What is Emotional Dysregulation?

What is Emotional Dysregulation?

Emotional dysregulation refers to difficulty in managing emotions or in keeping them in check. These may also be thought of as mood swings or labile moods. It can involve experiencing intense emotions such as sadness, irritability, frustration, or anger that are comparatively more heightened than expected, relative to the situation that triggered them.

What is emotional dysregulation?

Emotion dysregulation involves difficulties with negative affective states e.g., sadness and anger.

Emotional dysregulation might affect children or adults. Adolescents may be particularly at risk due to this developmental period in a person’s life being recognizably a time of increased stress due to puberty and peer context. Although it is a common perception that children learn to manage their emotions as they grow up, for some effectively managing emotions continues to be problematic well into adulthood.

Those with emotional dysregulation might not easily recognize their own emotions and can become confused or guilty about emotions experienced such that behavior is not readily controlled and decision making becomes a challenge.

Experiencing intense emotions can lead to situations in which a sufferer is unable to calm down easily. People with emotional dysregulation might try to avoid difficult emotions and when experiencing them they can easily become impulsive. Another example is that those with emotional dysregulation might be overly negative. As a result, there is a risk for:

  • 焦慮
  • 沮喪
  • Substance abuse
  • Suicidal thoughts
  • 自殘

Other symptoms include high-risk sexual behaviors, extreme perfectionism, and eating disorders.

In children emotional dysregulation exhibits itself through temper tantrums, crying, and refusing to talk or to make eye contact.

Over time the condition may interfere with the quality of life leading to interpersonal problems, issues at home and work, or, in the case of children, at school.

Causes of emotional dysregulation

Scientists believe that in the experience of emotional dysregulation there is a problem with the emotional braking mechanism in the brain caused by a reduction in the response of certain neurotransmitters. This leads an individual to experience an ongoing “fight or flight” response whereby the pre-frontal cortex shuts down in times of heightened stress.

There a several possible reasons why a person may develop this condition and it is often co-morbid with another larger mental health problem (see below). Possible causes are:

1. Child neglect

In the case of neglect, there is a failure on the part of the caregiver to cater to the basic needs of the child. Here the caregiver does not provide adequate levels of physical and or emotional care.

2. Early childhood trauma

Whereby traumatic events are experienced early on in life during the critical period of a child’s development.

3. Traumatic brain injury

Brain dysfunction is caused by a dramatic blow to the head, for example.

4. Chronic invalidation

When a person’s thoughts and feelings are repeatedly ignored, rejected, or else judged.

什麼是多動症的綜合醫學?整體健康指南

什麼是多動症的綜合醫學?整體健康指南

ADHD doesn’t only affect attention. Better considered an executive function and self-regulation deficit, ADHD affects the whole person — the mental, emotional, physical, spiritual, and social self. It increases daily stress and chips away at a positive sense of self. It interferes with self-care and makes it hard to keep healthy habits.

This helps to explain why ADHD is linked to chronic stress, burnout, anxiety , mood disorder , sleep problems , substance use, and other conditions and issues. The reverse is also true: chronic stress and anxiety can worsen ADHD symptoms.

ADHD impacts the whole self, so is treatments must likewise target more than inattention and impulsivity. Integrative medicine is growing in popularity because it’s a treatment approach that addresses symptoms and promotes general health and wellness. Integrative Medicine for People with ADHD: Index of Topics

What Is Integrative Medicine?

Integrative medicine considers the whole person and leverages all options — holistic thinking , complementary therapies , and conventional treatments — in devising a patient’s care plan.

Studies exploring the effectiveness of integrative approaches for ADHD specifically are limited. Moreover, the most common treatments for ADHD are the conventional – medication and psychotherapy. Still, just as ADHD affects many aspects of wellbeing, a variety of treatments and approaches can do the same.

As an integrative practitioner, my approach for treating patients with ADHD is this: If the 多動症症狀 are significantly impairing, I start with medication, and then phase in other strategies, often outside of conventional care. If the ADHD symptoms are mild to moderate, the non-medication and lifestyle approaches can be tried first.

Over time, as the other skills and strategies are employed, the need for medication can be re-evaluated and the dose reduced.

