Struggling with Uncontrollable Emotions: the Causes and Solutions - Psychiatry

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Inability to control emotions?


Hello Doctor: First of all, thank you for taking the time to read and respond to this article.
I have been struggling with significant emotional issues; I cry easily, become emotional, and feel sad over very minor things.
My tear ducts seem uncontrollable, often accompanied by shortness of breath, trembling throughout my body, and a feeling of tightness in my chest.
I try to find reasons for my tears, attempting to discern whether I feel anger or injustice, but unfortunately, I only experience the discomfort of not being able to catch my breath.
Many times, I do not intend to cry; it's just that my emotions fluctuate slightly, yet my tear ducts cannot be controlled.
I can only squeeze my body tightly to somewhat regain my composure.
I would like to ask the doctor if this condition is a psychological disorder or simply a lack of resilience to stress.
These emotions have already caused significant disruption in my life.

Niming, 20~29 year old female. Ask Date: 2020/08/27

Dr. Lin Mianzhang reply Psychiatry


Hello: It seems that you are particularly sensitive to emotional and physical reactions.
I wonder how long this has been the case? From the perspective of psychosomatic medicine (psychiatry), if you have previously experienced significant stress or have a predisposition to such sensitivity, it could lead to these phenomena.
However, before diagnosing a psychosomatic disorder, it is essential to rule out other physiological causes, such as metabolic, endocrine, or cardiovascular diseases.
I recommend that you first visit the psychosomatic department at a general hospital for an evaluation by a physician, who can determine if further tests are necessary.
If it is confirmed that there are no other physiological conditions, then we can address the psychological aspects.
Wishing you a speedy recovery!

Reply Date: 2020/08/27

More Info


It sounds like you're experiencing a complex interplay of emotional distress that is significantly impacting your daily life. Your symptoms, including uncontrollable crying, feelings of breathlessness, trembling, and a sense of emotional overwhelm, suggest that you may be dealing with a form of emotional dysregulation. This can often be associated with various psychological conditions, including anxiety disorders, depression, or even mood disorders such as bipolar disorder.
The fact that you find yourself crying easily and feeling overwhelmed by minor triggers indicates that your emotional responses may be heightened. This could be due to a variety of factors, including past experiences, current stressors, or even biological predispositions. Emotional dysregulation can manifest as an inability to manage emotional responses effectively, leading to intense feelings that seem disproportionate to the situation at hand.

In terms of whether this is a psychological disorder or simply a matter of insufficient coping mechanisms, it's essential to consider the context of your emotional experiences. If these feelings are persistent, interfere with your daily functioning, and cause significant distress, it would be advisable to seek professional help. A mental health professional can provide a thorough assessment to determine if there is an underlying psychological condition that needs to be addressed.

Moreover, your description of feeling breathless and experiencing physical sensations like trembling and a tightness in your chest can also be indicative of anxiety. Anxiety can often present with physical symptoms that can be mistaken for other medical issues. It's crucial to differentiate between psychological and physiological causes, as both can contribute to your emotional state.

To manage these overwhelming emotions, several strategies can be beneficial:
1. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you become more aware of your emotions without becoming overwhelmed by them. Techniques such as deep breathing, progressive muscle relaxation, or guided imagery can help calm your nervous system.

2. Cognitive Behavioral Therapy (CBT): This form of therapy is effective in helping individuals understand and change their thought patterns and behaviors that contribute to emotional distress. A therapist can work with you to develop coping strategies tailored to your specific experiences.

3. Journaling: Writing down your thoughts and feelings can be a powerful way to process emotions. It allows you to express what you're going through and can help you identify triggers for your emotional responses.

4. Physical Activity: Engaging in regular physical exercise can significantly improve mood and reduce anxiety. Exercise releases endorphins, which are natural mood lifters.

5. Social Support: Connecting with friends, family, or support groups can provide a sense of belonging and understanding. Sharing your experiences with others who may have similar struggles can be comforting.

6. Professional Help: If your symptoms persist or worsen, seeking help from a mental health professional is crucial. They can provide a diagnosis and recommend appropriate treatment options, which may include therapy, medication, or a combination of both.

In conclusion, your emotional struggles are valid and deserve attention. It's essential to recognize that seeking help is a sign of strength, and there are effective treatments available. Understanding the root causes of your emotional responses and developing coping strategies can lead to significant improvements in your quality of life. Don't hesitate to reach out to a mental health professional who can guide you through this challenging time.

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