Emotional Turmoil: Navigating Anger and Despair - Psychiatry

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Emotional issues


In my childhood, I often acted out and was quite willful, but by high school, my temper became more irritable.
I could get extremely angry over trivial matters and even attempted self-harm.
Recently, my mood has been very unstable, easily influenced by my surroundings.
I struggle to find motivation and often can't sleep until dawn, only managing to get a little rest afterward.
I constantly feel as if my life has been invalidated by the world and everyone around me.
I've thought about suicide, but I lack the courage.
After I lose my temper, I feel an overwhelming sense of guilt.
I know I shouldn't be angry, yet I can't help it and feel out of control.
Additionally, after an outburst, I experience a heavy feeling in my chest and have difficulty breathing.

Nǐ hǎ, 20~29 year old female. Ask Date: 2019/07/04

Dr. Wu Enliang reply Psychiatry


Hello, online friend: It sounds like it could be depression.
I recommend using the simple health scale for self-assessment of your emotional state at http://tspc.tw/tspc/portal/theme/index.jsp?sno=95.
If your score is above 10, it's advisable to consult with a specialist.
If it's above 15, it is recommended to seek treatment at a mental health facility.
Dr.
Wu Enliang.

Reply Date: 2019/07/04

More Info


It sounds like you are experiencing a significant amount of emotional turmoil, which can be incredibly challenging to navigate. The feelings of anger, despair, and self-harm that you describe are serious and indicate that you may be dealing with underlying mental health issues, such as depression or anxiety. It's important to understand that these feelings are not uncommon, especially during the tumultuous years of adolescence and young adulthood, but they can be managed with the right support and strategies.

Firstly, let's address the anger and irritability you mentioned. It’s not unusual for teenagers and young adults to experience heightened emotions due to hormonal changes, stress from school or work, and social pressures. However, when anger becomes uncontrollable and leads to thoughts of self-harm or harming others, it’s crucial to seek help. Anger can often be a secondary emotion, masking deeper feelings of sadness, fear, or inadequacy. Recognizing this can be the first step in managing your emotional responses. Techniques such as mindfulness, deep breathing exercises, and journaling can help you process your emotions more constructively.
You also mentioned feelings of guilt after losing your temper. This is a common experience for many people who struggle with anger management. It’s essential to practice self-compassion and understand that everyone has moments of emotional overflow. Instead of berating yourself for these moments, try to reflect on what triggered your anger and how you can respond differently in the future. Seeking therapy can provide you with tools to better understand and manage your emotions.

Regarding the feelings of despair and the thoughts of self-harm, these are serious indicators that you may be experiencing depression. The inability to find joy in activities you once enjoyed, persistent feelings of sadness, and sleep disturbances are all symptoms of depression. It’s vital to talk to a mental health professional who can provide a proper diagnosis and treatment plan. Therapy, medication, or a combination of both can be effective in treating depression.

You mentioned that you sometimes feel as if your life is being rejected by the world. This feeling of hopelessness can be overwhelming, but it’s important to remember that you are not alone in this experience. Many people go through similar feelings, and there is help available. Building a support system of friends, family, or support groups can provide you with a sense of belonging and understanding.

If you ever feel like you might harm yourself or have thoughts of suicide, it’s crucial to reach out for help immediately. Contact a trusted friend, family member, or a mental health professional. There are also hotlines available where you can speak to someone who understands what you’re going through.

In terms of practical steps you can take, consider incorporating regular physical activity into your routine, as exercise is known to improve mood and reduce anxiety. Additionally, establishing a regular sleep schedule can help combat insomnia and improve your overall emotional well-being. Engaging in creative outlets, such as art or music, can also provide a healthy way to express your feelings.

Lastly, regarding your question about seeing a mental health professional, many insurance plans cover mental health services, but it’s essential to check with your provider about coverage specifics. Therapy sessions may vary in cost, and some practitioners offer sliding scale fees based on income.

In conclusion, navigating emotional turmoil is undoubtedly challenging, but with the right support and strategies, it is possible to regain control over your emotions and improve your mental health. Don’t hesitate to reach out for help; you deserve to feel better and live a fulfilling life.

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