Overcoming Emotional Instability: A Journey Towards Healing - Psychiatry

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Emotional instability


I often lose my temper over small things, and whenever I'm feeling sad or angry, I end up hurting myself.
For instance, I hit the wall to vent my frustration, and by the time I stop, my hands are already bruised.
I have attempted suicide in the past but was rescued.
It's been a long time since I've felt any joy in anything.
In fact, it hasn't even been a year; I stopped treatment a few months ago.
I just have a mental block that prevents me from wanting to see a doctor or take medication.
I only hope to keep pushing through.

Niming, 20~29 year old female. Ask Date: 2017/01/25

Dr. Liang Sunyuan reply Psychiatry


Hello: Emotions can sometimes be the body’s way of communicating with itself.
Feeling down may trigger certain unpleasant memories or remind us of past traumatic events.
However, because we are reluctant to recall these negative memories, we only feel discomfort without understanding what is causing it.
We have blind spots that prevent us from seeing the parts of ourselves we do not want to acknowledge, which is why we need a mirror.
This mirror can be trusted friends or family, or a professional therapist, social worker, or physician.
The willingness to seek treatment in the past indicates a desire to heal.
Persisting in this journey is the right choice; with appropriate and patient intervention, most issues related to emotional instability can be improved.
Wishing you all the best.

Reply Date: 2017/01/25

More Info


Overcoming emotional instability is a complex journey that often requires a multifaceted approach. It’s commendable that you are seeking to understand your feelings and behaviors better. Emotional instability can manifest in various ways, including irritability, anger, and self-harm, as you described. The fact that you have experienced suicidal thoughts in the past is a significant concern and highlights the importance of addressing these feelings with care and professional support.

Firstly, it’s essential to recognize that emotional responses, such as anger and sadness, are natural human experiences. However, when these emotions become overwhelming and lead to self-harm or destructive behaviors, it indicates a need for intervention. Your description of hitting the wall in frustration is a clear sign that you are struggling to cope with your emotions in a healthy way. This type of behavior can lead to physical injury and does not resolve the underlying emotional pain you are experiencing.

You mentioned that you stopped treatment and are hesitant to return to therapy or medication. It’s not uncommon for individuals to feel apprehensive about seeking help, especially if past experiences with mental health professionals have not been positive. However, it’s crucial to understand that healing often requires support from trained professionals who can guide you through your emotional turmoil. Therapy can provide a safe space to explore your feelings, understand the triggers behind your anger, and develop healthier coping mechanisms.

Cognitive Behavioral Therapy (CBT) is one effective approach that helps individuals identify and challenge negative thought patterns that contribute to emotional instability. It can teach you skills to manage your emotions more effectively, reducing the likelihood of outbursts and self-harm. Additionally, mindfulness practices, such as meditation and deep breathing exercises, can help you stay grounded in the present moment and reduce the intensity of your emotional reactions.

Moreover, it’s important to address the root causes of your emotional instability. Reflecting on past experiences, relationships, and any unresolved issues can provide insight into why you react the way you do. Journaling can be a helpful tool for this, allowing you to express your thoughts and feelings in a constructive manner. Writing about your experiences can also help you identify patterns in your behavior and emotions, making it easier to discuss these with a therapist when you feel ready.

Physical health plays a significant role in emotional well-being as well. Regular exercise, a balanced diet, and adequate sleep can greatly influence your mood and overall mental health. Engaging in activities that bring you joy, even if they seem small, can also help improve your emotional state. Whether it’s spending time in nature, listening to music, or pursuing a hobby, finding moments of joy can be a powerful antidote to feelings of sadness and anger.

Lastly, building a support network is vital. Surrounding yourself with understanding friends or family members who can provide emotional support can make a significant difference. If you feel comfortable, consider sharing your feelings with someone you trust. Sometimes, just talking about what you’re going through can alleviate some of the burden you carry.

In conclusion, overcoming emotional instability is a journey that requires patience, self-compassion, and often professional help. While it’s understandable to feel hesitant about seeking treatment, remember that you don’t have to navigate this path alone. There are resources and people who can help you find healthier ways to cope with your emotions and ultimately lead a more fulfilling life. Your willingness to confront these challenges is the first step toward healing, and I encourage you to take that step, whether it’s through therapy, support groups, or self-help strategies. You deserve to feel better and to find joy in your life again.

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