![]() A strong and effective psychotherapy relationship is of paramount importance psychoanalytic therapy in particular can be valuable in bringing out underlying issues related to dysregulation. However, the prognosis for persons who are frequently emotionally dysregulated depends on the severity of their underlying issues. As mentioned earlier, we all can experience emotional dysfunction, exhibit dysregulated behavior, or even struggle with uncontrollable emotions when triggered. Explosive anger, often directed at family members, is a common occurrence, particularly in individuals in whom impulsivity, disinhibition, and emotional dysregulation are present.Įmotional dysregulation is a part of the human experience. These frontal-subcortical disorders can result not only from head injury, combat trauma, infection, cancer, stroke, previous drug or alcohol use, or neurodegenerative diseases. In the brain injured, there is dysregulation of emotions, as well as attention deficit issues, impulsivity, poor insight, lack of inhibition, impaired judgment, and depressive symptoms. These feelings are reactions to a previous severe and often life-threatening traumatic event that is reinitiated.Įmotional dysregulation is also seen after a traumatic brain injury, including frontal lobe disorders. Persons with complex trauma or PTSD display emotional dysregulation characterized by excessive fear, anxiety, anger, or sadness. Psychological trauma, including post-traumatic stress disorder (PTSD), may cause significant emotional dysregulation. At PCH, we do not label people with “personality disorders.” However, emotional dysregulation is a common process we observe and work with in our client population. Emotional dysregulation is also a central feature of narcissistic and histrionic personality types. For example, what is commonly referred to as “ borderline personality disorder ” (BPD) may also be termed emotional dysregulation disorder (EDD), emotional regulation disorder, emotional instability disorder, emotion-impulse regulation disorder, or emotionally unstable personality disorder. However, certain psychological issues involve the dysregulation of emotions as a prominent characteristic, especially some types of personality issues. It is often a symptom of several mislabeled and misconceptualized psychological or psychiatric disorders, as listed in the DSM-5. Individual temperament styles can be associated with emotional dysregulation.Įmotional dysregulation is a symptom of several different emotional and cognitive states. Temperament can be defined as the array of inborn traits that determine a person’s unique behavioral style and how they experience and react to the world. A primary caregiver who was abusive or neglectful can also adversely affect the ability to emotionally regulate.Īnother fundamental factor depends on each individual’s style of temperament. Particular early attachment styles to a primary caregiver may be a factor in the ability or inability to deal with or regulate emotions. As a result, emotional dysregulation is often related to issues of attachment. It is not unusual for a person to have poor reality testing when dysregulated-this relates to sensory pathways being shut down during the period of high emotional reactivity.Įmotional dysregulation is usually relational, meaning it is triggered by a close personal contact such as a family member, child, loved one, ex-loved one or someone who has power or control over that person. When a person becomes emotionally dysregulated, they may react in an emotionally exaggerated manner to environmental and interpersonal challenges by displaying bursts of anger, crying, accusing, passive-aggressive behaviors, or by creating conflict. Emotional dysregulation can also lead to or be associated with depression and anxiety. However, with some persons, particularly those with a history of psychological trauma, there are multiple triggers additionally, the periods of dysregulation may be prolonged, causing major disruptions in relationships and daily functioning. It should be noted that all of us can become dysregulated when triggered. Emotional dysregulation refers to the inability of a person to control or regulate their emotional responses to provocative stimuli.
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