Anxiety and Mood Swings: Seeking Help for Mental Health - Psychiatry

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Irritability?


Hello: I have been experiencing anxiety for a long time, and this situation has worsened over the past year or two.
Sometimes I feel very high-spirited, while other times I suddenly become quiet and don’t want to talk to anyone.
I don’t understand why this happens.
Additionally, I often find myself thinking about pessimistic things, and throughout the day, I frequently fall into a state of worry.
When I’m feeling upset, I tend to see others in a negative light and often wear a sour expression.
Sometimes, I just want to escape everything and go to sleep.
However, over time, I’ve noticed that my sleep duration has increased, and I become very easily fatigued.
What should I do?

Mingbai, 10~19 year old female. Ask Date: 2000/11/27

Dr. Lin Yanhong reply Psychiatry


Hello: Based on your description, it seems that you may be experiencing an emotional disorder.
However, if your symptoms persist for more than two weeks (whether in a state of elevated mood or depression), you should consider discussing this with a physician in an outpatient setting.
If your emotional disorder has reached a level that requires medication, you will need to make a commitment to treatment.
Alternatively, you can discuss with your doctor to identify the sources of your emotions or ways to cope with them.
Regardless, seeking assistance is the most effective way to resolve issues.
I wish you a swift recovery from your struggles.

Reply Date: 2000/11/27

More Info


It sounds like you are experiencing significant emotional fluctuations and anxiety, which can be quite distressing. Your description of feeling "high" at times and then suddenly withdrawing from social interactions, along with persistent negative thoughts and increased sleep, suggests that you may be dealing with mood swings and anxiety that could benefit from professional support.

Firstly, it's important to recognize that what you're experiencing is not uncommon. Many individuals go through periods of heightened anxiety and mood instability, especially during times of stress or transition. The fact that you've noticed these feelings intensifying over the past couple of years indicates that it might be time to seek help.

Understanding Your Symptoms:
1. Mood Swings: The rapid changes in your mood—from feeling energetic and social to wanting to isolate yourself—can be indicative of mood disorders such as bipolar disorder or cyclothymia. However, mood swings can also occur in response to stress, anxiety, or even hormonal changes.

2. Anxiety: Your tendency to ruminate on negative thoughts and feel overwhelmed by worries is a hallmark of anxiety disorders. This can lead to irritability and a general sense of dissatisfaction with your surroundings, as you've mentioned feeling annoyed with others.

3. Sleep Issues: Increased sleep duration and fatigue can be both a symptom of depression and a coping mechanism for anxiety. When we feel overwhelmed, our bodies may respond by wanting to shut down, leading to excessive sleeping as a form of escape.

Steps to Take:
1. Seek Professional Help: Given the complexity of your symptoms, it would be beneficial to consult with a mental health professional, such as a psychologist or psychiatrist. They can provide a thorough assessment and help you understand the underlying causes of your mood swings and anxiety. Therapy, particularly cognitive-behavioral therapy (CBT), can be very effective in addressing negative thought patterns and developing coping strategies.

2. Practice Self-Care: Incorporate self-care practices into your daily routine. This can include regular physical activity, which is known to boost mood and reduce anxiety. Mindfulness and relaxation techniques, such as meditation or yoga, can also help you manage stress and improve your emotional regulation.

3. Establish a Routine: Creating a daily routine can provide structure and predictability, which can be comforting when you're feeling anxious. Try to maintain regular sleep patterns, eat balanced meals, and engage in activities that you enjoy or find fulfilling.

4. Connect with Others: While you may feel like isolating yourself, maintaining connections with friends and family can provide support. Consider reaching out to someone you trust and sharing what you're going through. Sometimes, just talking about your feelings can alleviate some of the burden.

5. Limit Stressors: Identify any specific stressors in your life that may be contributing to your anxiety and mood swings. If possible, try to minimize these stressors or develop strategies to cope with them more effectively.

6. Monitor Your Thoughts: Keep a journal to track your moods and thoughts. This can help you identify patterns and triggers for your anxiety and mood swings, making it easier to address them.

In conclusion, while it can be challenging to navigate anxiety and mood swings, you are not alone, and help is available. Taking the first step to seek professional guidance can lead to significant improvements in your mental health and overall well-being. Remember, it's okay to ask for help, and doing so is a sign of strength.

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