Should You Seek Psychiatric Help for Emotional Instability?

Should I seek medical attention in this situation?

Hello Dr.
Wang,
About three years ago, during my high school years, I experienced significant self-harm and compulsively ate paper due to intense exam pressure, along with prolonged feelings of low mood and insomnia.
At that time, I did not seek counseling or medical attention, and these issues persisted for about two years, improving after I was accepted into university.

However, in the past six months, I have faced increased academic pressure, leading to a recurrence of similar issues, albeit with some differences.
Currently, I experience emotional instability, becoming easily irritable over minor issues, feeling dissatisfied with life, and harboring resentment towards everyone, including strangers, often cursing them in my mind.
There have been instances where I yelled at my child due to my low mood, despite my genuine affection for them.
During emotional outbursts, I experience headaches and chest tightness from repressed anger, and I have engaged in throwing objects, with these episodes occurring almost daily.

At the same time, I frequently feel low, with sudden episodes of crying occurring approximately three to five times a week.
I am not currently engaging in self-harm or exhibiting pica behavior.

Additionally, I would like to provide some context about my family, as I am unsure if it is directly related.
Almost all of my relatives have mental health issues; starting from my grandmother, my uncle and aunt both have depression, and my father exhibits symptoms similar to bipolar disorder (though he has not sought treatment).
Due to certain family factors, I am hesitant to seek medical attention directly.

Could you please advise if my situation warrants a visit to a psychiatrist? Thank you in advance for your response.

A-Bao, 20~29 year old female. Ask Date: 2015/06/16

Dr. Wang Chongren reply Psychiatry

Based on the situation you described in your letter, your feelings of depression may require psychological counseling.
Given your family circumstances, you might consider contacting the mental health department of your local health bureau, as they can assist in arranging counseling services.
If you still find it difficult to cope, you may want to consider treatment from a psychosomatic medicine specialist or a clinic.

Reply Date: 2015/06/16

More Info

It sounds like you are experiencing a significant amount of emotional distress, and I commend you for reaching out to seek guidance. Based on your description, it is clear that you are facing a range of symptoms that could indicate an underlying mental health issue. Given your history of self-harm, emotional instability, and the recent resurgence of these symptoms, it is crucial to take your feelings seriously and consider seeking professional help.

Emotional instability, especially when accompanied by irritability, feelings of resentment, and sudden crying spells, can be indicative of mood disorders such as depression or bipolar disorder. The fact that you have a family history of mental health issues, including depression and bipolar disorder, further underscores the importance of seeking a professional evaluation. Genetics can play a significant role in the development of mental health conditions, and having relatives with similar issues may increase your risk.

Your symptoms, such as feeling easily angered, experiencing physical symptoms like headaches and chest tightness when upset, and having episodes of crying, suggest that you may be struggling with emotional regulation. This can be particularly challenging when faced with academic pressures and life stressors. It is essential to recognize that these feelings are valid and that you are not alone in experiencing them. Many individuals face similar struggles, especially during times of increased stress.

While it is understandable to feel hesitant about seeking help, especially given your family dynamics, it is crucial to prioritize your mental health. Professional help can provide you with the tools and strategies needed to manage your emotions effectively. A mental health professional, such as a psychiatrist or psychologist, can conduct a thorough assessment, help you understand your symptoms, and develop a treatment plan tailored to your needs. This may include therapy, medication, or a combination of both.

In terms of what to expect from therapy, it can be a safe space to explore your feelings, understand the root causes of your emotional instability, and learn coping mechanisms. Cognitive-behavioral therapy (CBT), for example, is an effective approach for addressing negative thought patterns and behaviors. Additionally, therapy can help you develop healthier ways to express and manage your emotions, reducing the likelihood of outbursts or feelings of resentment.

If you are concerned about the stigma associated with seeking help or fear how your family might react, consider reaching out to a trusted friend or a support group. Connecting with others who have faced similar challenges can provide comfort and encouragement. Remember, seeking help is a sign of strength, not weakness.

In the meantime, there are some self-care strategies you can implement to help manage your emotions. Regular physical activity, maintaining a balanced diet, practicing mindfulness or meditation, and ensuring you get enough sleep can all contribute to improved emotional well-being. Journaling your thoughts and feelings can also be a helpful outlet for processing your emotions.

Ultimately, your mental health is paramount, and seeking help from a mental health professional is a proactive step toward healing. You deserve support and guidance as you navigate these challenges. Please consider reaching out to a psychiatrist or psychologist who can help you better understand your situation and provide the necessary support.

Similar Q&A

Coping with Emotional Instability: When to Seek Psychiatric Help

Hello, I would like to ask... I have been very emotional since middle school. I dislike being alone and am afraid of not being cared for. If the people around me ignore me even a little, I feel irritated and start to hysterically say things I don't even understand or cry and...

Dr. Liu Guangqi reply Psychiatry
Everyone needs care, and it's natural to fear loneliness. Experiencing emotional distress and hysteria under pressure can be troubling, especially if it leads to self-harming behaviors, which is even more concerning. This issue is sometimes discussed in conjunction with alco...

Should I See a Psychiatrist for My Recent Emotional Instability?

Doctor, I apologize, but I have never had a history of depression or bipolar disorder. However, recently I have been feeling very emotionally unstable, experiencing tightness in my chest, poor appetite, and negative thoughts such as thoughts of death. I am also having trouble sle...

Dr. Zhou Sunyuan reply Psychiatry
Compared to the past, many people are now more aware of their emotional changes and may consider seeking medical help, but there may still be some hesitation regarding "psychiatry," unlike with general internal or external medical conditions. Therefore, for your current...

Understanding Severe Emotional Disorders: When to Seek Psychiatric Help

Is the mentioned condition a professional medical diagnosis? Should one see a specialist if experiencing emotional instability?

Dr. Lin Mianzhang reply Psychiatry
Hello: Emotional disorders encompass a wide range and are not specific medical diagnoses. If there are significant signs of emotional instability, it is recommended to seek medical attention from a psychiatrist. Wishing you health and safety!

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...