Emotional Turmoil: Is It a Mental Health Issue? - Psychiatry

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I don't know if this is actually a disease. If it is, what kind of disease is it?


Doctor, I have a boyfriend I've been dating for three years.
I have a strong sense of possessiveness over him.
I don't allow him to go out with other girls.
My emotions fluctuate greatly; sometimes I feel very insecure.
But the moment I think he might leave me, I go completely crazy, becoming extremely irrational.
No matter what he says to me, I feel like he is only thinking of himself.
I respond without thinking, saying the most hurtful things.
However, after we argue or after I sleep on it, I act as if nothing happened.
But even the smallest issue can trigger me to bring everything back up and argue again, and I even resort to self-harm.
Doctor, what kind of condition do I have? Where should I seek treatment? Will it be very expensive?

Xiao Jing, 20~29 year old female. Ask Date: 2004/03/07

Dr. Xie Qingzhou reply Psychiatry


Hello: Based on the situation you described, it is recommended to seek assistance from a psychosomatic or psychiatric outpatient clinic for further evaluation.
Psychological counseling and long-term psychotherapy may be necessary.
Sincerely, Dr.
Hsieh Ching-Jou, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/03/07

More Info


It sounds like you are experiencing significant emotional turmoil in your relationship, which is causing distress not only for you but potentially for your partner as well. Your feelings of possessiveness, intense emotional reactions, and self-harming behaviors are concerning and may indicate underlying mental health issues that need to be addressed.

From what you've described, it seems you may be dealing with symptoms that could be associated with Borderline Personality Disorder (BPD) or other mood disorders. BPD is characterized by intense emotional responses, fear of abandonment, unstable relationships, and impulsive behaviors. The patterns of emotional highs and lows you experience, along with the extreme reactions to perceived threats to your relationship, align with some of the symptoms of BPD. However, only a qualified mental health professional can provide a proper diagnosis.

Your feelings of jealousy and possessiveness may stem from deeper insecurities or fears of abandonment. It’s important to recognize that these feelings can lead to destructive behaviors, both towards yourself and your partner. The fact that you mentioned self-harming behaviors is particularly concerning and indicates that you may be in a state of emotional distress that requires immediate attention.

In terms of seeking help, I recommend reaching out to a mental health professional, such as a psychologist or psychiatrist, who can provide a thorough assessment and discuss your symptoms in detail. Therapy, particularly Dialectical Behavior Therapy (DBT), has been shown to be effective for individuals with BPD and can help you develop healthier coping mechanisms, improve emotional regulation, and enhance interpersonal effectiveness.

As for the cost of treatment, it can vary widely depending on your location, the type of therapy, and whether you have insurance coverage. Many therapists offer sliding scale fees based on income, and community mental health centers may provide services at reduced costs. It’s worth exploring these options to find affordable care.

In the meantime, consider implementing some self-care strategies to help manage your emotions. These can include mindfulness practices, journaling to express your feelings, and engaging in physical activities to release pent-up energy. It’s also crucial to communicate openly with your partner about your feelings and the challenges you’re facing, as this can foster understanding and support.

Remember, seeking help is a sign of strength, and addressing these issues now can lead to healthier relationships and a more fulfilling life. You deserve to feel better and to have a relationship that is based on trust and mutual respect. Please take the first step towards healing by reaching out for professional support.

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