Anxiety and Emotional Overwhelm: When to Seek Help - Psychiatry

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Prone to anxiety and easily tearful?


Most of the time, I am almost expressionless and silent.
Occasionally, I can laugh happily while chatting with friends or my boyfriend, but even a small incident can lead me to feel overwhelmed with guilt, making it difficult for me to concentrate on tasks.
I get stuck in this cycle of self-blame and often end up crying for a long time.
Recently, I have also been experiencing insomnia; if someone is still awake in bed, I cannot fall asleep.
Even if they are just scrolling on their phone in bed, I still can't sleep, and this sleep issue adds a lot of stress to my life.
Does this mean I have psychological problems? I've been considering whether I should seek psychological counseling after the final exams.

12, 20~29 year old female. Ask Date: 2019/06/15

Dr. Huang Xiaoxian reply Psychiatry


Dear Gigi, thank you for your question.
You mentioned experiencing anxiety, insomnia, and emotional fluctuations.
I wonder if there have been any recent stressors that have been troubling you? You mentioned psychological counseling; I recommend that you consider discussing your inner struggles and stressors with a therapist, as it may help you in managing future stress.
Wishing you all the best!

Reply Date: 2019/06/15

More Info


It sounds like you are experiencing a significant amount of emotional distress, which can be quite overwhelming. Your feelings of being expressionless most of the time, coupled with moments of intense emotional reactions to small triggers, indicate that you may be dealing with anxiety and possibly depressive symptoms. The fact that you can feel joy during interactions with friends or your boyfriend suggests that there are moments of relief, but the underlying issues seem to be persistent and troubling.

The emotional turmoil you described, including feelings of self-blame and the inability to concentrate, can be indicative of anxiety disorders or depressive disorders. These conditions often manifest in various ways, including emotional overwhelm, difficulty sleeping, and a pervasive sense of distress. Your experience of crying for extended periods when faced with stressors is also a common symptom of emotional dysregulation, which can be associated with anxiety and depression.

Sleep disturbances, such as the inability to fall asleep when someone else is awake or using their phone, can further exacerbate feelings of anxiety and stress. Sleep is crucial for emotional regulation and cognitive function, and a lack of quality sleep can lead to increased irritability, difficulty concentrating, and heightened emotional responses.

It is important to recognize that seeking help is a sign of strength, not weakness. If you find that your emotional state is affecting your daily life, relationships, or academic performance, it would be beneficial to consider reaching out to a mental health professional. Therapy can provide you with tools to manage your emotions, develop coping strategies, and address the underlying issues contributing to your distress.

In terms of when to seek help, here are some indicators that it might be time to reach out to a mental health professional:
1. Persistent Symptoms: If your feelings of sadness, anxiety, or emotional overwhelm persist for weeks or months without improvement.

2. Impact on Daily Life: If your emotional state is interfering with your ability to function at work, school, or in social situations.

3. Physical Symptoms: If you are experiencing physical symptoms related to anxiety, such as headaches, stomachaches, or fatigue.

4. Thoughts of Self-Harm: If you have thoughts of self-harm or suicide, it is crucial to seek immediate help.

5. Support System: If you feel that your support system (friends, family) is not enough to help you cope with your feelings.

In the meantime, there are some self-care strategies you can implement to help manage your anxiety and emotional overwhelm:
- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help calm your mind and reduce anxiety.

- Regular Exercise: Physical activity is known to boost mood and reduce stress. Even a short daily walk can make a difference.

- Healthy Sleep Hygiene: Establish a calming bedtime routine, limit screen time before bed, and create a comfortable sleep environment to improve your sleep quality.

- Journaling: Writing down your thoughts and feelings can help you process your emotions and gain clarity on what triggers your distress.

- Limit Caffeine and Sugar: These can exacerbate anxiety symptoms, so consider reducing your intake.

Ultimately, it is commendable that you are considering seeking therapy after your exams. A mental health professional can provide you with the support and guidance you need to navigate through this challenging time. Remember, you are not alone in this, and help is available.

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