Emotional instability
Hello Dr.
Chiu, since I was in the second year of junior high, I have been experiencing hyperventilation and often feel nervous and anxious.
After some issues arose at home, I have become increasingly irritable, and it is difficult for me to calm down after getting angry.
I feel that my tolerance level is getting lower, and sometimes I feel worthless.
There was a period when I felt unexplainable happiness when I saw myself injured, and I have had thoughts of suicide along with many conflicting ideas, making me feel like I am going crazy.
I have a lot of negative thoughts about things, and in the morning, I don’t want to get out of bed.
I feel extremely anxious about certain specific behaviors, experience rapid breathing, and have a tight feeling in my chest.
When trying to sleep, I often don’t want to fall asleep quickly, and sometimes I experience insomnia, as if I am subconsciously preventing myself from sleeping.
I feel uncomfortable in crowds and dread facing new people and situations.
I wonder if I am just too weak and useless, or if I should seek psychological counseling.
I apologize for bothering you, and thank you.
Xiao Zhu, 10~19 year old female. Ask Date: 2017/02/02
Dr. Qiu Junda reply Psychiatry
Hello: Hyperventilation is a response to anxiety.
The text also mentions some negative emotional thinking.
It is recommended that you gather educational materials on emotional regulation and stress management, and learn some of the techniques, which should help improve the situation.
If you have time for some psychological counseling, that would be even better.
I hope you can take action right away.
Reply Date: 2017/02/02
More Info
Emotional instability can manifest in various ways, and your description indicates a complex interplay of anxiety, anger, and depressive symptoms. It is essential to understand that these feelings are not uncommon, especially in the context of stressors such as family issues or significant life changes. Let's break down your symptoms and explore potential solutions.
Signs and Symptoms
1. Anxiety and Hyperventilation: Starting from your early teenage years, experiencing excessive anxiety and hyperventilation can be indicative of an anxiety disorder. This condition often leads to physical symptoms such as rapid breathing, increased heart rate, and feelings of panic.
2. Emotional Outbursts: The difficulty in managing anger and the feeling of being easily provoked can be linked to emotional dysregulation. This is often seen in individuals who have experienced trauma or significant stress, leading to a lowered threshold for frustration.
3. Negative Self-Perception: Feelings of worthlessness or inadequacy are common in depressive disorders. The belief that you are "useless" can exacerbate feelings of depression and anxiety, creating a vicious cycle.
4. Self-Harm and Suicidal Thoughts: The mention of feeling happy when seeing your injuries and having suicidal thoughts is particularly concerning. These thoughts can be a sign of severe emotional distress and should be addressed immediately with professional help.
5. Sleep Disturbances: Difficulty falling asleep or staying asleep, along with a reluctance to get out of bed in the morning, can be symptoms of depression. Sleep is crucial for emotional regulation, and disturbances can worsen your overall mental health.
6. Social Anxiety: Feeling uncomfortable in social situations and avoiding new interactions can indicate social anxiety disorder. This can lead to isolation, further exacerbating feelings of depression and anxiety.
Potential Solutions
1. Seek Professional Help: The most crucial step is to consult a mental health professional. A psychologist or psychiatrist can provide a comprehensive evaluation and recommend appropriate treatment, which may include therapy, medication, or a combination of both.
2. Cognitive Behavioral Therapy (CBT): This form of therapy is effective for both anxiety and depression. It helps individuals identify and challenge negative thought patterns and develop healthier coping mechanisms.
3. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and progressive muscle relaxation can help manage anxiety and improve emotional regulation.
4. Lifestyle Changes: Regular physical activity, a balanced diet, and adequate sleep can significantly impact your mental health. Exercise, in particular, is known to release endorphins, which can improve mood.
5. Support Systems: Engaging with supportive friends or family members can provide a sense of belonging and understanding. Consider joining support groups where you can share experiences with others facing similar challenges.
6. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process emotions. It can help you identify triggers for your anger and anxiety, allowing you to develop strategies to cope.
7. Limit Substance Use: Avoiding alcohol and recreational drugs can help stabilize your mood and reduce anxiety symptoms. These substances can often exacerbate emotional instability.
8. Emergency Support: If you ever feel overwhelmed or have thoughts of self-harm, it is crucial to seek immediate help. Contact a crisis hotline or go to the nearest emergency room.
Conclusion
Your experiences reflect a significant emotional struggle that deserves attention and care. It is essential to recognize that seeking help is a sign of strength, not weakness. By addressing these symptoms with the support of mental health professionals, you can work towards understanding and managing your emotions more effectively. Remember, you are not alone in this journey, and there are resources available to help you navigate through these challenges.
Similar Q&A
Understanding Emotional Instability: Causes and Coping Strategies
I have been prone to anxiety and nervousness since childhood, and my emotional reactions have always been intense. However, in recent years, my mood swings have become even more exaggerated; I often go from being angry one moment to happy the next, and I can't seem to contro...
Dr. Liu Runqian reply Psychiatry
Symptoms of depression include depressed mood, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and suicidal thoughts or attempts, lasting for more than two ...[Read More] Understanding Emotional Instability: Causes and Coping Strategies
Understanding Emotional Instability: Signs and Seeking Help
Hello Dr. Chen, Before asking my question, I have already researched some information related to depression and bipolar disorder. However, I find that I only exhibit one or two symptoms, and I am unable to determine whether I am experiencing short-term emotional lows or if there...
Dr. Chen Guangpeng reply Psychiatry
Hello Anna: Based on your description, it seems that your issues (symptoms) are not limited to just one or two; they likely meet the criteria for depression. However, your symptoms are intertwined with your environment, exacerbating the situation and creating a vicious cycle. I r...[Read More] Understanding Emotional Instability: Signs and Seeking Help
Understanding Emotional Instability: Signs and When to Seek Help
Frequent irritability, emotional instability, and easily crying, along with periods of low mood, can indicate underlying mental health issues. A strong aversion to social interactions and a preference for solitude, along with extreme thoughts, may suggest conditions such as depre...
Dr. Ding Shuyan reply Psychiatry
Hello, it is important to consider whether these issues are taking up a significant portion of your time and affecting your daily life, work, learning, or interpersonal relationships. Additionally, you should assess whether the duration has been more than a week or two, rather th...[Read More] Understanding Emotional Instability: Signs and When to Seek Help
Understanding Emotional Instability: Insights on Psychogenic Disorders
Hello, Doctor. I have some questions to ask you. Recently, I attended a dance performance with a female friend. During the performance, she exhibited signs of emotional instability, crying continuously, and at times, her head would involuntarily sway to the rhythm of the stage. A...
Dr. Ding Shuyan reply Psychiatry
Hello, when watching movies, dramas, and various artistic performances, each person's feelings can vary greatly, which is somewhat related to individual experiences and personalities. It is difficult to determine whether your friend's reactions are unusual; some individ...[Read More] Understanding Emotional Instability: Insights on Psychogenic Disorders
Related FAQ
(Psychiatry)
Emotional Distress(Psychiatry)
Emotions(Psychiatry)
Psychosomatic Disorders(Psychiatry)
Diagnosis(Psychiatry)
Autonomic Nervous System Dysfunction(Psychiatry)
Low Mood(Psychiatry)
Adjustment Disorder(Psychiatry)
Heartbreak(Psychiatry)
Bulimia Nervosa(Psychiatry)