Emotional Triggers: Why Anger Causes Tremors and Body Movements - Neurology

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Why do our hands shake and our bodies move involuntarily when we experience intense emotions or anger?


Hello Doctor: Why do I start to shake my hands and sway my body back and forth whenever I get angry or emotionally agitated? Sometimes, I unconsciously grab my head, and after my emotions settle down, I experience brief moments of confusion and forget what happened at that time, such as whether I had an argument with my partner.
Additionally, besides the symptoms mentioned above, I sometimes experience pain in my head, neck, and back just before or after an episode, and I even feel like I can't catch my breath, experiencing difficulty in breathing.

Mori Ni, 30~39 year old female. Ask Date: 2016/12/05

Dr. Jiang Junyi reply Neurology


Based on your description, it may be necessary to consider symptoms of hyperventilation associated with emotional intensity.
Hyperventilation can lead to a sensation of suffocation and affect organ blood flow.
When blood flow to the nervous system decreases, symptoms such as headaches and blurred vision may occur; peripheral vasoconstriction can cause cold extremities and muscle stiffness; and coronary artery constriction can result in atypical chest pain.
Shortness of breath may lead to dry mouth and numbness around the lips, and can also cause symptoms like bloating and belching.
It is recommended to maintain a regular daily routine and avoid staying up late.
Reduce the intake of stimulants such as coffee and tea, and try to avoid stressful environments.
Moderate exercise can help relieve stress, and practicing diaphragmatic breathing is beneficial.
It is advisable to consult a neurologist for diagnosis and treatment.
Wishing you health, safety, and happiness.

Reply Date: 2016/12/05

More Info


Understanding emotional triggers and their physiological manifestations is crucial for managing emotional health. When you experience intense emotions like anger, your body undergoes a series of physiological changes that can lead to symptoms such as tremors, body movements, and even pain. These reactions are primarily driven by the body's stress response system, which is activated during moments of heightened emotional arousal.

When you become angry or emotionally charged, your brain perceives this as a threat. This triggers the hypothalamic-pituitary-adrenal (HPA) axis, leading to the release of stress hormones such as adrenaline (epinephrine) and cortisol. These hormones prepare your body for a "fight or flight" response, which is an evolutionary mechanism designed to help you respond to danger. As a result, your heart rate increases, blood pressure rises, and your muscles tense up. This physiological state can lead to involuntary movements, such as hand tremors or body swaying, as your body is primed for action.

The tremors you experience can be attributed to the overactivity of the sympathetic nervous system, which is part of the autonomic nervous system responsible for the body's rapid involuntary response to dangerous or stressful situations. When adrenaline floods your system, it can cause your muscles to twitch or shake, leading to the tremors you described. Additionally, the tension in your muscles can result in discomfort or pain in areas such as the head, neck, and back, as these muscles may become overly contracted during emotional episodes.

Moreover, the sensation of breathlessness or difficulty breathing during these episodes can be linked to hyperventilation, which often occurs when individuals are anxious or angry. When you become emotionally charged, you may unconsciously alter your breathing pattern, leading to rapid, shallow breaths. This can create a feeling of not getting enough air, which can further exacerbate feelings of anxiety and panic.

The phenomenon of forgetting specific details or feeling disoriented after an emotional outburst is also common. During intense emotional experiences, your brain may prioritize immediate survival over memory formation, leading to gaps in recollection. This is often referred to as "emotional flooding," where the intensity of the emotion overwhelms your cognitive processes.

To manage these symptoms effectively, it is essential to develop coping strategies that can help regulate your emotional responses. Here are some techniques that may be beneficial:
1. Deep Breathing Exercises: Practicing deep, diaphragmatic breathing can help calm your nervous system and reduce feelings of anxiety and anger. Focus on inhaling deeply through your nose, allowing your abdomen to expand, and then exhaling slowly through your mouth.

2. Mindfulness and Meditation: Engaging in mindfulness practices can help you become more aware of your emotional triggers and responses. This awareness can empower you to respond to anger more constructively rather than react impulsively.

3. Physical Activity: Regular exercise can help reduce stress and improve your overall mood. Physical activity releases endorphins, which are natural mood lifters, and can also provide an outlet for pent-up energy.

4. Progressive Muscle Relaxation: This technique involves tensing and then relaxing different muscle groups in your body. It can help alleviate physical tension and promote relaxation.

5. Seeking Professional Help: If your symptoms persist or worsen, it may be beneficial to consult a mental health professional. They can provide tailored strategies and interventions to help you manage your emotions more effectively.

In conclusion, understanding the physiological responses associated with anger and emotional distress can empower you to take proactive steps toward managing your reactions. By incorporating relaxation techniques and seeking support when needed, you can cultivate a healthier emotional landscape and reduce the impact of anger on your body and mind.

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