Managing Irritability: Personality and Mental Health Issues - Psychiatry

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Irritability


Perhaps it's my personality or maybe I have some mental health issues!? I really dislike answering the same question multiple times, and I don't like doing the same thing over and over again.
For example, when someone asks me what job I'm doing now or how much money I'm making...
I don't want to know these details about others, but people keep asking.
I really want to record the questions they tend to ask and play it back to them; it's so annoying.
However, I understand that some people ask these questions to find a topic to discuss, and some are just making small talk without any ill intent, but I still find it bothersome.

At work, I absolutely hate when someone loses something and then asks me to redo it...
it drives me crazy.
When others speak slowly, I get angry.
When someone says I must be saving a lot of money, I get upset.
If someone speaks in a condescending tone or acts like a know-it-all, it makes me furious.
How should I adjust to this? I really can't stand my personality.

cif, 20~29 year old female. Ask Date: 2001/03/02

Dr. Tang Xinbei reply Psychiatry


Dear Karen,
It seems that you are quite sensitive and concerned about how others perceive you and their impressions of you.
Are you unhappy with your current self? Are you experiencing some difficulties in your interactions with those around you due to your emotional reactions? Do you wish to improve your current state?
"Change" is a process of understanding and relearning.
You need to gain a deeper understanding of your current self, recognizing that your feelings and reactions stem from past experiences.
To make adjustments, it's essential to accept that everyone has imperfections, and your self-perception may differ from how others see you.

You can learn to listen to your inner voice and the reflections others have of you.
I often recommend that individuals use the "empty chair" technique.
Here's how it works: In a quiet room, place two chairs facing each other.
Sit in one chair and imagine that another version of yourself, or someone you wish to communicate with, is sitting in the "empty chair" across from you (you can use a recording device to capture what you say).
Try to express some thoughts to the person in the "empty chair." After speaking for a while, switch chairs, placing the recording device in the chair you just vacated.
Play back what you just said, listening as if you were another person or your inner self (if speaking to yourself).
Reflect on your words and the feelings they evoke, and then try to make adjustments.
This practice can be attempted regularly to gain a clearer understanding of your inner self.
Of course, such exercises may not immediately resolve your concerns.
I also recommend seeking professional assistance from a psychiatrist or a psychological counseling institution nearby.
Wishing you peace and joy.

Reply Date: 2001/03/02

More Info


Managing irritability can be a complex issue that intertwines personality traits and mental health conditions. Your feelings of frustration and annoyance towards repetitive questions or behaviors are not uncommon, but they can significantly impact your interactions and overall well-being. Understanding the underlying reasons for these feelings is crucial in managing them effectively.

Firstly, it’s essential to recognize that irritability can stem from various sources, including personality traits, stress levels, and even underlying mental health conditions. For instance, individuals with traits associated with certain personality disorders, such as Borderline Personality Disorder (BPD) or Narcissistic Personality Disorder (NPD), may experience heightened irritability and frustration in social interactions. These traits can lead to a lack of tolerance for perceived annoyances, such as repetitive questions or slow communication styles.

Moreover, anxiety and mood disorders can exacerbate feelings of irritability. When someone is anxious or depressed, their threshold for frustration may lower, making them more sensitive to external stimuli. This sensitivity can manifest as irritability, especially in situations where one feels overwhelmed or out of control. If you find yourself frequently irritated, it may be beneficial to explore whether anxiety or mood disorders are contributing factors.

To manage your irritability, consider implementing the following strategies:
1. Self-Awareness: Begin by acknowledging your feelings of irritability without judgment. Understanding that these feelings are valid can help you approach them more constructively. Keep a journal to track when you feel irritated and identify any patterns or triggers.

2. Mindfulness and Relaxation Techniques: Practicing mindfulness can help you stay grounded in the present moment and reduce feelings of frustration. Techniques such as deep breathing, meditation, or progressive muscle relaxation can help calm your mind and body, making it easier to respond to irritations with patience.

3. Cognitive Behavioral Techniques: Challenge negative thoughts that contribute to your irritability. For example, if you find yourself thinking, “I can’t stand when people ask me the same question,” try reframing it to, “People may not realize they are asking the same question, and it’s okay to respond calmly.” This shift in perspective can help reduce the intensity of your irritation.

4. Setting Boundaries: If certain topics or questions consistently irritate you, consider setting boundaries with those around you. Politely express your discomfort with specific questions or topics, and suggest alternative subjects for conversation. This can help create a more comfortable environment for both you and others.

5. Communication Skills: Improving your communication skills can also help manage irritability. Practice active listening and empathy, which can foster better understanding in conversations. When you feel irritated, take a moment to breathe and respond thoughtfully rather than reacting impulsively.

6. Seek Professional Help: If your irritability significantly impacts your daily life or relationships, consider seeking support from a mental health professional. Therapy can provide a safe space to explore your feelings and develop coping strategies tailored to your needs.

7. Engage in Physical Activity: Regular exercise can help reduce stress and improve mood, which may, in turn, decrease irritability. Find an activity you enjoy, whether it’s walking, dancing, or yoga, and incorporate it into your routine.

8. Practice Patience: Remind yourself that everyone has different communication styles and paces. Practicing patience can help you respond more calmly to situations that would typically irritate you.

In conclusion, managing irritability involves a combination of self-awareness, coping strategies, and possibly professional support. By understanding the underlying factors contributing to your irritability and implementing effective strategies, you can improve your interactions and overall quality of life. Remember, it’s a journey, and it’s okay to seek help along the way.

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