How to Deal With Dysregulation


Some People May Find It Harder Than Others to Manage Their Emotions

By 

Arlin Cuncic, MA 

Updated on May 03, 2023

 Medically reviewed by 

Rachel Goldman, PhD, FTOSPrint 

Signs of emotional dysregulation
Verywell / Theresa Chiechi

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What Is Dysregulation? 

Dysregulation, or emotional dysregulation, is an inability to control or regulate one’s emotional responses, which can lead to significant mood swings, significant changes in mood, or emotional lability. It can involve many emotions, including sadness, anger, irritability, and frustration.

While dysregulation is typically thought of as a childhood problem that usually resolves itself as a child learns proper emotional regulation skills and strategies, dysregulation may continue into adulthood.

For these individuals, emotional dysregulation can lead to a lifetime of struggles, including problems with interpersonal relationships, school performance, and the inability to function effectively in a job or at work.

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What Triggers Dysregulation? 

Why is it that some people have no trouble remaining calm, cool, and collected while others fall apart at the first instance of something going wrong in their life?

The answer is that there are likely multiple causes; however, there is one that has been consistently shown in the research literature. That cause is early psychological trauma resulting from abuse or neglect on the part of the caregiver.1 This results in something known as a reactive attachment disorder.

In addition, a parent who has emotional dysregulation will also struggle to teach their child how to regulate emotions. Since children are not naturally born with emotional regulation coping skills, having a parent who cannot model effective coping puts a child at risk for emotional dysregulation themselves.

Is Dysregulation a Mental Disorder? 

While dysregulation isn’t necessarily a mental disorder (or a sign of one), we know that emotional dysregulation in childhood can be a risk factor for later mental disorders. Some disorders are also more likely to involve emotional dysregulation.

Below is a list of the disorders most commonly associated with emotional dysregulation:2

When emotional dysregulation appears as part of a diagnosed mental disorder, it typically involves a heightened sensitivity to emotional stimuli and a lessened ability to return to a normal emotional state within a reasonable amount of time.

What Are Signs of Dysregulation? 

In general, emotional dysregulation involves having emotions that are overly intense in comparison to the situation that triggered them. This can mean not being able to calm down, avoiding difficult emotions, or focusing your attention on the negative. Most people with emotional dysregulation also behave in an impulsive manner when their emotions (fear, sadness, or anger) are out of control.

Below are some examples of what it looks like when someone is experiencing emotional dysregulation.

  • Your romantic partner cancels plans and you decide they must not love you and you end up crying all night and binging on junk food.
  • The bank teller says they can’t help you with a particular transaction and you’ll need to come back the next day. You have an angry outburst, yell at the teller, and throw a pen across the counter at them.
  • You attend a company dinner and everyone seems to be talking and having fun while you feel like an outsider. After the event, you go home and overeat to numb your emotional pain. This is also an example of poor coping mechanisms and emotional eating.

Emotional dysregulation can also mean that you have trouble recognizing the emotions that you are experiencing when you become upset. It might mean that you feel confused by your emotions, guilty about your emotions, or are overwhelmed by your emotions to the point that you can’t make decisions or manage your behavior.

Note that the behaviors of emotional dysregulation may show up differently in children, involving temper tantrums, outbursts, crying, refusing to make eye contact or speak, etc.

Impact of Emotional Dysregulation 

Being unable to manage your emotions and their effects on your behavior can have a range of negative effects on your adult life. For instance:

  • You might have trouble sleeping.
  • You might struggle to let experiences go or hold grudges longer than you should.
  • You might get into minor arguments that you blow out of proportion to the point that you end up ruining relationships.
  • You might experience negative effects on your social, work, or school functioning.
  • You might develop a mental disorder later in life because of a poor ability to regulate your emotions (e.g., depression)
  • You might develop a substance abuse problem or addiction such as smoking, drinking, or drugs.
  • You might engage in self-harm or other disordered behavior such as restrictive eating habits or binge eating.
  • You might have trouble resolving conflict.

A child with emotional dysregulation may experience the following outcomes:

  • A tendency to be defiant
  • Problems complying with requests from teachers or parents
  • Problems making and keeping friends
  • Reduced ability to focus on tasks

How Do You Fix Dysregulation? 

The two main options for treating emotion dysregulation are medication and therapy, depending on the individual situation. Let’s take a look at each of these in turn.

Medication 

Medication may be used to treat emotion dysregulation when it is part of a larger mental disorder. For example, ADHD will be treated with stimulants, depression will be treated with antidepressants, and other issues might be treated with antipsychotics.

