Emotional Outbursts: Is It Normal to Cry with Anxiety? - Psychiatry

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Symptom Consultation (Frequent Crying)


Hi Dr.
Liang: I have been stable on medication for anxiety (taking 2 tablets of Sertraline daily) for a while, but sometimes I still cry intensely (heart-wrenching) about once or twice a week, each time for about half an hour.
Is it normal to experience this even while on medication? Is this a normal emotional release, or does it indicate a tendency towards depression, or am I just overly sensitive and crying for no reason? I’m not sure how to describe it; I just feel very lonely and empty inside.
When a wave of sadness hits, I cry, and I really want a hug.
XD (Maybe it's related to being raised by a single parent.) Thank you so much for taking the time to respond, I appreciate it!

Hi, 10~19 year old female. Ask Date: 2021/07/19

Dr. Liang Sunyuan reply Psychiatry


Hello: Crying is an expression of emotion, and frequent crying often indicates feelings of sadness or depression.
To some extent, crying can also be an effective way to release emotions.
In addition to adhering to a regular medication regimen, it may be helpful to reflect on what might be causing your sadness.
Engaging in leisure activities or learning pursuits that you enjoy can also be beneficial.
If there is no improvement over time, it is advisable to discuss potential solutions with your physician during your follow-up appointment.

Reply Date: 2021/07/19

More Info


Crying is a natural emotional response that can occur for various reasons, and it is particularly common among individuals experiencing anxiety disorders. Your experience of crying deeply and feeling overwhelmed, even while on medication, is not unusual. It is essential to understand that anxiety and depression can coexist, and emotional outbursts like crying can be a manifestation of these underlying conditions.

When you mention that you are on medication for anxiety, it is crucial to recognize that while medication can help manage symptoms, it may not eliminate all emotional responses. The medication you are taking, presumably an antidepressant or anxiolytic, often takes time to reach its full effect, and even then, it may not completely suppress emotional reactions. Emotional responses are complex and can be influenced by various factors, including stress, life circumstances, and personal history.

Your feelings of loneliness and emptiness, as well as the urge to cry when sadness arises, suggest that you might be grappling with deeper emotional issues. It is not uncommon for individuals with anxiety to feel isolated, especially if they perceive that their emotions might burden others. This can lead to a cycle of suppressing feelings, which can ultimately result in emotional outbursts.

Crying can serve as a healthy emotional release. It allows you to express feelings that may be difficult to articulate verbally. While it may feel overwhelming at times, it is a way for your body to process emotions. However, if these episodes of crying become frequent or intense, it may indicate that you are experiencing more than just anxiety; it could be a sign of underlying depression or unresolved emotional trauma.

Given your background, including the mention of being from a single-parent household, it is possible that past experiences contribute to your current emotional state. Childhood experiences can significantly shape how we handle emotions as adults. If you feel comfortable, exploring these feelings with a mental health professional could provide valuable insights and coping strategies.

In addition to seeking professional help, consider incorporating self-care practices into your routine. Engaging in activities that bring you joy, practicing mindfulness or meditation, and maintaining a healthy lifestyle can help manage anxiety and improve your emotional well-being. Journaling, as you mentioned, can also be a powerful tool for processing your thoughts and feelings, even if it feels daunting at times.

Lastly, it is essential to communicate with your healthcare provider about your emotional experiences. They can help assess whether your current medication regimen is appropriate or if adjustments are needed. Therapy, in conjunction with medication, can provide a comprehensive approach to managing anxiety and emotional distress.

In summary, crying as a response to anxiety is normal, but if it becomes a frequent occurrence, it may be beneficial to explore these feelings further with a mental health professional. Remember, you are not alone in this journey, and seeking help is a courageous step toward understanding and managing your emotions better.

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