An example of an integrative medicine plan for ADHD may combine psychotherapy (a conventional strategy), stress-management skills (holistic thinking), and omega-3 fatty acids (a complementary supplement).

Conventional Treatments for ADHD

Holistic Wellness and Lifestyle Approaches for ADHD

Complementary and Alternative Medicine (CAM)

  • Brain-gut health
  • Acupuncture

Integrative Medicine for ADHD: Combining Holistic & Conventional Care

Most of the following approaches address ADHD’s secondary symptoms — namely stress, anxiety, mood, low self-esteem, 和 情緒失調. Treating these factors can help decrease the severity and impairment of ADHD’s core symptoms.

Stress Management and Executive Function

Psychotherapy

Cognitive behavioral therapy (CBT) helps patients develop a greater understanding of their ADHD symptoms and teaches skills that help with 執行功能障礙.

CBT aims to improve patients’ problem-solving and stress-management skills by setting realistic goals and teaching organizational and time-management skills to achieve them. This type of psychotherapy can also improve balanced thinking and communication skills by focusing on one’s unique challenges (e.g., history of 創傷 or other comorbid mental health conditions).

多動症輔導

Like CBT, coaching helps individuals meet their goals and develop skills to address ADHD-related barriers along the way.

正念

Mindfulness — a practice that includes meditation as well as awareness shifts in daily activities — has been shown to improve both inattentive and hyperactive/impulsive symptoms, as well as selected measures of attention, emotion regulation, and executive functions1.

By analysis of automatic habits, the practice allows you to change them in the moment. For example, mindful awareness may help you realize that you are procrastinating, and help you tune in to the emotions that are driving the 拖延.

Self-Compassion

A facet of mindfulness, practicing self-compassion is particularly important for mental health. Offering yourself some validation and kindness — “This is hard. I’m stressed. I’m struggling” — will make a difference in how stress is experienced.

我的孩子和 #039; 的自閉症診斷是如何導致我自己的

我孩子的自閉症診斷是如何導致我自己的

你在自己身上看到很多孩子嗎?

你有很多相同的習慣嗎?有相似的氣質嗎?把它們當成一個迷你的我?

這就是我對我的女兒(我的第二個孩子)和我自己的看法——當她還是個嬰兒的時候,人們會在街上攔住我,滔滔不絕地說她看起來多麼像我吐痰的形象!

因此,當她從一歲起就開始表現出自閉症的跡象時(雖然直到她六歲才最終得到正式診斷),這確實讓我開始懷疑我自己是否可能是自閉症。

但是在這個階段我沒有時間給自己。我有一個三歲的兒子——我最小的兒子——他迫切需要自閉症和多動症的診斷和支持。

有趣的是,一旦這兩個被診斷出來,我仍然不知道我的大孩子,我 13 歲的孩子,他在小學時在社交和學業上的表現都非常出色,可能會出現在譜系中。當他們開始上高中時,一切都分崩離析,讓我們發現他們也患有自閉症和多動症。

在我所有的孩子都被診斷為自閉症之後,我開始閱讀我推薦的有關自閉症女孩的書,以幫助我更好地理解和支持我的女兒。我決定突出任何與我產生共鳴的東西是個好主意。在這本書讀到一半時,我強調了其中的大部分內容,並意識到這根本不是針對我女兒的。它解釋了從我還是個小女孩到現在的生活對我來說是怎樣的。很多我不知道的事情與自閉症有關,我認為它們只是 Anthea 所做、想到或感覺到的事情。

諸如對光和聲音非常敏感之類的事情,我知道這與我對纖維肌痛的另一種診斷有關;然而,我不知道它們也是感官和情緒超負荷的跡象。我經常在購物中心得到這種“有趣的感覺”,我的眼睛會變得模糊,我會開始顫抖,無法集中註意力並感到噁心。我的孩子們也發現在擁擠、嘈雜的地方也很有挑戰性。

