How to Help a Troubled Young Adult Struggling with Anger and Isolation - Psychiatry

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My younger brother is 20 years old.
He has a more introverted personality, and since our mother gave birth to five daughters, he is the only son.
Our father is often away from home, so he has always been solitary.
He has poor health and does not like to exercise; aside from work hours, he spends all day at home playing video games online.
Over time, his health has deteriorated, and in recent years, he has suffered from insomnia.
Due to his poor sleep quality, he is particularly sensitive to sounds around him.
No matter the time, whenever someone makes a loud noise, he becomes furious, shouts angrily, and often suspects that the upstairs neighbors are intentionally making noise to disturb him.
He rushes upstairs to yell at them, regardless of whether it is day or night.
Because of him, our family members are constantly on edge, fearing that he might harm someone.
We know we should encourage him to see a doctor, but he completely disregards what the family says.
Everyone is increasingly afraid of his fierce demeanor and has become hesitant to speak up.
Now, we no longer know how to interact with him; we are anxious and fearful of when he might explode again.
What should we do? Please help us!

Xiao Zhu, 40~49 year old female. Ask Date: 2006/03/28

Dr. Zhan Hongyu reply Psychiatry


Hello Xiaozhu: There are two possible ways to address this situation.
The first is to assist him in managing his insomnia or other physical discomforts and encourage him to seek help at a hospital.
The second is to involve more family and friends to support him in seeking medical attention, or to call the police for assistance if he exhibits violent or destructive behaviors.
Sincerely, Zhan Hongyu.

Reply Date: 2006/03/28

More Info


Helping a troubled young adult who is struggling with anger and isolation can be a challenging yet crucial task for family members. In your brother's case, it appears that a combination of factors, including his introverted personality, lack of physical activity, poor sleep quality, and possibly underlying mental health issues, are contributing to his current state. Here are some strategies that may help address his situation:

1. Encourage Professional Help
The first and most important step is to encourage your brother to seek professional help. Given his symptoms of anger, isolation, and sleep disturbances, he may benefit from seeing a mental health professional. This could be a psychologist, psychiatrist, or counselor who specializes in adolescent and young adult issues. If he is resistant to this idea, consider approaching the topic gently, emphasizing that seeking help is a sign of strength and a step towards feeling better.


2. Create a Supportive Environment
Creating a supportive home environment is essential. Family members should strive to communicate openly and non-judgmentally. When discussing his behavior, focus on expressing concern for his well-being rather than criticizing his actions. For example, instead of saying, "You need to stop yelling at people," you might say, "I’m worried about how upset you seem. Can we talk about what’s bothering you?"

3. Promote Healthy Lifestyle Changes
Encouraging your brother to engage in physical activity can significantly improve his mood and overall well-being. Exercise is known to release endorphins, which can help alleviate feelings of anger and depression. You might suggest simple activities, such as going for walks together, joining a gym, or participating in a sport he enjoys. Additionally, promoting a balanced diet and good sleep hygiene can also contribute to better mental health.


4. Teach Coping Mechanisms
Helping your brother develop coping mechanisms for managing his anger is vital. Techniques such as deep breathing, mindfulness, and journaling can be effective in helping him process his emotions. Encourage him to take a moment to breathe deeply when he feels anger rising, or to write down his feelings instead of reacting impulsively.


5. Limit Screen Time
Given that your brother spends a significant amount of time playing video games, it may be beneficial to set limits on screen time. Excessive gaming can lead to increased isolation and may exacerbate feelings of anger and frustration. Encourage him to engage in other activities that promote social interaction and physical movement.


6. Involve Trusted Friends or Family
Sometimes, young adults may be more receptive to advice from peers or other family members rather than immediate family. If there are trusted friends or relatives who can connect with him, consider involving them in discussions about his feelings and behaviors. They may help him feel less isolated and more understood.


7. Be Patient and Understanding
Change takes time, and it’s important for family members to be patient. Your brother may not respond immediately to suggestions or interventions. It’s crucial to remain supportive and understanding, even when he exhibits challenging behaviors. Celebrate small victories and progress, no matter how minor they may seem.


8. Safety First
If your brother exhibits violent behavior or poses a risk to himself or others, it is essential to prioritize safety. In such cases, do not hesitate to seek immediate help from professionals or authorities. It may be necessary to involve mental health crisis services or law enforcement if he becomes a danger to himself or others.


Conclusion
Navigating the complexities of a young adult's mental health can be daunting, especially when anger and isolation are involved. By encouraging professional help, fostering a supportive environment, promoting healthy habits, and teaching coping strategies, you can play a significant role in helping your brother find a path toward healing. Remember, it’s essential to approach the situation with empathy and patience, as recovery is often a gradual process.

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