Managing Emotional Instability: Coping with Family Dynamics and Mental Health - Psychiatry

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Mood swings


I live with my grandmother and aunt, and my grandmother has mild dementia.
They often argue, and I end up being the one who takes the brunt of their frustrations.

1.
I easily get angry when I hear people eating or the sound of someone flossing their teeth.

2.
I go crazy when I'm scolded and cover my ears tightly.

3.
Over the past year, my emotional fluctuations have increased, and my feelings of joy, anger, sadness, and happiness have become very pronounced.

4.
When I come home, I no longer spend time in the living room like I used to; instead, I lock myself in my room.

5.
When I start crying, I can't stop, and all the bad memories come flooding back, even to the point of having thoughts of not wanting to live.

6.
If I see something that isn't done right, I can't stop thinking about it, and the more I think, the angrier I get.

7.
I don't want to talk when I get home; I'm only a bit happier at school.

8.
I have a lot of negative emotions, and I often find it hard to concentrate in class.

9.
Sometimes, just thinking about something bad makes it hard for me to breathe.

10.
Recently, I've been more argumentative, and I can't listen to anything; I get annoyed if things don't go my way.

Ping, 10~19 year old female. Ask Date: 2017/01/13

Dr. Liang Sunyuan reply Psychiatry


Hello Ping: First, understand that Grandma's dementia makes her prone to forgetfulness, and her emotions may lead her to speak more directly.
Remind yourself not to hold grudges against her and not to dwell on conflicts.
It seems that your emotions and mood are also in a tense state, but you can try to relax and be happier at school.
I suggest increasing the positive aspects and thoughts in your life to dilute the negative emotions and memories.
After an argument, it’s normal to feel upset for a while, but understanding the reasons behind the conflict usually helps in adjusting.
I recommend setting ideal goals for yourself and making small efforts each day to move closer to those goals.
If you continue to feel troubled, seeking medical assistance is advisable.
Wishing you all the best.

Reply Date: 2017/01/13

More Info


It sounds like you are experiencing a significant amount of emotional turmoil due to the family dynamics you are currently facing, particularly with your grandmother's mild dementia and the conflicts that arise between her and your aunt. This situation can be incredibly stressful and can lead to feelings of frustration, anger, and sadness, which you are clearly experiencing. Let's break down some of the issues you've mentioned and explore ways to manage your emotional instability.

Firstly, it’s important to recognize that living in a household where there is conflict, especially involving a family member with dementia, can create a high-stress environment. Dementia can lead to changes in behavior and communication, which can be challenging for caregivers and family members. Your grandmother may not fully understand the impact of her actions or words, which can lead to frustration for you and your aunt. This situation can create a cycle of conflict that leaves you feeling like a scapegoat for their disagreements.

Your emotional reactions, such as feeling angry when you hear certain sounds, feeling overwhelmed when criticized, and experiencing intense mood swings, are all valid responses to the stress you are under. It’s common for individuals in high-stress environments to experience heightened emotional responses. The fact that you find yourself isolating in your room and feeling overwhelmed by negative thoughts indicates that you may be struggling with anxiety and possibly depressive symptoms.

Here are some strategies that may help you manage your emotional instability and cope with the family dynamics:
1. Establish Boundaries: It’s essential to create some personal space for yourself. If possible, communicate with your family about your need for quiet time or a break when conflicts arise. Setting boundaries can help you feel more in control of your environment.

2. Practice Mindfulness and Relaxation Techniques: Engaging in mindfulness practices, such as deep breathing exercises, meditation, or yoga, can help you manage your emotional responses. These techniques can help ground you when you feel overwhelmed and can reduce anxiety.

3. Seek Support: It’s crucial to talk about your feelings with someone you trust, whether it’s a friend, teacher, or counselor. Expressing your emotions can provide relief and help you process what you are experiencing. If you feel comfortable, consider seeking professional help from a mental health professional who can provide you with coping strategies tailored to your situation.

4. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can help you identify triggers for your anger and sadness, allowing you to address them more effectively.

5. Engage in Activities You Enjoy: Finding time to engage in hobbies or activities that bring you joy can provide a much-needed escape from the stress at home. Whether it’s reading, drawing, or spending time with friends, these activities can help improve your mood.

6. Limit Exposure to Conflict: If possible, try to distance yourself from situations where arguments are likely to occur. This may mean spending more time in your room or finding a quiet place to study or relax.

7. Focus on Self-Care: Make sure you are taking care of your physical health by getting enough sleep, eating well, and exercising. Physical well-being can significantly impact your emotional state.

8. Consider Professional Help for Your Family: If your grandmother’s behavior is significantly impacting your family dynamics, it may be beneficial for her to receive professional support. Encouraging your family to seek help from a healthcare provider specializing in dementia care can improve the overall environment at home.

9. Develop Coping Mechanisms: When you feel overwhelmed, practice grounding techniques, such as focusing on your breath or counting to ten before responding to a situation. This can help you manage your immediate emotional reactions.

10. Educate Yourself: Understanding dementia and its effects can help you develop empathy for your grandmother’s situation. This knowledge may also help you navigate conflicts with more patience and understanding.

In conclusion, managing emotional instability in a challenging family environment requires a combination of self-care, communication, and support. It’s essential to prioritize your mental health and seek help when needed. Remember that you are not alone in this, and there are resources available to help you cope with the emotional challenges you are facing.

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