我很幸運地遇到了一個能夠為我進行自閉症評估的組織,因為作為三個有特殊需要的孩子的媽媽,我永遠不會存錢為自己支付評估費用。他們的需求永遠是第一位的。

我非常感謝事情進展順利,我能夠得到評估,因為這完全改變了我的生活。最好的部分是我能夠學習有助於減輕自閉症影響的工具和策略。

我終於學會了對自己的皮膚感到舒服,並理解為什麼我會以這種方式做這麼多事情。

我現在明白為什麼我真的很難在群體中社交,為什麼我要花這麼長時間才能得到笑話,為什麼當朋友或家人情緒低落時我會身體受傷。

如果不是因為我自己有自閉症孩子,我永遠不會知道我是自閉症。我永遠不會覺得自己適合這個世界的某個地方。

共病 ADHD 使大多數診斷和治療計劃複雜化

共病 ADHD 使大多數診斷和治療計劃複雜化

準確的 ADHD 評估必須篩查的不僅僅是 ADHD。儘管 60% 的多動症患者有一些共存的精神疾病1, 合併症很少納入評估——導致不完整的診斷。您患有多動症,但您還有什麼可能呢?或者,不,您沒有多動症,而是其他一些可以解釋導致您尋求幫助的症狀的病症。

這就是為什麼 清單評估,雖然有用的篩選工具,但本身是不夠的。您需要坐下來與人交談並講述您的故事。在醫學術語中,這稱為分享您的病史,您的病史是所有醫學中最具啟發性和最有用的測試。雖然大多數心理健康專業人員不進行體檢,但“病史和身體狀況”仍然是醫學評估的基石。

無論您是否還沒有經歷過 多動症評估,或者您已經被診斷出患有多動症,請務必詢問您的醫生您是否有以下任何情況 合併症 常見於多動症:

多動症和常見的共存疾病

1.學習差異

大約 30% 到 50% 的多動症患者有 學習障礙 (LD) 2 3.這些包括大多數“疾病緩解”。

  • 閱讀障礙. 閱讀障礙是最常見的學習障礙,使您學習閱讀和拼寫母語的速度變慢。我同時患有多動症和閱讀障礙症,它們的表現可能會大不相同,並且會隨著時間的推移而發生變化。例如,我在大學時主修英語,現在以文字為生,儘管直到今天我還是一個非常緩慢的閱讀者。
  • 計算障礙 有時被稱為“數學閱讀障礙”。有計算障礙的人在數學事實、計數、計算和單詞問題上都有困難。但是,正如閱讀困難的人可能會被證明是有語言天賦一樣,有計算障礙的孩子可能會成長為有天賦的數學家。
  • 書寫困難 包括手寫困難、握筆或鉛筆的笨拙方式、書寫單詞或字母的間距困難、經常需要擦除以及書寫時笨拙的身體姿勢。
  • 運動障礙,或發育性協調障礙 (DCD),表示笨拙、缺乏協調、容易掉落或灑落東西、動作笨拙。 DCD 通常會在童年和青春期導致嚴重的自信心和自尊問題,因為運動能力和身體流動性在同齡人中受到高度重視。
  • 閱讀障礙. 閱讀障礙是最常見的學習障礙,使您學習閱讀和拼寫母語的速度變慢。我同時患有多動症和閱讀障礙症,它們的表現可能會大不相同,並且會隨著時間的推移而發生變化。例如,我在大學時主修英語,現在以文字為生,儘管直到今天我還是一個非常緩慢的閱讀者。
  • 計算障礙 有時被稱為“數學閱讀障礙”。有計算障礙的人在數學事實、計數、計算和單詞問題上都有困難。但是,正如閱讀困難的人可能會被證明是有語言天賦一樣,有計算障礙的孩子可能會成長為有天賦的數學家。
  • 書寫困難 包括手寫困難、握筆或鉛筆的笨拙方式、書寫單詞或字母的間距困難、經常需要擦除以及書寫時笨拙的身體姿勢。
  • 運動障礙,或發育性協調障礙 (DCD),表示笨拙、缺乏協調、容易掉落或灑落東西、動作笨拙。 DCD 通常會在童年和青春期導致嚴重的自信心和自尊問題,因為運動能力和身體流動性在同齡人中受到高度重視。

所有這些 LD 的治療包括專門的輔導(如 Orton-Gillingham、Wilson 或 Lindamood-Bell 治療閱讀障礙)或輔導;職業治療;和輔導,以幫助解決隨之而來的情緒問題。

