Emotional Turmoil: Signs of Mood Disorders in Relationships

Emotional fluctuations?

Hello, doctor: I have been in a relationship with my boyfriend for over a year, and we have been living together for six months.
I tend to struggle with expressing myself, so I often keep my feelings to myself, believing that speaking up won’t change anything.
We are together with the intention of marriage, but the longer we are together, the more we tend to have arguments where emotions escalate uncontrollably.
I have had thoughts of wanting to leave this world, have self-harmed, and have pushed my boyfriend several times.
Our emotional outbursts have led to both of us getting hurt.
One moment I might feel very happy, and the next I suddenly feel that we are not compatible.
The fluctuations in my emotions are distressing; I feel inadequate and don’t want others to care about me.
I want to push everyone away, feeling so angry that I want to cry, and I often can’t articulate what’s wrong, which makes me want to cry even more.
I frequently worry that my boyfriend is too friendly with other women and doubt him, even though I know deep down that it’s probably not the case.
I would like to ask the doctor whether this is simply a matter of emotional control or if it could indicate mild bipolar disorder or depression.
I have had two miscarriages in the past six months, and I wonder if that could have an impact.

sarah, 20~29 year old female. Ask Date: 2018/09/26

Dr. Wang Zhenbang reply Psychiatry

Hello, based on your description (the information is insufficient), it is not possible to determine a specific emotional disorder.
It may be related to personality traits or simply issues in the interaction between the two individuals.
If this situation is causing you distress, it is advisable to seek further evaluation and confirmation at a nearby psychosomatic or psychiatric clinic or hospital.
Additionally, miscarriage can affect a woman's mental and physical health balance to some extent, but the degree of impact varies from person to person.
Wishing you peace and well-being.
Dr.
Wang Cheng-Bang.

Reply Date: 2018/09/26

More Info

It sounds like you are experiencing a significant amount of emotional turmoil in your relationship, and it's commendable that you are seeking to understand what might be happening. Based on the description you've provided, there are several factors to consider regarding your emotional state and the dynamics of your relationship.

Firstly, the symptoms you describe—such as intense mood swings, feelings of hopelessness, self-harm, and emotional outbursts—can indeed be indicative of mood disorders, including depression or bipolar disorder. Mood disorders can manifest in various ways, and they often affect interpersonal relationships significantly. The fact that you experience extreme highs and lows in your emotions, feeling happy one moment and then overwhelmed with negative feelings the next, suggests that there may be an underlying issue that needs to be addressed.

Your history of two miscarriages in the past six months is also a critical factor to consider. Pregnancy loss can have profound emotional and psychological effects, leading to grief, anxiety, and depression. The hormonal changes associated with pregnancy and postpartum can also contribute to mood instability. It’s essential to acknowledge that these experiences can exacerbate existing emotional challenges or even trigger new ones.

In terms of your relationship, it’s important to recognize that emotional dysregulation can create a cycle of conflict and distress. When you feel overwhelmed, you may react in ways that push your partner away, which can lead to feelings of isolation and further exacerbate your emotional struggles. The push-pull dynamic you describe—wanting to connect but also feeling the urge to push people away—is common in individuals dealing with emotional dysregulation.

Here are some steps you can consider taking:
1. Seek Professional Help: It is crucial to consult with a mental health professional who can provide a proper assessment and diagnosis. They can help you understand whether you are experiencing a mood disorder and recommend appropriate treatment options, which may include therapy, medication, or both.

2. Therapeutic Support: Engaging in therapy, such as cognitive-behavioral therapy (CBT), can help you develop better emotional regulation skills. Therapy can provide a safe space to explore your feelings, understand the triggers for your emotional responses, and learn healthier coping mechanisms.

3. Communication with Your Partner: It may be beneficial to have an open and honest conversation with your boyfriend about your feelings and experiences. While it can be challenging to express emotions, sharing your struggles can help him understand what you are going through and foster a supportive environment.

4. Self-Care Practices: Incorporating self-care strategies into your daily routine can help manage stress and improve your emotional well-being. Activities such as mindfulness, meditation, exercise, and journaling can provide outlets for your feelings and help you gain perspective.

5. Support System: Lean on friends or family members who can provide emotional support. Having a support system can help you feel less isolated and more understood.

6. Monitor Your Symptoms: Keeping a journal of your moods, triggers, and coping strategies can help you and your therapist identify patterns and develop strategies to manage your emotional responses more effectively.

In conclusion, while it is possible that you are experiencing mood-related issues, it is essential to seek professional help for a comprehensive evaluation. Understanding the root causes of your emotional turmoil is the first step toward healing and improving your relationship. Remember, you are not alone in this, and there are resources available to help you navigate these challenges.

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