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Conditions related to emotional dysregulation

DEPRESSION is a mood disorder characterised by persistent feeling of sadness, lack of energy, lost of motivation to perform everyday task, lost of interest in activities, and inability to engage with life's challenges.

In a depression state people experience a sense of hopelessness and minor inconveniences may seem like an enormous obstacles.

They might doubt and be critical of themselves, and prompt to isolate from other people.

People with depression can develop abnormal sleep patterns, change in appetite and body weight, and suicidal tendencies.

UNSTABLE EMOTIONAL PERSONALITY DISORDER is a pattern of instability in interpersonal relationships, self-image, and marked impulsivity. The perception of impending, separation, rejection or the loss of external structure can lead to profound changes in self-image and to affect cognition, and behaviour.

These individuals are very sensitive to environmental circumstances. These abandonment fears are related to an intolerance of being alone and need to have other people with them. Their relationships are very intense, unstable, and alternate between the extremes of over idealising and undervaluing people who are important to them.

They demand to spend a lot of time together with their partner and can share the most intimate details very early in relationships. They can switch from idealising other people to devaluating them. Their emotions change very quickly, and they might experience intense episodes of sadness, irritability, and anxiety or panic attacks.

The level of experienced anger is often inappropriate, intense, and difficult to control. When upset, they might engage in recurrent suicidal behaviours, gestures, threats, or self-injurious behaviour such as cutting, burning, or hitting myself.

There are sudden and dramatic shifts in self-image shifting goals, values, career plans, and types of friends. They might have a significant and persistently unstable image or sense of myself, or of who they are or what they truly believe in.

They might have very suspicious ideas, and even feel paranoid (falsely believe that others are plotting to cause them harm); or experience episodes under stress when they feel themselves, other people, or the situation is somewhat unreal.

They usually engage in two or more self-damaging acts such as excessive spending, unsafe and inappropriate sexual conduct, substance abuse, reckless driving, and binge eating. They engage in frantic efforts to avoid real or imagined abandonment by people who are close to me and offer suffer from feelings of emptiness and boredom.

They may display extreme sarcasm, enduring bitterness, or verbal outbursts. Common cooccurring disorders include depressive disorders, substance use disorder, eating disorders, PTSD and ADHD.

POST TRAUMATIC STRESS DISORDERS (PTSD) can develop following the event that makes you feel a sense of danger or overwhelming painful memories (sexual abuse, intimate partner violence, domestic abuse, bullying, community violence, traumatic grief etc.).

Any event or series of events that leaves you emotionally overwhelmed, hopeless and helpless can trigger PTSD. In a state of PTSD people feel "stuck" into the trauma response unable to return to their normal state of balance.

Symptoms of PTSD include bad intrusive memories and flashbacks, feeling emotionally numb and detached, feeling alienated and alone, negative thoughts, mood changes, nightmares, feeling shame, self-blame, mistrust, irritability, aggression, new phobias, depression, anxiety.


Childhood trauma may relate to the person - physical abuse, emotional abuse, neglect, bullying, racism, or to a family member - household disfunction - a parent who suffers substance misuse, exposure to domestic violence, a family member in a jail, a family member suffers mental illness; losing a parent through divorce, death or abandonment. ​

Childhood trauma increased the risk of health, social and emotional problems. At the individual level you may experienced ACE as a child if you didn't feel able to talk to your family about feelings; didn't feel your family stood by you during difficult times; didn't feel a sense of belonging at school; didn't have friends; missed non-parent adults who genuine care about you; didn't feel safe at home. ​

The more ACE's a child experiences, the more likely he or she is to suffer from things like heart disease, cancer, poor academic achievement, substance abuse later in life or can cause what's known as toxic stress. 1 in 3 diagnosed mental health conditions in adulthood directly relate to ACE's. ​

Therapy helps to prevent and reduce the negative impact of childhood adversity and trauma, to support the individual to recognise and manage different emotions, to build the capacity to make and keep healthy relationships, to develop self-control and maintain positive reinforced behaviour.

SELF-HARM is deliberately harming of person's own body usually through cutting, burning, scratching, self-hitting, and piercing the skin with sharp objects or overdosing.

Self-injury behaviour helps the person to release emotional pain, intense anger, and frustration. That relief is only temporary because the underlying reasons still remain.

Reasons that lead to self-harm include difficulties in interpersonal relationships, behavioural and emotional instability, impulsivity, depression, low self-esteem, unpredictable changes in person's life, grief, alcohol and drug use.

One of the most common stereotypes is referring self-harm behaviour as an attention seeking. Many people who self-harm don't talk to anyone and it can be very hard for them to find enough courage to ask for help.

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