Emotional Ups and Downs: When to Seek Help for Mood Swings - Psychiatry

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Constant intermittent lows, and usually when there is no issue, my mood suddenly shifts with any stimulation?


Hello Doctor, I previously asked questions #142143 and #157705.
During the time of #157705, I often felt inexplicably sad and even cried suddenly once.
After a few days, my emotions stabilized, and I thought it was just another episode of intense low mood, so I didn't pay much attention to it.
Today, due to some issues that shouldn't be serious, I became anxious and fearful when it involved a certain person, especially when she returned.
It's just ordinary fear, which is manageable, but my mood is irritable and worried, and I find myself thinking that it would be better to just end it all, leading to tears several times.
Is this normal? Additionally, I recently came across descriptions of mania, and I don't think I have it, but I have experienced mild episodes where, for a short period, I felt like I was on a high, acting exaggeratedly or speaking without thinking, and only reflecting on my behavior afterward.
It doesn't affect my normal life, so that should be okay, right?

abc, 20~29 year old female. Ask Date: 2020/07/24

Dr. Huang Xiaoxian reply Psychiatry


Dear abc,
Based on the above description, it seems that it does not align closely with typical mania.
However, it is evident that there are some psychological issues that have not been well processed.
I recommend consulting a psychiatrist to determine if psychological therapy would be appropriate to help clarify and process these issues.
Additionally, regarding the aspect of mood depression, it would be beneficial to discuss with your doctor the possibility of using medications related to mood improvement.
Wishing you all the best.

Reply Date: 2020/07/24

More Info


It sounds like you are experiencing a significant amount of emotional turmoil, which can be quite distressing. The feelings of sadness, anxiety, and emotional instability you describe are not uncommon, especially in the context of academic pressures, personal relationships, and the expectations placed upon you by yourself and others. It’s important to recognize that these feelings can be indicative of underlying issues that may require attention.

Firstly, it’s crucial to differentiate between normal emotional fluctuations and symptoms that may suggest a more serious condition, such as depression or anxiety disorders. Emotional ups and downs can be a part of life, especially during stressful periods, but when these feelings become overwhelming or interfere with daily functioning, it may be time to seek professional help.

From what you’ve described, it seems you are experiencing episodes of intense sadness and anxiety, which can lead to crying spells and feelings of hopelessness. These symptoms can be associated with depression, especially if they persist for an extended period or if they are accompanied by changes in sleep patterns, appetite, or energy levels. The fact that you mentioned thoughts of wanting to escape or even thoughts of death, even if not serious, is concerning and should not be taken lightly. It’s essential to talk to someone who can help you navigate these feelings.

Regarding your mention of mood swings and potential manic episodes, it’s important to note that experiencing brief periods of elevated mood or increased energy does not necessarily mean you have a bipolar disorder. However, if these episodes are accompanied by impulsive behavior, irritability, or significant changes in sleep and activity levels, it would be wise to discuss these experiences with a mental health professional.

Seeking help from a mental health professional, such as a psychologist or psychiatrist, can provide you with the support and guidance you need. They can help you understand your emotions better, identify any underlying issues, and develop coping strategies. Therapy can be particularly beneficial, as it offers a safe space to express your feelings and work through your concerns. Cognitive-behavioral therapy (CBT), for example, is effective in treating anxiety and depression by helping individuals change negative thought patterns and behaviors.

In terms of practical steps you can take right now, consider incorporating self-care practices into your daily routine. Regular exercise, a balanced diet, and adequate sleep can significantly impact your mood and overall well-being. Mindfulness practices, such as meditation or yoga, can also help you manage anxiety and improve emotional regulation. Additionally, journaling your thoughts and feelings can provide an outlet for your emotions and help you gain clarity on what you are experiencing.

It’s also important to reach out to trusted friends or family members about what you’re going through. Sharing your feelings with someone who can listen and provide support can alleviate some of the burdens you are carrying. Remember, you are not alone in this, and there are people who care about you and want to help.

Lastly, regarding your question about the cost of seeing a mental health professional, this can vary widely depending on your location and insurance coverage. In many cases, mental health services are covered by insurance, but it’s best to check with your provider to understand your benefits. If cost is a concern, many communities offer sliding scale fees based on income or have mental health clinics that provide services at reduced rates.

In conclusion, your feelings are valid, and seeking help is a strong and positive step toward understanding and managing your emotions. Don’t hesitate to reach out for support; it’s a sign of strength, not weakness. You deserve to feel better and to have the tools to cope with the challenges you are facing.

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