Managing Emotional Turmoil: Seeking Help for Mental Health Challenges

Emotional dysregulation

Hello, doctor.
I would like to inquire about emotional management issues.
I used to be a very cheerful person and was happy every day.
However, in the past few months, I've noticed that I easily get angry over small things and can stay upset for several days.
When many issues accumulate, I find myself hitting walls, throwing things, and shouting, even to the point of injuring myself without realizing it.
I've also become more prone to crying, and when I do, I feel sad for a long time.
Even though others don't blame me, I keep replaying my mistakes in my mind and constantly blame myself, leading to overwhelming tears.
Sometimes, I feel physically weak and get scared when I see my lifeless reflection in the mirror, which makes me not want to do anything.
I'm not sure if this is related to preparing for exams, but due to the pandemic, I have no place to study and can only stay at home.
Additionally, my family used to check my phone, and although they don't anymore, I still feel anxious every day.
A few weeks ago, I finally mustered the courage to see a psychiatrist, but my family opposed me taking medication, fearing it would worsen my condition, so I didn't take any.
I would like to ask the doctor what might be causing these changes in me and whether I should continue seeing a doctor.
Previously, the doctor prescribed me an anxiolytic medication, and I would like to know what side effects might occur from taking this medication long-term.
Is it better to manage emotional issues with medication or without it?

Xiao Lin, 20~29 year old female. Ask Date: 2021/08/13

Dr. Wu Menghuan reply Psychiatry

You mentioned that you have been experiencing stress related to preparing for exams, but due to the pandemic, you have no other place to study and can only stay at home.
Over the past few months, you have been easily angered, crying for no reason, hitting walls, throwing things, and yelling.
You often feel guilty, physically weak, and unmotivated to do anything.
You mentioned that a few weeks ago, you visited a psychiatrist who prescribed medication for you, but you and your family are concerned that taking the medication might worsen your condition or cause side effects, so you have not taken it.
I suggest that you go to the outpatient clinic with your family to discuss your concerns and questions with the doctor.
Ask the doctor to help explain your condition and discuss suitable treatment options.
Thank you.

Reply Date: 2021/08/13

More Info

Managing emotional turmoil can be a challenging journey, especially when it feels like your emotional state has shifted dramatically. From your description, it seems that you have been experiencing significant emotional distress, which has manifested in anger, sadness, and physical symptoms of anxiety. This is not uncommon, particularly in the context of stressors such as preparing for exams and the limitations imposed by the pandemic.
Firstly, it’s important to acknowledge that emotional fluctuations can be influenced by various factors, including environmental stressors, personal circumstances, and even biological changes. The fact that you were previously an upbeat person and are now experiencing these challenges suggests that something has shifted in your emotional landscape. This could be due to stress, anxiety, or even underlying mental health conditions that may require professional attention.

Your experiences of anger, self-blame, and physical symptoms like feeling weak or having a blank stare can be indicative of anxiety or depression. It’s essential to understand that these feelings are valid and that seeking help is a positive step. You mentioned that you have already taken the initiative to see a psychiatrist, which is commendable. It’s crucial to continue this dialogue with a mental health professional, as they can provide you with tailored strategies and support.

Regarding medication, such as the one you mentioned (likely an SSRI or similar), it’s important to have an open conversation with your psychiatrist about your concerns and the potential side effects. Common side effects of SSRIs can include nausea, fatigue, insomnia, and sometimes increased anxiety during the initial weeks of treatment. However, many people find that these side effects diminish over time, and the benefits of the medication can significantly improve their quality of life. It’s also worth noting that medication is not the only option; therapy, lifestyle changes, and coping strategies can also be effective in managing emotional distress.

If your family is concerned about medication, it may be helpful to involve them in discussions with your psychiatrist. They can provide education about the treatment process and help alleviate fears regarding medication. Additionally, therapy, such as cognitive-behavioral therapy (CBT), can be an effective way to address emotional regulation and develop coping strategies without the use of medication.

In terms of emotional management, consider incorporating mindfulness practices, such as meditation or deep-breathing exercises, into your daily routine. These practices can help ground you and provide a sense of calm amidst emotional turbulence. Physical activity is also beneficial; even a short walk can help release endorphins and improve your mood.

Lastly, it’s essential to create a supportive environment for yourself. This might involve setting boundaries with family members regarding privacy, especially concerning your phone, and finding safe spaces where you can express your emotions without fear of judgment. Journaling can also be a helpful tool for processing your feelings and gaining insight into your emotional triggers.

In summary, it’s crucial to continue seeking professional help, whether through medication, therapy, or a combination of both. Open communication with your healthcare provider and family can help you navigate this challenging time. Remember, it’s okay to ask for help, and taking steps to manage your emotional health is a sign of strength.

Similar Q&A

Understanding Emotional Turmoil: Seeking Help for Mental Health Struggles

Hello, doctor: I recently started a new relationship, but I've noticed that I have become unusually anxious and insecure. I've had a few failed relationships in the past, and I really dislike this version of myself. Lately, I've been experiencing extreme emotional ...

Dr. Chen Wenke reply Psychiatry
Hello: Based on your description, depression should be the primary consideration. Life stressors and interpersonal pressures can lead to feelings of sadness, anxiety, and emotional lows. This can result in a cascade of negative emotions and thoughts. Many people experience simila...

Managing Emotional Turmoil: A High School Student's Struggle

I am currently a sophomore in high school. The pace at school is very fast, and the workload is heavy, but I can generally manage it. Occasionally, I feel like I'm not doing anything right, but those thoughts don't last long. What bothers me more is when I come home and...

Dr. Dai Wanxiang reply Psychiatry
Hello, based on your description, it seems that due to the stress in your life lately, your emotional distress is becoming increasingly severe and difficult for you to control. Since it is already affecting your daily life, it is likely that you are experiencing adjustment disord...

Understanding Emotional Turmoil: Seeking Help for Mental Health Struggles

Hello, doctor. I find it impossible to control my emotions whenever I am triggered. When I am alone, I cannot calm down; I keep thinking about how pitiful I am for being alone, which makes me feel increasingly wronged and leads to thoughts of self-harm. I cry continuously and, in...

Dr. Qiu Junda reply Psychiatry
Hello, Thank you for your message. It seems that there are indeed challenges with emotional regulation, particularly concerning self-harming behaviors, which should be addressed proactively. I recommend that you gather some information on emotional intelligence management to he...

Overcoming Mental Health Struggles: Finding Support and Understanding

Hello Dr. Chen, I don't know how to talk to others about my mental health issues. I feel afraid to ask questions and worry that people won't accept what I say and will reject me. It seems like others might hurt me. For example, I might spend a long time checking somethi...

Dr. Chen Wenke reply Psychiatry
Hello, Yaling. The issues in your heart are essentially everyone's secrets. However, if these secrets constantly make you unhappy, it might be a good idea to talk to someone about them. Just think, the worst that can happen is just that. We often unconsciously experience man...