Extreme Anger and Breakdown in ADHD Patients

Q: Extreme Anger and Breakdown in ADHD Patients

Hello, internet user： One characteristic of ADHD is poor impulse control, which may be related to ADHD. <br>It is recommended to discuss this further with your child and adolescent psychiatrist. <br>Dr. <br>Wu En-Liang.

Often becomes extremely irritable and experiences mental breakdowns over trivial matters?

Dear Doctor,
I am a second-year junior high school student.
Three months ago, I was diagnosed with ADHD and have been taking medication (Strattera).
Initially, I thought it was just my inability to manage my emotions, which caused me to become extremely frustrated over small issues (like scoring 1 or 2 points below 90 or spending too much time on an exam).
However, the situation has worsened.
I can no longer accept these minor imperfections or mistakes (such as saying the wrong thing, misunderstanding, or embarrassing myself).
When these happen, I feel completely overwhelmed, thinking there is no difference between me and a failure.
I want to scream and hide in a corner, crying in pain.
I often hit myself with my fists and experience severe headaches, feeling like my head is going to explode.
I bang my head hard against the table, and during these moments, my emotions become extremely volatile.
At times, I even hit the wall frantically, and once I came to my senses, I found my hands covered in blood.
Doctor, I would like to ask if this is related to ADHD.
If it is not, could you please explain what might be causing these behaviors? Thank you very much for your response.

Han Si, 10~19 year old female. Ask Date: 2021/06/03

Dr. Wu Enliang reply Psychiatry

Hello, internet user: One characteristic of ADHD is poor impulse control, which may be related to ADHD.
It is recommended to discuss this further with your child and adolescent psychiatrist.
Dr.
Wu En-Liang.

Reply Date: 2021/06/03

More Info

Dear Student,
Thank you for reaching out and sharing your experiences. It’s clear that you are going through a very challenging time, and I want to address your concerns regarding the extreme anger and emotional breakdowns you are experiencing in relation to your ADHD diagnosis.

ADHD, or Attention-Deficit/Hyperactivity Disorder, is characterized by symptoms such as inattention, hyperactivity, and impulsivity. However, it can also be associated with emotional dysregulation, which refers to difficulties in managing and responding to emotional experiences. This emotional dysregulation can manifest as intense anger, frustration, and feelings of inadequacy, especially when faced with perceived failures or imperfections.

Your experiences of feeling overwhelmed by minor setbacks, such as receiving a slightly lower grade or making a mistake in conversation, are not uncommon among individuals with ADHD. The impulsivity associated with ADHD can lead to quick emotional reactions, and the inability to manage these emotions can result in extreme outbursts or self-harm, as you described. This is often compounded by feelings of low self-worth and frustration, which can create a vicious cycle of emotional distress.

It’s important to recognize that these emotional responses are indeed related to your ADHD. The disorder can affect how you process emotions and how you react to stressors. When you feel that you have failed or made a mistake, the emotional response can be disproportionately intense, leading to feelings of anger and self-hatred. This is not a reflection of your character or worth; rather, it is a symptom of the condition.

In terms of managing these feelings, it is crucial to seek support from a mental health professional who specializes in ADHD. Cognitive Behavioral Therapy (CBT) can be particularly effective in helping you develop coping strategies to manage your emotions and reactions. Therapy can provide you with tools to reframe negative thoughts and develop healthier responses to stressors.

Additionally, medication can play a role in managing ADHD symptoms, including emotional dysregulation. While you are currently taking medication, it may be beneficial to discuss your experiences with your prescribing physician. They may consider adjusting your medication or exploring additional options that could help stabilize your mood and improve your emotional control.

It’s also essential to develop a support system. Surround yourself with understanding friends, family, or support groups where you can share your experiences and feelings without judgment. Engaging in activities that promote relaxation and mindfulness, such as yoga or meditation, can also help you manage stress and improve emotional regulation.

Lastly, please remember that you are not alone in this journey. Many individuals with ADHD face similar challenges, and with the right support and strategies, it is possible to improve your emotional well-being and overall quality of life. Don’t hesitate to reach out for help, and keep advocating for yourself as you navigate these difficulties.

Take care, and I wish you the best in your journey toward understanding and managing your ADHD.

Sincerely,
Doctor Q&A Teams

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