Am I Sick? Sudden Mood Swings and Emotional Distress

Am I sick like this?

Hello, doctor.
Ever since I started high school, my temper has suddenly become very irritable, and I often get angry for no apparent reason.
During middle school, I would suddenly find it hard to sit still in class and would become extremely angry, feeling the urge to move my legs and kick things, but I managed to hold it in.
In high school, due to the heavy academic workload, I become irritable during midterms and finals, and sometimes I have thoughts of suicide.
I also experience sudden bursts of anger where I hit myself, punch walls, or throw things.
However, after the exams, my emotions stabilize.
Recently, as exams approach, I have started feeling this way again, with persistent suicidal thoughts that I suppress, but I still can't help but hit myself.
At school, I behave normally and have no issues with friendships or other concerns, but I don't understand why I'm feeling this way.
For the past few days, I have completely lost my appetite and often feel like crying.
Am I sick? If so, should I see a psychiatrist?

Zi, 10~19 year old female. Ask Date: 2015/06/28

Dr. Su Zongwei reply Psychiatry

This situation likely indicates a health issue.
Please seek assistance from a psychiatric outpatient clinic as soon as possible.

Reply Date: 2015/06/28

More Info

It sounds like you are experiencing a significant amount of emotional distress, which can be quite overwhelming. Sudden mood swings, irritability, and feelings of sadness or hopelessness can be indicative of underlying mental health issues, such as anxiety or depression. Given that you mentioned having thoughts of self-harm and a lack of appetite, it is crucial to take these feelings seriously.

Firstly, it's important to understand that many people experience fluctuations in their mood, especially during times of stress, such as during exams. However, when these feelings become intense, persistent, or lead to self-destructive behaviors, it may indicate a more serious condition that requires professional help. The symptoms you describe, including sudden anger, feelings of sadness, and thoughts of self-harm, are concerning and warrant a thorough evaluation by a mental health professional.

You mentioned that your mood stabilizes after exams, which suggests that academic pressure may be a significant trigger for your emotional distress. This is not uncommon among students, as the pressure to perform can lead to anxiety and stress. The fact that you are able to maintain normal behavior at school and do not have issues with friendships or social interactions is a positive sign, but it does not negate the need for support.

It is advisable to seek help from a mental health professional, such as a psychiatrist or psychologist. They can provide a proper assessment and determine if you are experiencing a mood disorder or another mental health condition. Treatment options may include therapy, medication, or a combination of both, depending on your specific needs. Therapy can help you develop coping strategies to manage your emotions and stress more effectively.

In addition to professional help, there are several self-care strategies you can implement to help manage your emotions:
1. Physical Activity: Engaging in regular exercise can significantly improve your mood and reduce feelings of anxiety. Activities like running, swimming, or even walking can release endorphins, which are natural mood lifters.

2. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help calm your mind and reduce stress. These techniques can also help you become more aware of your emotions and how to manage them.

3. Journaling: Writing down your thoughts and feelings can provide an outlet for your emotions and help you process what you are experiencing. It can also help you identify triggers for your mood swings.

4. Social Support: While you may feel the need to isolate yourself, reaching out to friends or family members can provide comfort and understanding. Sharing your feelings with someone you trust can alleviate some of the burdens you are carrying.

5. Healthy Lifestyle Choices: Ensure you are eating a balanced diet, getting enough sleep, and avoiding excessive caffeine or alcohol, as these can exacerbate mood swings.

Regarding your question about seeing a psychiatrist, yes, it is a good idea to consult a mental health professional. They can provide you with the necessary support and treatment. In many healthcare systems, mental health services are confidential, and your privacy will be protected.

In conclusion, while it is normal to experience mood fluctuations, the intensity and frequency of your symptoms suggest that seeking professional help is essential. You deserve support and guidance to navigate through this challenging time. Remember, reaching out for help is a sign of strength, and there are resources available to assist you in managing your emotions and improving your overall well-being.

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