Emotional Instability: A Journey Through Mental Health Challenges

Emotional instability

Hello Doctor: My condition has been ongoing for about a year, starting from mild symptoms to increasingly uncontrollable situations.
Initially, I felt dizzy and unwell, but I thought it was nothing serious and continued with my life.
This state lasted for about three months, after which my emotions became unstable, and I often lost my temper and couldn't control my anger.
Eventually, I felt so unwell that I experienced difficulty breathing, prompting me to see a cardiologist.
However, the doctor found nothing wrong.
It wasn't until I was unable to ride my bike that I sought help from a family medicine doctor, who diagnosed me with autonomic nervous system dysregulation.
The doctor suggested I manage my condition with medication, primarily prescribing me anti-anxiety medication, but it made me feel very fatigued, and sometimes I would oversleep and struggle to get up, so I stopped taking it.
At times, I couldn't stand or concentrate, often feeling extremely tired and weak, even when I wasn't working.
Riding my bike became unstable, and I would suddenly feel anxious and fearful.
My sleep was poor; I had difficulty falling asleep and often stayed awake until dawn.
Sometimes I would wake up suddenly in the middle of the night, or when I closed my eyes to sleep, I would feel dizzy and have trouble breathing.
As my condition worsened, I consulted a psychiatrist who diagnosed me with depression and bipolar disorder.
Hearing this made me feel very low because I didn't know what to do.
After taking medication for a week, I felt I didn't want to rely on drugs to manage my life, so I stopped.
Initially, I was okay, but after half a month, my symptoms returned, and they were worse than before.
Now, I often have dark thoughts and feel like I want to die without any reason.
Doctor, could you please advise me on what to do? I really don't want to live anymore...
I'm so tired...
P.S.
The doctor mentioned that my liver enzymes are slightly elevated, with a level of 80.

lei, 10~19 year old female. Ask Date: 2017/05/22

Dr. Zhang Fangrong reply Psychiatry

Dear Sir/Madam,
Thank you for your inquiry.
Based on the process you described, it is evident that you are experiencing discomfort, especially with the recent thoughts of hopelessness and suicidal ideation.
I would like to remind you to communicate your current situation clearly to your family or friends so that you can face your discomfort together and work on resolving the issues.
If you have tried lifestyle adjustments and exercise with limited improvement, seeking assistance from a psychiatrist would be necessary.
Regarding medication, it is important to have a thorough discussion with your physician.
If you are not satisfied with the communication process, you may consider consulting another psychiatrist.
Both approaches can help alleviate your discomfort and improve your condition.
Thank you for your visit, and I wish you mental and physical well-being.
Sincerely,
Dr.
Fang-Rong Chang
Psychiatrist

Reply Date: 2017/05/22

More Info

It sounds like you are going through an incredibly challenging time, and I want to acknowledge the pain and confusion you are experiencing. Emotional instability, especially when compounded by physical symptoms and mental health issues, can be overwhelming. Your journey through these challenges is significant, and it’s important to approach it with care and understanding.

From what you've described, it seems that your symptoms have escalated over the past year, starting with feelings of dizziness and discomfort, which then progressed to emotional instability, irritability, and physical symptoms such as difficulty breathing. These experiences can be indicative of various underlying issues, including anxiety disorders, depression, or even a combination of both, as you mentioned being diagnosed with depression and bipolar disorder (躁鬱症).

The feelings of fatigue, difficulty concentrating, and the sensation of being overwhelmed are common in individuals dealing with mental health challenges. It is not uncommon for people to experience physical symptoms alongside emotional distress, as the mind and body are deeply interconnected. The autonomic nervous system, which regulates bodily functions, can become dysregulated during periods of high stress or emotional turmoil, leading to symptoms like those you’ve described.

It’s concerning to hear that you have thoughts of self-harm or suicide. These thoughts can be a sign of severe emotional distress and should be taken seriously. It’s crucial to reach out for help immediately if you are feeling this way. Contacting a mental health professional, a trusted friend, or a crisis hotline can provide you with the support you need. In the U.S., the National Suicide Prevention Lifeline (1-800-273-TALK) is available 24/7 for anyone in crisis.

Regarding your treatment, it’s understandable that you may feel hesitant about medication, especially if you experienced side effects like fatigue and difficulty waking up. However, managing mental health conditions often requires a multifaceted approach. Medication can be effective for many individuals, but it may take time to find the right one or the right dosage. It’s also important to communicate openly with your healthcare provider about any side effects you experience, as they can help adjust your treatment plan accordingly.

In addition to medication, therapy can be a valuable tool in managing emotional instability. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and depression, helping individuals identify and change negative thought patterns and behaviors. Engaging in therapy can provide you with coping strategies and a safe space to explore your feelings.

Lifestyle changes can also play a significant role in improving mental health. Regular physical activity, a balanced diet, and good sleep hygiene can positively impact your mood and overall well-being. Mindfulness practices, such as meditation or yoga, can help reduce anxiety and improve emotional regulation.

Lastly, it’s essential to build a support network. Surrounding yourself with understanding friends and family can provide comfort and reduce feelings of isolation. Sharing your experiences with others who may have gone through similar challenges can also be incredibly validating.

In summary, while your current situation feels daunting, there are paths to healing and support available. It’s important to reach out for help, whether through medical professionals, therapy, or support groups. You are not alone in this journey, and there are people and resources ready to help you navigate these challenges. Please take care of yourself and prioritize your mental health.

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