Emotional Turmoil: Signs of Possible Mental Health Issues

Is this a disease?

When I am feeling down, my mind is sometimes filled with negative energy, but when I am happy, I feel more joyful than anyone else.
However, I sometimes experience insomnia late at night, and my emotions seem to be in turmoil, often leading to breakdowns where I cry over trivial matters, and the negative energy lingers (this has been happening frequently lately).
The areas where I previously self-harmed are quite concealed; I want others to notice, yet I also don’t want to be discovered.
I have thought about suicide, such as contemplating what it would feel like to fall down the stairs, and I have even taken actual actions, though none of the three attempts resulted in serious harm (except for the first time, which was an accident; the others were intentional falls).
I have taken many online psychological tests, which indicate mild depression, but I am unsure of their accuracy, and I have not sought medical help, as I genuinely do not feel depressed when I am happy.

Qi, 10~19 year old female. Ask Date: 2022/05/26

Dr. Qiu Junda reply Psychiatry

Hello.
Regardless of whether it constitutes a condition such as depression, the text indeed indicates long-term negative emotions that are causing physical and mental distress.
I recommend that you make time to visit a mental health clinic for counseling (you don't have to think of it as seeing a doctor) to facilitate improvement.
If you have any doubts or hesitations, you can also utilize the Ministry of Health and Welfare's (1925) mental health hotline.
They provide consultation and support services.

Reply Date: 2022/05/26

More Info

It sounds like you are experiencing a complex mix of emotions and thoughts that can be quite overwhelming. From what you've described, it seems that you are dealing with significant emotional fluctuations, including periods of intense sadness, feelings of hopelessness, and even thoughts of self-harm or suicide. These experiences can be indicative of underlying mental health issues, such as depression or anxiety disorders, and it's important to take them seriously.

Firstly, the emotional turmoil you are experiencing—where you feel overwhelmed by negative thoughts and emotions during certain times, yet can feel extremely happy at others—could suggest a mood disorder. Conditions like bipolar disorder can manifest as extreme mood swings, but even within the realm of unipolar depression, individuals can experience varying degrees of emotional highs and lows. It’s crucial to recognize that these feelings are valid and that you are not alone in experiencing them.

The fact that you have engaged in self-harm and have had thoughts of suicide is particularly concerning. These behaviors are often signs of deep emotional distress and can indicate that you may be struggling with depression or another mental health disorder. It’s important to understand that thoughts of self-harm or suicide are serious and should be addressed immediately. If you find yourself in crisis or feeling like you might act on these thoughts, please reach out for help immediately—whether that’s a trusted friend, family member, or a mental health professional.

You mentioned that you have taken online psychological tests that suggest mild depression. While these tests can provide some insight, they are not a substitute for a professional evaluation. Mental health conditions are complex and can only be accurately diagnosed by a qualified mental health professional who can take into account your full history and current symptoms.

It's also worth noting that the feelings of sadness and emotional pain you are experiencing can be exacerbated by stressors in your life, such as academic pressures, family dynamics, or personal relationships. These external factors can contribute to feelings of inadequacy or hopelessness, especially when you compare yourself to others or feel isolated in your struggles.

Given the severity of your symptoms, I strongly encourage you to seek professional help. A mental health professional can provide you with a safe space to explore your feelings and thoughts, and they can work with you to develop coping strategies and treatment plans tailored to your needs. Treatment options may include therapy, medication, or a combination of both, depending on the severity of your symptoms and your personal preferences.

In the meantime, consider reaching out to someone you trust about what you’re going through. Sharing your feelings can be a powerful first step in alleviating some of the burden you are carrying. Additionally, engaging in self-care practices—such as maintaining a routine, getting regular exercise, and practicing mindfulness or relaxation techniques—can also help manage your emotional state.

Remember, it’s okay to ask for help, and taking that step can lead you toward a path of healing and understanding. You deserve support and care as you navigate these challenging emotions.

Similar Q&A

Understanding Emotional Turmoil: Signs and Solutions for Mental Health

Hello, Doctor: Recently, my emotions have been quite unstable; I can be happy one moment and angry the next. I often get upset over trivial matters, and if things don't go my way, I become angry. However, I don't raise my voice or throw things at others, but I do when I...

Dr. Lin Niqi reply Psychiatry
Hello, your article indicates that you have been experiencing emotional distress lately, and your emotional and mental state is significantly affecting your daily life, which is causing you distress. It is recommended that you seek treatment from a psychiatrist.

Understanding Emotional Instability: Signs and When to Seek Help

Frequent irritability, emotional instability, and easily crying, along with periods of low mood, can indicate underlying mental health issues. A strong aversion to social interactions and a preference for solitude, along with extreme thoughts, may suggest conditions such as depre...

Dr. Ding Shuyan reply Psychiatry
Hello, it is important to consider whether these issues are taking up a significant portion of your time and affecting your daily life, work, learning, or interpersonal relationships. Additionally, you should assess whether the duration has been more than a week or two, rather th...

Understanding Signs of Mental Distress: A Guide for Concerned Individuals

Hello, Doctor: I would like to inquire about a situation where an individual appears slightly unwell (fragile, pale) and seems very anxious when talking to others. Even when there is a chair available, they hesitate to sit down, and their body language appears stiff and fearful. ...

Dr. Huang Jiabin reply Psychiatry
Hello: The situation described can be characterized as being under extreme emotional tension while trying to suppress those feelings. When the suppression becomes overwhelming, it can lead to an emotional breakdown. There are many possibilities; it could be temporary or pathologi...

Understanding Your Emotional Symptoms: A Guide to Mental Health

Hello, I often find myself crying for no reason and feeling easily troubled, but I don't know what I'm worried about. I experience emotional instability, irritability, restlessness, and have a tendency towards insomnia and anxiety. I would like to understand what might ...

Dr. Liang Sunyuan reply Psychiatry
Hello, your symptoms are more likely indicative of depression. It is advisable to reflect on any recent stressors or concerns you may have. If there are any, consider discussing coping strategies with friends or family. Engaging in stress-relief activities, such as listening to m...