Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders

Q: Struggling with Emotional Turmoil: Seeking Help for Anxiety and Mood Disorders

Hello Ms. <br>D： Based on your description, you are experiencing numerous psychosomatic symptoms and struggling with life. <br>The emotional distress and self-denial you are facing indicate that, in addition to medication, psychological therapy is also very important. <br>I sugge

Unable to control emotions, crying every day?

Hello, doctor.
I have searched for a lot of information and found this place, and I truly hope a doctor can help me.
I appreciate your patience in reading this lengthy message.
Due to family pressure, I developed mild bipolar disorder during college, often experiencing irritability and uncontrollable emotions, leading to throwing things or self-harm.
I saw a psychiatrist for a while but later stopped taking medication on my own.
In recent years, I have noticed some anxiety symptoms; whenever I encounter significant difficulties that I feel are unsolvable, I experience palpitations, trembling hands, chest tightness, rapid breathing, an inability to focus my gaze, and a noticeable increase in heart rate.
I can no longer distinguish whether this is a symptom of bipolar disorder or anxiety.
Previously, when I visited the psychiatric department at a major hospital, the doctors would often gloss over my symptoms, leaving me unsure of how to cope with this condition.

Recently, the most severe event occurred: I lost a relationship, which has hit me very hard (I am even crying while typing this).
I cry every day, and because I still have to work, I face my job daily, but my mind is constantly racing with thoughts.
I have started to feel self-pity and question whether I deserve to be loved.
Just thinking about it makes me cry uncontrollably, and I experience persistent chest tightness and difficulty breathing.
I have not been sleeping well at night, either having vivid dreams or waking up from nightmares, or suffering from insomnia where my mind won't settle down.
On my days off, I feel completely drained and sleep excessively, waking up to cry, then falling back asleep, creating a continuous cycle with no desire to go out.
I truly feel like I am suffering immensely!
I have tried talking to friends and family.
I know the reasons behind the events and want to let go, but this condition keeps leading me to self-doubt and overthinking.
I find myself desperately seeking answers from divination and obsessing over gains and losses.
A few weeks ago, I woke up one morning in a breakdown, crying uncontrollably, and I called a helpline for over an hour just to stop crying before rushing to work.
This has severely impacted my life, and I often think about suicide, feeling that it would be better to leave since I feel like I have accomplished nothing.
However, I also think it is not worth it for a bad relationship, and it would only cause my mother and sister pain, leading to a cycle of thoughts coming and going.

I really want to find someone to guide or consult me.
Doctor, am I really left with only medication to manage this? The psychiatrists I have seen in the past were unwilling to listen to me.
I really want to discuss my situation with a doctor during appointments and seek their advice, but I have found that many doctors just prescribe medication and end the consultation.
Is this normal? I have been struggling immensely lately, feeling deeply hurt and in pain.
I hope the doctor can help...
Thank you very much.

D, 30~39 year old female. Ask Date: 2017/04/06

Dr. Dai Wanxiang reply Psychiatry

Hello Ms.
D: Based on your description, you are experiencing numerous psychosomatic symptoms and struggling with life.
The emotional distress and self-denial you are facing indicate that, in addition to medication, psychological therapy is also very important.
I suggest discussing the feasibility of arranging psychological therapy with your psychiatrist or seeking relevant counseling resources.
Generally, hospitals with psychosomatic medicine departments should have referral services for psychologists to provide therapy.
Through psychological therapy or counseling, a psychologist can take the time to listen to your issues and support you during this difficult period.
Of course, your own efforts are crucial; through self-awareness, you can gradually adjust your coping strategies and behavioral patterns.
With the assistance of a psychologist, this should be beneficial for you.
Wishing you well.

Reply Date: 2017/04/06

More Info

Hello, thank you for reaching out and sharing your experiences. It takes a lot of courage to express what you're going through, and I want to acknowledge the pain and turmoil you are feeling. Based on your description, it seems you are dealing with a complex interplay of emotional distress, anxiety, and possibly mood disorders, which can be incredibly overwhelming.

From what you've shared, it appears that you have experienced symptoms consistent with both anxiety and mood disorders, including episodes of irritability, emotional dysregulation, and self-harm. The physical symptoms you describe, such as heart palpitations, trembling, and shortness of breath, are often associated with anxiety disorders, particularly panic attacks. The emotional pain following the loss of a significant relationship can exacerbate these symptoms, leading to a cycle of negative thoughts and feelings of worthlessness.

It's important to understand that what you're experiencing is not uncommon among individuals facing significant emotional distress. Many people find themselves in a similar situation, where the weight of their feelings can lead to thoughts of self-harm or even suicidal ideation. These thoughts can be particularly intense during periods of loss or major life changes, as you are currently experiencing.

Seeking help from a mental health professional is crucial. While medication can be an effective part of treatment for mood and anxiety disorders, it is often most beneficial when combined with psychotherapy. Therapy can provide you with a safe space to explore your feelings, develop coping strategies, and work through the underlying issues contributing to your emotional turmoil. Cognitive Behavioral Therapy (CBT) is particularly effective for anxiety and mood disorders, as it helps individuals identify and challenge negative thought patterns.

It’s concerning to hear that your previous experiences with mental health professionals have not been supportive. A good therapeutic relationship is essential for effective treatment, and you deserve to be heard and understood. If you find that your current provider is not meeting your needs, it may be worthwhile to seek a second opinion or find a therapist who specializes in mood and anxiety disorders. Look for someone who is willing to listen to your concerns and collaborate with you on your treatment plan.

In addition to professional help, there are self-care strategies that you can incorporate into your daily routine. Regular physical activity, mindfulness practices such as meditation or yoga, and maintaining a healthy sleep schedule can all contribute positively to your mental health. Journaling your thoughts and feelings can also be a helpful way to process your emotions and gain insight into your experiences.

It's also important to reach out to your support system—friends, family, or support groups—who can provide understanding and encouragement during this challenging time. Sharing your feelings with trusted individuals can alleviate some of the burden and help you feel less isolated.

Lastly, if you ever feel that your thoughts of self-harm or suicide are becoming overwhelming, please seek immediate help. Hotlines and crisis centers are available to provide support and guidance in moments of crisis.

In summary, while medication can play a role in managing your symptoms, it is essential to engage in therapy and self-care practices to address the root causes of your distress. You are not alone in this journey, and with the right support, it is possible to find relief and regain a sense of control over your life. Please take care of yourself, and I encourage you to seek the help you deserve.

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