[35F] Experiencing intense anger and emotional distress

Patient Description

A 35-year-old female is experiencing intense feelings of anger, frustration, and irritation, which have been ongoing for 2 weeks. She reports that her anger feels out of proportion to the situations that trigger it, which include interactions with her children and rude customers. Additionally, she is experiencing persistent sadness, a lack of motivation, constant hunger, and a desire to self-harm. She mentions that her marriage is strained and she feels like she is perceived as the enemy by her husband, contributing to her emotional distress. The patient has found some relief in using Urbanol, a calming medication. She has not mentioned any other forms of therapy or medication being used.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, it's possible that you may be experiencing:

  • Major Depressive Disorder: This is a mental health disorder characterized by persistent feelings of sadness, lack of interest in activities, and difficulty dealing with daily tasks. The feelings of anger and frustration, lack of motivation, and thoughts of self-harm you've described are common symptoms.

    • Treatment typically involves a combination of medication, psychotherapy (talk therapy), and lifestyle changes.
  • Adjustment Disorder: This is a type of stress-related mental health disorder. You may respond to a stressful event with strong emotions and symptoms such as sadness, frustration, and feelings of anger that you've described.

    • Treatment usually involves psychotherapy, medications, or both.
  • Bipolar Disorder: This is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The constant hunger and anger you've described could be related to a manic episode.

    • Treatment is usually lifelong and often involves a combination of medications and psychotherapy.

What you can do

It's important that you reach out to a healthcare professional who can provide a formal diagnosis and treatment plan. Here are some steps you can take:

  1. Seek immediate help if you're considering self-harm. If you're in the U.S., you can reach the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.
  2. Schedule an appointment with a mental health professional, such as a psychiatrist or psychologist. They can provide a formal diagnosis and discuss treatment options with you.
  3. Reach out to supportive friends, family members, or a support group. They can provide emotional support and help you navigate the process of seeking professional help.
  4. Try to maintain a regular sleep schedule, eat a healthy diet, and engage in regular physical activity. These lifestyle changes can help improve your mood and energy levels.

What you should look out for

Please seek immediate help if:

  • Your feelings of anger and sadness intensify
  • You're unable to perform daily tasks
  • You have thoughts of suicide or self-harm

Remember, it's important to reach out to a healthcare professional who can provide a formal diagnosis and treatment plan.

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11 mo ago

People Also Ask


What are the common symptoms of Major Depressive Disorder?

Common symptoms of Major Depressive Disorder include persistent sadness, loss of interest in activities, changes in appetite or weight, sleep disturbances, feelings of worthlessness or guilt, difficulty concentrating, and thoughts of death or suicide.


How can Adjustment Disorder be treated effectively?

Adjustment Disorder can be treated with psychotherapy, which helps individuals develop coping strategies, and sometimes medications to manage symptoms. Support from friends and family can also be beneficial.


What are the signs of Bipolar Disorder and how is it managed?

Signs of Bipolar Disorder include extreme mood swings with emotional highs (mania or hypomania) and lows (depression). Management typically involves a combination of medications, such as mood stabilizers, and psychotherapy.


What immediate steps should be taken if someone is considering self-harm?

If someone is considering self-harm, they should seek immediate help by contacting a mental health professional or a crisis hotline, such as the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) in the U.S., or by texting HOME to 741741 for the Crisis Text Line.


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