Long-Term Emotional Instability: Causes and Solutions - Psychiatry

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Long-term emotional instability?


I often experience mood swings that last for several months, not just for a short period.
For no apparent reason, my mood can suddenly plummet, leaving me feeling extremely low.
I find no joy in anything and feel incredibly lonely, as if I am all alone in this world.
Living feels painful, and I have thoughts of suicide as a way to end it all.
I also suffer from insomnia, often staying awake until dawn, and even when I do manage to sleep, I have dreams.
I dream every time I sleep, but sometimes my mood inexplicably improves, and this cycle has repeated itself for several years.
Recently, I have been having recurring thoughts of killing someone, and in those scenarios, I feel a sense of happiness because I am laughing, experiencing a release of pent-up emotions.
I want to ask the doctor, why am I feeling this way? Am I sick? Thank you.

Wang Buding, 20~29 year old female. Ask Date: 2007/09/06

Dr. Duan Yongzhang reply Psychiatry


Hello! Based on this description alone, it is not possible to determine whether there is an illness.
If needed, please seek assistance at an outpatient clinic.
Thank you for your inquiry.

Reply Date: 2007/09/06

More Info


It sounds like you are experiencing a significant amount of emotional instability, which can be incredibly distressing. Your feelings of extreme highs and lows, persistent sadness, loneliness, and even thoughts of self-harm are serious and warrant immediate attention. It’s important to understand that you are not alone in feeling this way, and there are effective ways to address these feelings.

Firstly, the symptoms you describe could be indicative of a mood disorder, such as depression or bipolar disorder. Mood disorders can manifest as prolonged periods of sadness, irritability, or emotional highs followed by deep lows. The fact that you experience these fluctuations over months, along with feelings of loneliness and thoughts of self-harm, suggests that you may be dealing with a more complex emotional issue that requires professional evaluation.

The recurring thoughts of violence, even if they seem to provide a sense of relief or happiness, are concerning. These thoughts can be a sign of underlying distress and should not be taken lightly. It’s crucial to seek help from a mental health professional who can provide a thorough assessment and help you understand what you are experiencing. They can also help you develop coping strategies and treatment options tailored to your needs.

In terms of immediate steps you can take, consider the following:
1. Reach Out for Help: Talk to a mental health professional, such as a psychologist or psychiatrist. They can provide you with a safe space to discuss your feelings and thoughts without judgment. If you are in crisis or have thoughts of self-harm, please contact emergency services or a crisis hotline immediately.

2. Build a Support Network: Share your feelings with trusted friends or family members. Having a support system can help alleviate feelings of loneliness and provide you with emotional support when you need it most.

3. Practice Self-Care: Engage in activities that promote your well-being. This can include regular physical exercise, maintaining a healthy diet, and ensuring you get enough sleep. Mindfulness practices, such as meditation or yoga, can also help stabilize your mood.

4. Journaling: Writing down your thoughts and feelings can be a therapeutic way to process your emotions. It can help you identify triggers for your mood swings and provide insight into your emotional patterns.

5. Avoid Substance Abuse: Alcohol and drugs can exacerbate mood swings and emotional instability. Try to avoid these substances as they can interfere with your mental health.

6. Establish a Routine: Creating a daily routine can provide structure and stability, which may help in managing your mood fluctuations.

7. Explore Therapy Options: Cognitive-behavioral therapy (CBT) has been shown to be effective for mood disorders. It can help you identify negative thought patterns and develop healthier coping mechanisms.

8. Medication: If a mental health professional diagnoses you with a mood disorder, they may recommend medication as part of your treatment plan. Antidepressants or mood stabilizers can be effective in managing symptoms.

Remember, it’s essential to take your feelings seriously and seek help. You deserve support and the opportunity to feel better. The journey to emotional stability can be challenging, but with the right resources and support, it is possible to find relief and regain a sense of joy in life. Please take care of yourself and reach out for the help you need.

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