Emotional Instability: Insights into Mental Health Challenges - Psychiatry

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Emotional instability


I am an optimistic person and live a happy life without any special circumstances.
However, I often feel very sad, sometimes without any reason, and at other times influenced by others or external events.
Regardless of the cause, I find myself immersed in sadness for a long time, experiencing thoughts of wanting to die or harm myself.
Negative thoughts continuously arise, and I feel a sense of suffocation.
I have indeed harmed myself in the past, but I always felt that it made things a bit better.
Additionally, I frequently experience anxiety, often becoming overly tense about everything and ruminating on it.
I also notice that my memory is getting worse, and I'm not sure if this is related to my feelings.
Lastly, I often find myself getting angry, and when I do, I can't help but lose control, leading to actions that harm others or myself.
I don't feel like I'm sick, but recently I'm starting to question that...
and these issues are indeed affecting my life.
I hope the doctor can respond to me.
Thank you.

Kelly, 10~19 year old female. Ask Date: 2020/11/06

Dr. Wu Enliang reply Psychiatry


Hello, online friend: It seems that this emotional distress is significantly affecting your life.
It is indeed possible that you may be experiencing depression or anxiety.
I recommend that you seek medical attention at a nearby mental health facility.
If you're unsure where to go, you can download the "Mood Temperature Meter" app on your phone, which can help assess your emotional state and provide suggestions for nearby medical facilities.
Dr.
Wu En-Liang

Reply Date: 2020/11/06

More Info


It sounds like you are experiencing a complex array of emotional challenges that are significantly impacting your daily life. Your feelings of sadness, anxiety, and emotional instability, along with thoughts of self-harm, are serious concerns that warrant attention. While you describe yourself as generally optimistic and happy, the emotional turmoil you are facing suggests that there may be underlying issues that need to be addressed.

Emotional instability can manifest in various ways, including sudden mood swings, feelings of sadness without clear triggers, and intense reactions to stressors. It's not uncommon for individuals to feel overwhelmed by their emotions, leading to a cycle of negative thoughts and feelings. The fact that you have experienced thoughts of self-harm indicates a level of distress that should not be taken lightly. Self-harm is often a coping mechanism for emotional pain, but it can lead to further complications and does not address the root of the problem.

Your mention of anxiety and difficulty concentrating may also be linked to your emotional state. Anxiety can cause racing thoughts and a heightened sense of worry, making it challenging to focus on tasks or engage in conversations. This can create a feedback loop where anxiety exacerbates emotional instability, leading to further distress.

It's important to recognize that you are not alone in feeling this way. Many people experience similar challenges, and seeking help is a crucial step toward understanding and managing your emotions. Professional support from a mental health provider can offer you the tools and strategies needed to cope with your feelings. Therapy can provide a safe space to explore your emotions, identify triggers, and develop healthier coping mechanisms.

In addition to therapy, there are several strategies you can incorporate into your daily routine to help manage your emotional health:
1. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded and present, reducing feelings of anxiety and sadness. Techniques such as deep breathing, meditation, or yoga can promote relaxation and emotional regulation.

2. Physical Activity: Regular exercise has been shown to improve mood and reduce anxiety. Engaging in physical activities you enjoy can serve as a positive outlet for your emotions.

3. Journaling: Writing down your thoughts and feelings can provide clarity and help you process your emotions. It can also serve as a way to track patterns in your mood and identify triggers.

4. Social Support: Connecting with friends, family, or support groups can provide a sense of belonging and understanding. Sharing your experiences with others can alleviate feelings of isolation.

5. Healthy Lifestyle Choices: Prioritizing sleep, nutrition, and hydration can significantly impact your emotional well-being. A balanced diet and adequate rest are essential for mental health.

6. Professional Help: If you haven't already, consider reaching out to a mental health professional. They can offer tailored support and may suggest therapy, medication, or other interventions based on your specific needs.

It's commendable that you are seeking to understand your emotional challenges better. Acknowledging that something feels off is the first step toward healing. Remember that it's okay to ask for help, and taking that step can lead to a more fulfilling and balanced life. Your mental health is just as important as your physical health, and addressing these concerns is a sign of strength, not weakness.

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