How to Manage Uncontrollable Emotions and Stress in College?

What should I do about uncontrollable emotional distress?

For the past month or two, I have been struggling with uncontrollable emotions...
I often feel an inexplicable urge to cry, and I end up crying uncontrollably! I frequently feel down and have no motivation to do anything...
I don't want to go to school...
I don't want to work (I am a night school student).
I work in the morning and attend classes in the evening...
I just feel lazy and lack energy...
All I want to do is sleep, as if sleeping can help me escape everything and temporarily avoid these overwhelming emotions.
Is this due to excessive stress? Could this be depression? I am currently a junior in a design college, performing above average and receiving attention from my teachers...
but my recent emotional state has made it difficult for me to keep up with my studies.
I feel powerless regarding my plans to study abroad in two years, and my parents often dismiss my aspirations by saying that studying abroad will cost a lot of money...
They also mention that as a girl, I don't need to pursue such a high level of education...
or that my brother is still studying (in medical school) and will need financial support for another five years, urging me to graduate and find a job to lessen their burden...
Recently, although my parents agreed to let me take extra English classes, it seems to have increased my stress.
I often think...
if I can't go abroad as planned in two years, will I be seen as a joke by them? It feels like there are many issues...
yet it also feels like there’s nothing at all...
I truly feel that my emotions are no longer under my control like they used to be...
Although I don't have suicidal thoughts, online assessments suggest I may have tendencies towards depression...
What should I do to adjust my emotions and relieve my stress? I tried swimming recently, thinking that exercise would help, but it doesn't seem to work...
I find myself wanting to cry at any moment, and when I cry, my emotions settle down slightly...
but it usually doesn't last long...
I have many plans for the future, but depression is definitely not part of my plans...
What should I do? I hope the doctor can help me! Also, I would like to ask...
is the cost of seeing a psychiatrist covered by health insurance, or do I need to pay out of pocket? Is the process of seeing a psychologist the same as a regular medical consultation? Perhaps I need to seek help from a psychologist...

Rachel, 20~29 year old female. Ask Date: 2006/10/15

Dr. Ye Yuki reply Psychiatry

Hello Rachel, the causes of depression result from the interaction of biological, psychological, and social environmental factors.
Your current situation does indeed suggest the possibility of depression, but I always emphasize that I cannot make a diagnosis based solely on information from the internet.
It seems you have some understanding of your condition, but you may still be struggling to find a way out.
Exercise and expressing your feelings can be helpful to some extent.
Is there anyone who can discuss these matters with you? Visiting a psychiatrist is a good starting point; typically, the doctor will arrange medication or psychological treatment based on individual needs.
We don't refer to ourselves as psychologists, but our team includes clinical psychologists who can assist the psychiatrist with treatment and diagnosis if necessary.
I wish you the best in overcoming this challenge.

Reply Date: 2006/10/15

More Info

Managing uncontrollable emotions and stress, especially during college years, can be a significant challenge. Based on your description, it seems you are experiencing a range of symptoms that may indicate emotional distress, possibly related to anxiety or depression. It's important to understand that these feelings are not uncommon among college students, particularly those balancing academic responsibilities, work, and personal expectations.

Understanding Your Emotions
1. Emotional Overwhelm: The feelings of sadness, lack of motivation, and uncontrollable crying can be signs of emotional overwhelm. This can stem from various factors, including academic pressure, family expectations, and personal aspirations. The pressure to perform well in school, coupled with the fear of disappointing your parents, can create a heavy emotional burden.

2. Physical Symptoms: You mentioned experiencing fatigue and a desire to sleep as a means of escape. This is a common coping mechanism for stress and emotional pain. However, excessive sleep can also be a sign of depression, where individuals may feel lethargic and unmotivated to engage in daily activities.

3. Social Pressure: The concerns about studying abroad and the financial implications can add to your stress. It's crucial to recognize that these pressures can affect your mental health, leading to feelings of inadequacy and anxiety about the future.

Strategies for Managing Stress and Emotions
1. Seek Professional Help: It is highly advisable to consult a mental health professional, such as a psychologist or psychiatrist. They can provide a proper assessment and help you understand whether you are experiencing depression or anxiety. Therapy can be beneficial in developing coping strategies and addressing the underlying issues contributing to your emotional distress.

2. Open Communication: Consider discussing your feelings with someone you trust, whether it's a friend, family member, or counselor. Sharing your experiences can provide relief and may help you gain perspective on your situation.

3. Establish a Routine: Creating a structured daily routine can help you manage your time better and reduce feelings of being overwhelmed. Incorporate time for study, work, relaxation, and social activities. This balance can help you regain a sense of control over your life.

4. Physical Activity: While you mentioned that swimming didn’t seem to help much, it’s important to find a form of exercise that you enjoy. Physical activity releases endorphins, which can improve your mood. Consider trying different activities, such as yoga, jogging, or group sports, to see what resonates with you.

5. Mindfulness and Relaxation Techniques: Practicing mindfulness, meditation, or deep-breathing exercises can help you manage stress and improve emotional regulation. These techniques can help ground you in the present moment and reduce feelings of anxiety.

6. Limit Social Media and News Consumption: Sometimes, the constant influx of information can exacerbate feelings of anxiety. Consider taking breaks from social media and news to focus on your mental well-being.

7. Set Realistic Goals: Break down your academic and personal goals into smaller, manageable tasks. This can help reduce the feeling of being overwhelmed and allow you to celebrate small achievements along the way.

Understanding Healthcare Options
Regarding your question about seeing a mental health professional, the coverage for mental health services can vary based on your location and insurance plan. In many cases, insurance may cover part of the costs associated with seeing a psychiatrist or psychologist, but it’s essential to check with your specific insurance provider for details on coverage and out-of-pocket expenses.
Typically, the process of seeing a mental health professional is similar to visiting a regular doctor, but it may involve more in-depth discussions about your feelings, thoughts, and behaviors.

Conclusion
Your feelings are valid, and seeking help is a courageous step towards managing your emotions and stress. Remember, you are not alone in this journey, and there are resources available to support you. Taking proactive steps to address your mental health can lead to significant improvements in your overall well-being and academic performance.

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