Therapy 

In terms of therapy for emotional dysregulation, the main treatment method has been what is known as dialectical behavior therapy(DBT).3 This form of therapy was originally developed by Marsha Linehan in the 1980s to treat individuals experiencing BPD.4

In general, this type of therapy involves improving mindfulness, validating your emotions, and engaging in healthy habits. It also teaches the skills needed to regulate your emotions. Through DBT, you learn to focus on the present moment, how to become aware of your thoughts, feelings, and behaviors, and how to deal with stressful situations.

DBT argues that there are three “states of mind:”4

  • Reasonable mind refers to being logical and rational.
  • Emotional mind refers to your moods and sensations.
  • Wise mind refers to the combination of your reasonable mind and your emotional mind.

DBT is about showing you that you can see situations as shades of grey rather than all black and white (in other words, combining your emotional mind and logic mind).

Journaling 

If you’ve just experienced a stressful situation or crisis and want to try a little DBT at home, pull out a journal and answer these questions.

  • What was the event that caused you distress?
  • What did you think about in the situation? (Write down three main thoughts.)
  • How did these thoughts make you feel? (Write down any physical symptoms, things you did like crying, or feelings like being upset.)
  • What was the consequence of the thoughts you had?

The goal of DBT is to balance your emotions with logic to obtain more positive outcomes from the situations that you find stressful. The goal is also to teach you to become more aware of the connections between your thoughts, feelings, and actions. In this way, it’s expected that you will be able to better manage your emotions in your daily life.

 How to Deal With Negative Emotions

Parenting a Child with Emotion Dysregulation 

If you are a parent of a child who struggles with emotion dysregulation, you might be wondering what you can do to support your child. It is true that children learn emotion regulation skills from their parents. You have the ability to teach your child how to manage emotions rather than become overwhelmed by them. Here are some ways you can support them:

Your child also needs to know that they can reach out to you for help and comfort when needed. Having a supportive and reliable parent figure in their life will help to protect them against problems with emotional dysregulation.

  • Recognize your own limitations. Do you have a mental disorder or have you struggled with your own emotion regulation skills? If so, you and your child might benefit from you receiving treatment or therapy to build up your own resilience. When you are better able to manage your own distress, then you will be able to offer the most support to your child.
  • Lead by example. In addition, the best way to teach your child how to manage their emotions is not to demand that they behave in a certain way or punish them for acting out. Rather, the best option is to model the desired behavior yourself that you want them to adopt.
  • Adjust accordingly. It can be helpful to start to recognize triggers for your child’s behavior and have a back-up plan of effective ways to deal with acting out. For example, if your child always has a tantrum when you take them to buy shoes, try picking out a pair in their size and bringing them home for them to try on.
  • Maintain consistent routines. Children who struggle with emotion dysregulation benefit from predictability and consistency.5 Your child needs to know that you will be there for them when they need you and that they can rely on you to be the calming presence. When your own emotions are out of control, then it is much more likely that your child will be unable to manage their own emotions.
  • Seek accommodations or additional support. If your child is in school, it is also important that you talk to their teacher about their problems with emotion regulation. Talk about the strategies that you use at home and how your child might need extra help in the classroom or reminders on how to calm down. If your child has a diagnosed disorder, they may be on a special education plan that allows accommodations or gives them extra help. Be sure to take advantage of that.
  • Reward positive behavior. If you see your child acting in ways that are positive for emotion management, comment on those positive behaviors. Find ways to reward emotion management successes so that they will become more frequent.

 ADHD Symptom Spotlight: Emotional Dysregulation

Summary 

Whether it’s you, your child, or someone you know who struggles with emotion dysregulation, it is important to know that this is something that can improve over time. In fact, 88% of those diagnosed with BPD are not predicted to meet criteria 10 years down the road.6 This goes to show that emotion regulation strategies can be learned and are very helpful for improving your situation and living the best life possible.

Regardless of your current circumstances, you can make changes that will result in improved social, school, and work functioning. You can learn to manage the stressful situations that cause you pain and work through past hurts or mistreatment that led you to where you are today.

6 Sources

By Arlin Cuncic, MA 
Arlin Cuncic, MA, is the author of “Therapy in Focus: What to Expect from CBT for Social Anxiety Disorder” and “7 Weeks to Reduce Anxiety.” She has a Master’s degree in psychology.

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RETRIEVED https://www.verywellmind.com/what-is-dysregulation-5073868

Complicated grief – Symptoms and causes

Overview

Losing a loved one is one of the most distressing and, unfortunately, common experiences people face. Most people experiencing normal grief and bereavement have a period of sorrow, numbness, and even guilt and anger. Gradually these feelings ease, and it’s possible to accept loss and move forward.

