[24F] Experiencing emotional instability and physical symptoms

Patient Description

A 24-year-old female reports experiencing episodes of crying every few minutes throughout the day, with each episode lasting only a few seconds before she feels fine again. Additionally, she has noticed significant shaking in her arms, along with behaviors such as hitting herself, snapping her fingers, and picking at the skin around her fingernails. She also reports being easily irritated by minor things.

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Arora's Assessment

What might be happening

Based on the symptoms you’ve described, there are a few serious conditions that could be causing your symptoms:

  1. Acute Anxiety or Panic Attack: The combination of crying, shaking, self-harm behaviors, and irritability can be signs of severe anxiety or a panic attack. These episodes can be very distressing and may require immediate medical attention to help manage the symptoms and prevent harm.

  2. Severe Emotional Distress or Mental Health Crisis: Your symptoms could also indicate a severe emotional or mental health crisis. This could be due to underlying conditions such as depression, bipolar disorder, or another mental health issue. Immediate support from a mental health professional is crucial.

  3. Neurological Issues: While less likely, neurological conditions can sometimes present with emotional and physical symptoms like the ones you’re experiencing. This would require a thorough evaluation by a healthcare provider.

What you can do

  1. Seek Immediate Help: Given the severity of your symptoms, it is important to seek immediate medical attention. If you feel you are in danger of harming yourself or others, please call 911 or go to the nearest emergency room.

  2. Contact a Mental Health Professional: If you have a therapist, psychiatrist, or counselor, contact them as soon as possible. If you do not have one, consider reaching out to a crisis hotline or mental health service for immediate support.

  3. Stay Safe: Ensure you are in a safe environment. If possible, have someone you trust stay with you until you can get professional help.

  4. Avoid Self-Harm: Try to avoid actions that could cause harm to yourself. Engage in calming activities like deep breathing, listening to soothing music, or using grounding techniques to help manage your immediate distress.

Remember, I am not a doctor, and it is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment. Your health and safety are the top priority.

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3 mo ago


People Also Ask


What are the common symptoms of a panic attack?

Common symptoms of a panic attack include sudden overwhelming fear, heart palpitations, sweating, trembling, shortness of breath, a feeling of choking, chest pain, nausea, dizziness, and a fear of losing control or dying.


How can I differentiate between anxiety and a mental health crisis?

Anxiety often involves persistent worry and physical symptoms like restlessness and fatigue, while a mental health crisis may include more severe symptoms such as intense emotional distress, self-harm behaviors, or thoughts of harming oneself or others. A mental health professional can provide a proper assessment.


What are some immediate steps to take if I feel like I might harm myself?

If you feel like you might harm yourself, it's crucial to seek immediate help by calling emergency services or a crisis hotline. Try to stay in a safe environment and reach out to someone you trust for support until professional help is available.


Can neurological issues cause emotional symptoms like crying and irritability?

Yes, neurological issues can sometimes cause emotional symptoms such as crying and irritability. Conditions affecting the brain can alter mood and behavior, so it's important to consult a healthcare provider for a thorough evaluation if these symptoms are present.


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