Emotional Instability: Is It Just Adolescence or Something More? - Psychiatry

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Emotional instability


Hello, doctor.
I am currently in the second year of junior high school and I have issues with emotional instability.
I often cry for no apparent reason.
Sometimes, when my emotions suddenly surge or when I encounter certain situations, I feel very irritable and want to isolate myself in a corner.
In more severe cases, I even have thoughts of self-harm or throwing things.
I'm not sure if this is due to being in a rebellious phase.
Sometimes, when I'm feeling down, I have thoughts of running into the street to get hit by a car.
At home, I just want to lock myself in my room and not talk to anyone.
I can't focus on anything I do, and every night I struggle with insomnia due to my worries.
Could you please tell me if this is just a rebellious phase or if it indicates some other symptoms?

Niming, 10~19 year old female. Ask Date: 2020/09/11

Dr. Qiu Junda reply Psychiatry


Hello.
The text reveals negative emotions and self-harming thoughts.
I hope you can cherish yourself, just as your questions indicate a desire for better mental and physical health.
Regardless of whether this is a rebellious phase or emotional issues, I recommend that you consult a mental health professional as soon as possible.
If that's not convenient, please reach out to the 1925 mental health hotline.
They also provide counseling, guidance, and referral services to help you address your concerns.

Reply Date: 2020/09/11

More Info


Hello, thank you for reaching out and sharing your experiences. It sounds like you are going through a challenging time, and it’s important to address your feelings and behaviors seriously. Emotional instability, especially during adolescence, can be quite common due to the numerous changes happening in your body and mind. However, the intensity and nature of your feelings may indicate that there is more going on than just typical teenage angst.

Adolescence is a period marked by significant emotional and psychological changes. Hormonal fluctuations, social pressures, and the quest for identity can lead to mood swings and emotional instability. However, the symptoms you describe—such as persistent sadness, irritability, feelings of isolation, self-harm thoughts, and even thoughts of wanting to harm yourself—are concerning and may suggest that you are experiencing more than just typical adolescent emotions.

It's essential to differentiate between normal emotional fluctuations and signs of a more serious mental health issue, such as depression or anxiety disorders. The feelings of wanting to isolate yourself, the inability to concentrate, and the thoughts of self-harm are red flags that should not be ignored. These symptoms can be indicative of depression, which is a serious condition that can affect anyone, including adolescents.

In your case, it’s crucial to seek help from a mental health professional. A psychologist or psychiatrist can provide a safe space for you to express your feelings and thoughts without judgment. They can also help you understand what you are going through and develop coping strategies to manage your emotions. Therapy can be incredibly beneficial in helping you navigate these feelings and can provide you with tools to cope with stress and emotional pain.

Additionally, it’s important to talk to someone you trust about how you’re feeling. This could be a parent, teacher, or school counselor. They can provide support and help you find the resources you need. It’s also vital to ensure that you are in a safe environment. If you ever feel like you might harm yourself or have thoughts of wanting to be hurt, please reach out for immediate help. There are hotlines and services available that can provide support in crisis situations.

In the meantime, consider engaging in activities that promote emotional well-being. This could include physical exercise, creative outlets like drawing or writing, or mindfulness practices such as meditation or yoga. These activities can help you manage stress and improve your mood.

Remember, you are not alone in this, and there is help available. It’s brave of you to reach out and seek understanding about your feelings. Taking the step to talk to a professional can lead to a better understanding of your emotions and help you find a path toward healing. Please take care of yourself and prioritize your mental health.

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