2. 行為或品行問題

這些的診斷術語包括 對立違抗性障礙 (奇怪的); 品行障礙 (光盤);和反社會人格障礙(ASPD)。如果沒有乾預,孩子可能會隨著年齡的增長從 ODD 轉變為 CD 再到 ASPD(儘管這些情況在男性中更為常見)。儘早獲得幫助至關重要,治療最好由提供者團隊進行。

3. 焦慮症

有時 焦慮 在未經治療後發生 多動症.一旦一個人服用興奮劑藥物並獲得注意力和控制力,焦慮就會減弱。

然而,有時個體患有獨立性焦慮症,需要結合教育、諮詢、認知行為療法進行治療。CBT)、體育鍛煉、積極的人際關係,也許還有藥物治療,例如 SSRI 或抗焦慮藥。

4. 情緒問題

  • 沮喪. 再一次,在未經治療的多動症之後可能會出現抑鬱症。如果這個人反應良好 多動症藥物,性能提高,“抑鬱”消失。然而,有時一個人也會患有原發性(而非繼發性)抑鬱症,這需要自己治療。
  • 心境惡劣。 心境惡劣的悲傷和低落情緒不如抑鬱症嚴重,但持續時間更長。
  • 終生情緒低落。 從歷史上看,對此有很多術語,但一個常見的臨床觀察是,一些患有多動症的人與情緒低落和情緒失調作鬥爭。
  • 躁鬱症 (BD)。 多達 13 名 ADHD 患者中就有 1 人患有 合併BD,多達六分之一的 BD 患者患有 ADHD4 .

5. 物質使用障礙

南德 多動症很常見,行為成癮或強迫症也很常見。不要讓 恥辱 阻止您與您的醫生談論它們。除了意志力和白指關節之外,還有其他治療方法。

“'我怎麼了?' 34 年未確診多動症的代價”

“'我怎麼了?' 34 年未確診多動症的代價”

如果七年前你告訴我我會寫這篇文章,我永遠不會相信你。那是因為我破產了,離婚了,還掙著最低工資。

33 歲時,我搬進了與四個熟人合租的房子。我正在樓上,打開我離婚後的行李箱時,一具屍體倒在我的特大號床上,嚇了我一跳。是比利,來自越南的 26 歲技術支持代理,他看起來非常舒服。

就在那時,它擊中了我:他沒有倒在我的特大號床上,而是他的一半 我們的 特大號床。因為當時我只能租半張床。

我是如何到達那裡的

讓我告訴你我是如何走到那個低谷的——我忍受了 30 多年的故事 未確診的多動症.

小學、中學和高中都開得很好。我是一個天生的好考生,我有一個支持我的社會結構。

儘管如此,我在整個學校都在以傳奇的水平掙扎 拖延 和最後一刻的保存。我從未從頭到尾完成一本書,這為我贏得了“懸崖筆記阿倫”的綽號。

“我怎麼了?”這個問題在我腦子裡就像一張破唱片。

我媽媽很快就給出了答案:“阿倫只是傲慢。他認為他不必做這項工作。”

不過,這個答案讓我感到困惑,因為我想做這項工作。我討厭每次截止日期臨近時我所經歷的輕微心髒病發作。腎上腺素飆升讓我開始行動,但它 讓我筋疲力盡 身體上和情感上。

儘管如此,我還是設法在我的高中課程中從 #1 畢業,並且——吹喇叭! — 被錄取 哈佛.

靠我自己

哈佛本應標誌著我成功人生的開始。相反,它開始了 15 年的失敗。

我輟學了兩次——一次逃到新西蘭的一個小島,但那是另一回事了。我在不同的時間用酒精、鍋和香煙來淹沒我的絕望,我設法通過牙齒的皮膚畢業。

我本科生涯的這種動盪和失敗進一步侵蝕了我的 自我感覺.但是我在進入就業市場時獲得了哈佛學位,事情變得更好了……

不,我只是在開玩笑。

我大學畢業後的第一份工作持續了六個月。我的前七份工作和生意都失敗了。我夜以繼日地工作,因為我的未確診 多動症 在工作日讓我分心,但這開始影響我的 婚姻.

“我怎麼了?”又是這個臭問題!

