Emotional Instability: Breathing Issues and Mental Health - Psychiatry

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Emotional instability can lead to a desire for deep breathing?


Hello, doctor.
I'm sorry, but my emotions have been noticeably unstable this past month compared to before.
Sometimes I'm happy, but I can easily fall into a low mood over just a few words.
I used to not cry much, but recently I find myself unable to stop crying once I start.
I often get caught up in thoughts about whether my existence in this world has any meaning, and I'm very afraid of not being needed by anyone.
I easily feel anxious just because my boyfriend hasn't checked in or has disappeared, even though he has repeatedly expressed his feelings for me.
Deep down, I trust him, but I can't seem to stop the chaotic thoughts.
Whenever I feel emotional, I have a strong urge to take deep breaths, as if there's pressure in my chest, and I often struggle to fall asleep at night even though I'm very tired.
Recently, I've also been experiencing dizziness and headaches.
Just yesterday, I felt an inexplicable surge of emotions because he forgot to mention something, which led to the need for deep breaths, dizziness, and a bit of trembling in my body.
However, after he made me laugh, I felt better.
Sometimes these symptoms come on suddenly, and yesterday's episode startled me, but I don't have any thoughts of wanting to die.
Could you please tell me if this is a mental health issue, or is this actually quite normal and everyone experiences it? Am I overreacting?

Lou, 10~19 year old female. Ask Date: 2019/12/03

Dr. Liang Sunyuan reply Psychiatry


Hello Lou: Many people occasionally experience emotional instability or intrusive thoughts, which generally improve over time.
However, if the unstable condition persists for a month, it is important to pay attention to whether there are symptoms of anxiety or depression.
It is advisable to monitor whether the situation is gradually improving or worsening.
If it becomes more severe, seeking medical evaluation is recommended.
In the meantime, it is suggested to redirect attention to personal interests and hobbies to see if the condition gradually improves.

Reply Date: 2019/12/03

More Info


It sounds like you are experiencing a significant amount of emotional instability, which is often linked to anxiety and stress. Your symptoms, including sudden mood swings, difficulty breathing, feelings of being overwhelmed, and physical sensations like dizziness and chest tightness, can be indicative of anxiety disorders. It's important to understand that these feelings and experiences are not uncommon, especially in today's fast-paced and often stressful environment. However, when they begin to interfere with your daily life, relationships, and overall well-being, it may be time to seek professional help.

Emotional instability can manifest in various ways, including rapid mood changes, excessive worry, and difficulty managing stress. The fact that you find yourself crying easily and feeling anxious about your boyfriend's actions suggests that you may be experiencing heightened emotional sensitivity. This can be a result of underlying anxiety or depression, which can cause you to perceive situations as more threatening or distressing than they may actually be.

The physical symptoms you describe, such as the need to take deep breaths, feelings of chest tightness, and dizziness, can also be associated with anxiety. These symptoms are often part of the body's fight-or-flight response, which can be triggered by stress or anxiety. When you feel anxious, your body may react by increasing your heart rate and altering your breathing patterns, leading to sensations of breathlessness or tightness in the chest. It's not uncommon for individuals experiencing anxiety to feel as though they cannot catch their breath, which can further exacerbate feelings of panic or distress.

Sleep disturbances, such as difficulty falling asleep despite feeling tired, are also common in individuals dealing with anxiety and emotional instability. The racing thoughts and worries that accompany anxiety can make it challenging to relax and fall asleep, leading to a cycle of fatigue and increased anxiety.

It's crucial to recognize that you are not alone in experiencing these feelings. Many people go through periods of emotional instability, especially during times of stress or change. However, if these feelings persist for an extended period or worsen, it may be beneficial to consult with a mental health professional. They can help you explore the underlying causes of your emotional instability and develop coping strategies to manage your symptoms.

In the meantime, consider implementing some self-care strategies to help manage your emotional health. Engaging in regular physical activity, practicing mindfulness or meditation, and maintaining a healthy sleep routine can all contribute to improved emotional well-being. Additionally, talking to someone you trust about your feelings can provide relief and help you feel less isolated.

If you find that your symptoms are becoming overwhelming or are significantly impacting your daily life, please reach out to a mental health professional. They can provide you with the support and guidance you need to navigate these challenges and work towards a more stable emotional state. Remember, seeking help is a sign of strength, and taking the first step towards understanding and managing your emotional health is essential for your overall well-being.

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