How to Seek Help for Uncontrolled Emotions and Depression

How should I seek medical care?

Hello Dr.
Chen, I have seen two psychiatrists who both diagnosed me with depression, but the medications they prescribed made me feel weak and dizzy for many days.
Throughout the treatment, I have been unable to control my emotions, and I find myself in a state of emotional turmoil almost all the time, except when I am sleeping.
Even in my sleep, I sometimes have outbursts, which means I am struggling with emotional instability 24 hours a day.
During the day, I have to take care of two small children, and whenever they argue, I find it even harder to control my emotions.
Sometimes I get so angry that I think about jumping out of the window (from the 10th floor) to escape the pain, but then I also think about how my death would leave my children without anyone to care for them and how my husband would be unable to work.
This thought makes me so frustrated that I shake all over or yell loudly, which scares my children and makes them cry.
I know this is very harmful to their development, but I just can't control it.
I feel like my brain and body are being controlled by different entities; my brain knows I need to stay calm, but my body cannot manage the emotional outbursts.
What should I do? My husband is very understanding and encourages me to rely on willpower to overcome my depression.
I am aware of this, but I still can't control it.
How can I heal from my condition? Thank you, Dr.
Chen.

Mrs. Yang, 30~39 year old female. Ask Date: 2004/07/05

Dr. Chen Guangpeng reply Psychiatry

Dear Mrs.
Yang,
I have read your description and deeply empathize with your suffering.
I believe that proactive treatment is indeed urgent.
I would like to offer some questions and suggestions for your consideration.

Firstly, regarding your treatment regimen and the side effects you are experiencing, I think there are some clarifications needed.
The pharmacological treatment for depression or emotional issues is not instantaneous; fundamental improvement requires time, typically ranging from two weeks to two months.
Before this period, the focus is primarily on symptomatic relief, akin to treating the symptoms without addressing the underlying issue.
Therefore, understanding the treatment plan, being patient, and closely collaborating with your primary physician to minimize discomfort during this time is likely the best approach.
A lack of patience and consensus may lead to feelings of helplessness and despair.
Secondly, psychiatric care extends beyond medication; psychosocial therapy is also an effective tool.
This can range from crisis intervention to deeper exploration of root causes, which can complement pharmacological treatment, albeit requiring more time and effort.
Finally, I wish you a swift recovery and hope your family can soon be free from suffering.

Reply Date: 2004/07/05

More Info

It sounds like you are going through an incredibly challenging time, and I want to acknowledge the strength it takes to reach out for help. Your experience with depression and uncontrolled emotions is not uncommon, and it’s important to understand that you are not alone in this struggle.
From what you've described, it seems that you have been diagnosed with depression by two different psychiatrists, and you have experienced side effects from the medications prescribed to you. Feeling weak and dizzy can be common side effects of certain antidepressants, but it’s crucial to communicate these experiences to your healthcare provider. They may need to adjust your dosage or switch you to a different medication that might be better tolerated. Remember, finding the right medication can sometimes take time and patience, and it’s essential to work closely with your doctor throughout this process.

Your feelings of emotional instability, especially when caring for your children, are understandably distressing. It’s clear that you are aware of the impact your emotional state can have on them, which shows a level of insight that is important in seeking help. The fact that you are considering the well-being of your children indicates that you care deeply about their development and emotional health. However, it’s also crucial to prioritize your own mental health, as you cannot pour from an empty cup.

Here are some steps you can take to seek help and manage your emotions:
1. Communicate with Your Doctor: Since you are experiencing significant side effects from your medication, it’s vital to have an open dialogue with your psychiatrist. Discuss your symptoms, the impact on your daily life, and the side effects you are experiencing. They may suggest alternative medications or therapies that could be more effective for you.

2. Therapy: In addition to medication, therapy can be a powerful tool in managing depression and emotional regulation. Cognitive Behavioral Therapy (CBT) is particularly effective for many individuals with depression, as it helps to identify and change negative thought patterns and behaviors. A therapist can provide you with coping strategies to manage your emotions, especially in high-stress situations like caring for your children.

3. Support System: Lean on your support system. It sounds like your husband is understanding and supportive, which is a great asset. Don’t hesitate to share your feelings with him and involve him in your journey toward recovery. Additionally, consider reaching out to friends or family members who can provide emotional support.

4. Mindfulness and Relaxation Techniques: Practices such as mindfulness, meditation, and deep breathing exercises can help you regain a sense of control over your emotions. These techniques can be particularly useful when you feel overwhelmed. Even short moments of mindfulness can help ground you and reduce the intensity of your emotional responses.

5. Routine and Self-Care: Establishing a daily routine can provide structure and predictability, which can be comforting during times of emotional turmoil. Make sure to include self-care activities that you enjoy, whether it’s reading, taking a walk, or engaging in a hobby. Prioritizing self-care is essential for your mental health.

6. Emergency Plan: Given your thoughts of jumping from a height, it’s crucial to have a safety plan in place. If you ever feel like you might act on those thoughts, please reach out for immediate help. This could be a trusted friend, family member, or a mental health crisis hotline. Your safety is the top priority.

7. Parenting Support: Consider seeking parenting support groups or resources that can provide you with strategies for managing your emotions while caring for your children. Connecting with other parents who may be experiencing similar challenges can be incredibly validating and helpful.

In conclusion, it’s essential to remember that recovery from depression is a journey that often requires a multifaceted approach. Medication, therapy, support, and self-care all play significant roles in this process. You are taking a brave step by seeking help, and with the right support and treatment, it is possible to regain control over your emotions and improve your overall well-being. Please continue to advocate for yourself and reach out for the help you deserve.

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