Emotional Rollercoasters: A Guide to Mood Swings

Emotional fluctuations are significant?

I'm feeling a strong aversion to studying this semester.
I don't want to focus on my studies, but I still manage to submit my assignments on time.
In class, I don't want to listen to anything, even if the teacher is excellent or if I've worked hard to enroll in the course.
I just want to zone out or do my own thing.
Before going to bed, I often feel like crying, and occasionally I have thoughts about harming myself or wish I could just sleep forever.
However, I still complete my part-time job normally.

Strangely, in the mornings, I feel quite happy, almost like the joy of getting accepted into a school I wanted.
But at night, I feel sad.
Last night, after feeling extremely sad, I experienced a mix of inexplicable joy and sadness the following evening, where I could suddenly cry and then feel very happy.
It feels odd; for instance, while writing this, when I mention that feeling of joy, my mood lifts, but when I write about my sadness, tears flow down my face.
It's really strange.
My emotions used to be stable, but now they fluctuate so much that I'm not used to it.
The sudden shifts from crying to feeling happy are confusing.

Doctor, what is happening to me? Thank you for your response.

Niming, 20~29 year old female. Ask Date: 2019/04/24

Dr. Huang Xiaoxian reply Psychiatry

Dear Grace, it sounds like your mood has been fluctuating significantly lately, whereas it was previously stable.
There may be a potential for underlying bipolar affective disorder.
I'm wondering if you have been experiencing any other sources of stress recently.
I recommend visiting a mental health clinic for further evaluation, so that appropriate treatment and counseling can be provided for your symptoms.
Wishing you a speedy recovery! Dr.
Huang Hsiao-Hsien

Reply Date: 2019/04/24

More Info

Understanding emotional rollercoasters can be quite challenging, especially when you experience sudden mood swings that seem to come out of nowhere. Based on your description, it appears that you are grappling with significant emotional fluctuations, which can be distressing and confusing. This phenomenon is not uncommon, particularly among individuals who may be experiencing underlying mental health issues such as anxiety, depression, or even mood disorders like bipolar disorder.

Firstly, it’s important to recognize that mood swings can be influenced by a variety of factors, including stress, hormonal changes, sleep patterns, and even diet. Your mention of feeling a sense of joy in the morning followed by intense sadness at night suggests a possible disruption in your emotional regulation. This could be linked to your daily activities, social interactions, or even academic pressures that you may be facing.

The feelings of wanting to cry before sleep and having thoughts of self-harm are particularly concerning. These thoughts can often arise from feelings of hopelessness or overwhelming sadness. It’s crucial to address these feelings seriously. If you find yourself having thoughts of harming yourself, it’s essential to seek immediate help from a mental health professional or a trusted individual in your life. You do not have to navigate these feelings alone, and there are resources available to help you through this difficult time.

Your experience of feeling happy and then suddenly feeling sad can be indicative of mood dysregulation. This can occur in various mental health conditions, including depression and anxiety disorders. In some cases, individuals may experience what is known as "rapid cycling," which is often associated with bipolar disorder, where mood changes can happen quickly and unpredictably. However, it’s important to note that only a qualified mental health professional can provide an accurate diagnosis.

To help manage these emotional fluctuations, consider implementing some strategies that can promote emotional stability:
1. Establish a Routine: Creating a daily routine can provide structure and predictability, which may help in managing mood swings. This includes regular sleep patterns, meal times, and study schedules.

2. Mindfulness and Relaxation Techniques: Practices such as mindfulness meditation, deep breathing exercises, and yoga can help you stay grounded and reduce anxiety. These techniques can also enhance your awareness of your emotions, allowing you to respond to them more effectively.

3. Physical Activity: Regular exercise has been shown to improve mood and reduce symptoms of anxiety and depression. Aim for at least 30 minutes of moderate exercise most days of the week.

4. Healthy Diet: Nutrition plays a significant role in mental health. Ensure you are consuming a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid excessive caffeine and sugar, which can exacerbate mood swings.

5. Seek Professional Help: If your emotional fluctuations continue or worsen, it’s essential to reach out to a mental health professional. They can provide you with a proper assessment and recommend therapy or medication if necessary.

6. Connect with Supportive People: Surround yourself with friends and family who understand what you’re going through. Sharing your feelings with someone you trust can provide relief and help you feel less isolated.

7. Journaling: Keeping a journal can be a therapeutic way to express your emotions. Writing down your thoughts and feelings can help you identify patterns in your mood and triggers that may be contributing to your emotional swings.

In conclusion, while experiencing emotional rollercoasters can be distressing, it’s important to remember that help is available. By taking proactive steps to manage your emotions and seeking support when needed, you can work towards achieving greater emotional stability. Remember, you are not alone in this journey, and there are professionals who can guide you through it.

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