional distress and provide you with different perspectives on your experiences.

6. Setting Boundaries: If certain situations or people consistently trigger your anger, it may be helpful to set boundaries. This could mean limiting your exposure to specific stressors or learning to say no to situations that you know will lead to frustration.

7. Professional Help: If you find that your feelings of anger and self-harm are overwhelming or persistent, seeking help from a mental health professional is crucial. They can provide tailored strategies and support to help you navigate your emotions safely.

Lastly, it’s important to practice self-compassion. Recognize that everyone experiences emotional distress at times, and it’s okay to seek help. Acknowledging your feelings without judgment can be the first step toward healing and managing your emotions more effectively.

In summary, managing emotional distress, particularly anger and self-harm tendencies, requires a multifaceted approach. By understanding your triggers, implementing coping strategies, and seeking professional help when needed, you can develop healthier ways to manage your emotions and improve your overall well-being. Remember, you are not alone in this journey, and there are resources available to support you.

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