Emotional Instability: Insights on Psychogenic Disorders

Psychoneurosis

Hello, Doctor.
I have some questions to ask you.
Recently, I attended a dance performance with a female friend.
During the performance, she exhibited signs of emotional instability, crying continuously, and at times, her head would involuntarily sway to the rhythm of the stage.
Afterwards, she expressed that she could not help but move in sync with her breathing rhythm, while also indicating an uncontrollable aversion to repetitive movements.
After the performance, she began to experience difficulty breathing and numbness in her hands and feet.
Upon leaving the venue, she started to cry uncontrollably and spoke incessantly.
She mentioned that she could not control her actions or speech at that moment, but was fully aware of herself and her surroundings.
This crying episode lasted for about an hour before she gradually calmed down.
After calming, she continued to talk non-stop, remained aware, stopped crying, but began to feel somewhat euphoric.
This situation had occurred similarly about six months ago.
My friend is 25 years old, and she had a history of mild depression during her high school years, with a suspected family history of mental health issues.
She is currently a student and likely experiences a certain level of academic pressure.
Since I am not entirely sure what is happening, I hope you can provide some advice regarding this matter.
Thank you.

Mr. Hsieh, 20~29 year old female. Ask Date: 2010/11/13

Dr. Ding Shuyan reply Psychiatry

Hello, when watching movies, dramas, and various artistic performances, each person's feelings can vary greatly, which is somewhat related to individual experiences and personalities.
It is difficult to determine whether your friend's reactions are unusual; some individuals may be emotionally rich and sensitive.
Indeed, some cases of depression indicate that individuals find their emotions more intense while watching television or movies, often leading to tears.
Certain personality traits may also predispose individuals to be more emotional.
The boundary between what we consider "normal" individuals and those with mental illnesses is not as clear-cut as we might think.
So-called "normal" people can also exhibit irrational behavior, such as during heated arguments between spouses or when lovers are infatuated; their emotional states and perspectives on the world can differ significantly, but these episodes are usually brief and generally acceptable.
Conversely, many individuals with mental illnesses may appear outwardly similar to others, and unless their delusions or hallucinations are discussed, even experienced psychiatrists may not notice anything amiss.
Depression is a common human condition, with at least one in five people experiencing a depressive episode at some point in their lives.
Not to mention, anxiety disorders and insomnia are even more prevalent issues.
Therefore, I can say that it is rare to find someone who is completely mentally stable, but I can also assert that even the most troubled individuals have aspects of normalcy.
Life is about engaging with the normal parts of others while gently acknowledging the abnormal aspects.
If you genuinely wish to understand what issues your friend may be facing, the best advice is to encourage her to see a doctor and share her experiences with you.
Diagnosing someone over the internet is inherently inaccurate and inappropriate.
Wishing you all the best, Dr.
Ding Shuo-Yan.

Reply Date: 2010/11/13

More Info

Emotional instability, particularly in the context of psychogenic disorders, can manifest in various ways, as illustrated by your friend's experience during the dance performance. The symptoms you described—uncontrollable crying, physical manifestations like shaking or swaying, difficulty breathing, and a sense of losing control—are indicative of a heightened emotional response that may be linked to underlying psychological issues.

Your friend's reaction during the performance could be attributed to several factors. Firstly, it’s essential to consider the possibility of a heightened emotional sensitivity, which can be common in individuals with a history of depression or anxiety. The fact that she experienced a similar episode six months prior suggests a pattern that may be related to her emotional regulation capabilities. Emotional dysregulation is often seen in conditions such as Borderline Personality Disorder (BPD) or other mood disorders, where individuals may struggle to manage their emotional responses to stimuli effectively.

The physical symptoms she experienced—such as difficulty breathing and numbness in her limbs—could be manifestations of anxiety or panic attacks. These symptoms often accompany intense emotional experiences and can lead to a cycle of fear and anxiety, further exacerbating the emotional instability. The fact that she was aware of her surroundings and her actions during the episode indicates that she was not dissociating but rather experiencing an overwhelming emotional response.

Given her history of mild depression during her teenage years and the potential for a family history of mood disorders, it’s crucial to approach this situation with sensitivity. The combination of academic pressure and unresolved emotional issues may contribute to her current state. It’s not uncommon for individuals under stress to experience emotional outbursts or instability, especially if they have a predisposition to mood disorders.

In terms of recommendations, it would be beneficial for your friend to seek professional help. A mental health professional can provide a comprehensive assessment to determine whether she is experiencing a specific mood disorder, anxiety disorder, or another psychological condition. Therapy, particularly cognitive-behavioral therapy (CBT), can be effective in helping individuals develop coping strategies for emotional regulation and address underlying issues contributing to their emotional instability.

Additionally, mindfulness practices, such as meditation or deep-breathing exercises, may help her manage acute episodes of anxiety or emotional distress. Encouraging her to engage in regular physical activity can also be beneficial, as exercise is known to improve mood and reduce anxiety.

Lastly, it’s essential for her to have a support system in place. Friends and family can play a crucial role in providing emotional support and understanding. Open communication about her feelings and experiences can help alleviate some of the burdens she may be carrying.

In summary, your friend's emotional instability during the dance performance could be a reflection of underlying psychological issues, exacerbated by stress and possibly a history of mood disorders. Professional evaluation and support, along with coping strategies, can significantly aid her in managing her emotional health.

Similar Q&A

Understanding Emotional Instability: Causes and Coping Strategies

I have been prone to anxiety and nervousness since childhood, and my emotional reactions have always been intense. However, in recent years, my mood swings have become even more exaggerated; I often go from being angry one moment to happy the next, and I can't seem to contro...

Dr. Liu Runqian reply Psychiatry
Symptoms of depression include depressed mood, loss of interest, psychomotor retardation, difficulty concentrating, decreased appetite, insomnia, fatigue, feelings of guilt or worthlessness, helplessness, hopelessness, and suicidal thoughts or attempts, lasting for more than two ...

Understanding Emotional Instability: Signs and Seeking Help

Hello Dr. Chen, Before asking my question, I have already researched some information related to depression and bipolar disorder. However, I find that I only exhibit one or two symptoms, and I am unable to determine whether I am experiencing short-term emotional lows or if there...

Dr. Chen Guangpeng reply Psychiatry
Hello Anna: Based on your description, it seems that your issues (symptoms) are not limited to just one or two; they likely meet the criteria for depression. However, your symptoms are intertwined with your environment, exacerbating the situation and creating a vicious cycle. I r...

Understanding Emotional Instability: Anxiety and Depression Insights

Hello Doctor: I was diagnosed in February of this year with F314 and F419 in the psychiatric department, and I have been continuously taking medication. Despite ongoing treatment and adjustments to my medication, my mood remains quite unstable. At times, I feel euphoric, but then...

Dr. Qiu Junda reply Psychiatry
Hello. The text describes emotional instability, anxiety, depression, and other negative emotions that have caused physical and mental distress. Since you have already consulted a psychiatrist, it is recommended that you continue to follow up with appointments. You may also discu...

Understanding Emotional Instability: Signs and When to Seek Help

Frequent irritability, emotional instability, and easily crying, along with periods of low mood, can indicate underlying mental health issues. A strong aversion to social interactions and a preference for solitude, along with extreme thoughts, may suggest conditions such as depre...

Dr. Ding Shuyan reply Psychiatry
Hello, it is important to consider whether these issues are taking up a significant portion of your time and affecting your daily life, work, learning, or interpersonal relationships. Additionally, you should assess whether the duration has been more than a week or two, rather th...