我的教練心理學導論

然後,在我 30 歲出頭的時候,我做了任何從事過雜亂職業的人都會考慮做的事情:我去讀研究生。

在那裡,我獲得了教練心理學碩士學位。我告訴我媽媽我想成為一名生活教練——這是真的——但在內心深處,我想幫助自己。

在很多方面,我做到了。我得到了同伴教練的幫助並開始應用 動機,習慣養成,改變我的生活。

我開始幻想我將如何利用我的新技能擺脫我的最低工資工作……並最終發揮我的潛力。

然後“重磅炸彈週末”發生了。

多動症家長的生存指南:從學前班到高中的策略

多動症家長的生存指南:從學前班到高中的策略

For any parent with ADHD, raising children, managing a household, and maintaining emotional health is a Hurclean task. ADHD impacts nearly every facet of parenting, so caregivers with the condition need distinct tools and resources to manage their symptoms and effectively meet their kids’ needs through every developmental phase. Here they are.

Parenting is hard. It’s rewarding, yes. But also difficult, demanding, and draining. When caregivers have ADHD, the challenges of parenting seem to multiply in number and intensity. ADHD symptoms like inattention, impulsivity, and emotional dysregulation inevitably impact the daily rhythms and responsibilities of parenting, not to mention the relationships we forge with our children as they grow.

From diapers to driver licenses, here’s advice for parents with ADHD on simultaneously managing their symptoms while raising happy, healthy, well-adjusted children.

How ADHD Impacts Parenting Skills

Parenting requires the daily, dependable execution of non-novel, repetitive tasks, a combination that’s kryptonite for adults with core ADHD deficits including fluctuating attention and poor working memory. More broadly, ADHD impacts these core facets of parenting:

  • Emotional availability: When children are experiencing big feelings or challenging situations, they look for guidance and protection from their parents. But with ADHD and its own 情緒失調, it’s tough to be consistently present and focused to support a child’s emotions.
  • Relationship-building: The parent-child bond is the nexus of any healthy family dynamic. But many parents with ADHD struggle to stay engaged and interested while spending time with their child, especially if CandyLand is involved.
  • Planning ahead for problematic situations: Parents are continuously making time and space to reflect on what’s been challenging for their family, and how they can alter plans, procedures, and schedules for future success. But caregivers with ADHD often lack the executive function skills to do this high-level analysis, planning, and execution. Impulse control deficits may also cause parents to lash out and complicate already-challenging situations.
  • Organizing supplies and schedules: Managing family logistics and routines requires unwavering organizational skills, a known difficulty with ADHD.
  • Keeping children safe: Parents need the attentional capacity to monitor their children, whether toddlers or teenagers, without distraction.
  • Shaping positive behavior: 正強化 helps establish good behavior, but it requires parents to “catch” and praise their children quickly and with meaningful details.
  • Staying regulated in challenging situations: Emotional dysregulation, impulsivity, and intense emotions are part of the ADHD experience, which makes “calm” elusive in many ADHD households. Managing stress is also an issue for many parents with ADHD.
  • Setting boundaries and giving consistent consequences.

Parenting with ADHD: Tailored Approaches for Spirited Families

The charts below highlight critical areas in each of the four childhood developmental stages, plus strategies for caregivers with 多動症 to employ for each.

ADHD Parenting Skills: Elementary School (Ages 6 to 10)

Forming relationships: Children start to form bonds independently and engage in parallel play. Reflective modeling: Children adopt the social skills they see at home — from their parents and siblings or on the TV. Model appropriate interactions for your child, and be mindful of what they’re watching.
Developing interests and hobbies: Children practice and start to demonstrate skill in certain activities. Create opportunities for practice. Think: How can I give my child whatever materials they need to independently practice?
Complex schedules: More activities require more planning and materials. Externalize information. It’s common for individuals with ADHD to forget verbal instructions. Use whiteboards, sticky notes, digital calendars, and other visual organizing tools to keep track of schedules and to-dos.
Academic responsibility: Homework, tests, projects, and elevated expectations place extra demand on organizational skills. Set up “help times;” To manage frustration and frequent interruptions, establish certain times when your child can check in with you. First, make sure that they have a clear workspace free of distractions. (No screens, all supplies in one place, etc.)
Social life: Play dates and parties are still facilitated by parents, which requires clear communication and planning. Set reminders: Schedule a time every week to verify and prepare for upcoming plans. Create multiple countdown reminders until the day of the event.