For some people, feelings of loss are debilitating and don’t improve even after time passes. This is known as complicated grief, sometimes called persistent complex bereavement disorder. In complicated grief, painful emotions are so long lasting and severe that you have trouble recovering from the loss and resuming your own life.

Different people follow different paths through the grieving experience. The order and timing of these phases may vary from person to person:

  • Accepting the reality of your loss
  • Allowing yourself to experience the pain of your loss
  • Adjusting to a new reality in which the deceased is no longer present
  • Having other relationships

These differences are normal. But if you’re unable to move through these stages more than a year after the death of a loved one, you may have complicated grief. If so, seek treatment. It can help you come to terms with your loss and reclaim a sense of acceptance and peace.

Symptoms

During the first few months after a loss, many signs and symptoms of normal grief are the same as those of complicated grief. However, while normal grief symptoms gradually start to fade over time, those of complicated grief linger or get worse. Complicated grief is like being in an ongoing, heightened state of mourning that keeps you from healing.

Signs and symptoms of complicated grief may include:

  • Intense sorrow, pain and rumination over the loss of your loved one
  • Focus on little else but your loved one’s death
  • Extreme focus on reminders of the loved one or excessive avoidance of reminders
  • Intense and persistent longing or pining for the deceased
  • Problems accepting the death
  • Numbness or detachment
  • Bitterness about your loss
  • Feeling that life holds no meaning or purpose
  • Lack of trust in others
  • Inability to enjoy life or think back on positive experiences with your loved one

Complicated grief also may be indicated if you continue to:

  • Have trouble carrying out normal routines
  • Isolate from others and withdraw from social activities
  • Experience depression, deep sadness, guilt or self-blame
  • Believe that you did something wrong or could have prevented the death
  • Feel life isn’t worth living without your loved one
  • Wish you had died along with your loved one

When to see a doctor

Contact your doctor or a mental health professional if you have intense grief and problems functioning that don’t improve at least one year after the passing of your loved one.

If you have thoughts of suicide

At times, people with complicated grief may consider suicide. If you’re thinking about suicide, talk to someone you trust. If you think you may act on suicidal feelings, call 000 or 112 (if calling from a Mobile Phone). Or call a suicide hotline number: In Australia, call 1800RESPECT (1800 737 732) to reach a trained Counsellor. For NRS Applications call 1800 555 677. Interpreter: 13 14 50

Causes

It’s not known what causes complicated grief. As with many mental health disorders, it may involve your environment, your personality, inherited traits and your body’s natural chemical makeup.

Risk factors

Complicated grief occurs more often in females and with older age. Factors that may increase the risk of developing complicated grief include:

  • An unexpected or violent death, such as death from a car accident, or the murder or suicide of a loved one
  • Death of a child
  • Close or dependent relationship to the deceased person
  • Social isolation or loss of a support system or friendships
  • Past history of depression, separation anxiety or post-traumatic stress disorder (PTSD)
  • Traumatic childhood experiences, such as abuse or neglect
  • Other major life stressors, such as major financial hardships

Complications

Complicated grief can affect you physically, mentally and socially. Without appropriate treatment, complications may include:

  • Depression
  • Suicidal thoughts or behaviors
  • Anxiety, including PTSD
  • Significant sleep disturbances
  • Increased risk of physical illness, such as heart disease, cancer or high blood pressure
  • Long-term difficulty with daily living, relationships or work activities
  • Alcohol, nicotine use or substance misuse

Prevention

It’s not clear how to prevent complicated grief. Getting counseling soon after a loss may help, especially for people at increased risk of developing complicated grief. In addition, caregivers providing end-of-life care for a loved one may benefit from counseling and support to help prepare for death and its emotional aftermath.

  • Talking. Talking about your grief and allowing yourself to cry also can help prevent you from getting stuck in your sadness. As painful as it is, trust that in most cases, your pain will start to lift if you allow yourself to feel it.
  • Support. Family members, friends, social support groups and your faith community are all good options to help you work through your grief. You may be able to find a support group focused on a particular type of loss, such as the death of a spouse or a child. Ask your doctor to recommend local resources.
  • Bereavement counseling. Through early counseling after a loss, you can explore emotions surrounding your loss and learn healthy coping skills. This may help prevent negative thoughts and beliefs from gaining such a strong hold that they’re difficult to overcome.

By Mayo Clinic Staff

CONT … Diagnosis & treatment…


RETRIEVED https://www.mayoclinic.org/diseases-conditions/complicated-grief/symptoms-causes/syc-20360374