Emotional dysregulation

Emotional dysregulation is characterized by an inability in flexibly responding to and managing emotional states, resulting in intense and prolonged emotional reactions that deviate from social norms, given the nature of the environmental stimuli encountered. Such reactions not only deviate from accepted social norms but also surpass what is informally deemed appropriate or proportional to the encountered stimuli.[1][2][3][4]

It is often linked to physical factors such as brain injury, or psychological factors such as adverse childhood experiences, and ongoing maltreatment, including child abuse, neglect, or institutional abuse.[5]

Emotional dysregulation may be present in people with psychiatric disorders such as attention deficit hyperactivity disorder,[6] autism spectrum disorders, bipolar disorder, borderline personality disorder, complex post-traumatic stress disorder, and fetal alcohol spectrum disorders.[7][8][9] In such cases as borderline personality disorder and complex post-traumatic stress disorder,[10] hypersensitivity to emotional stimuli causes a slower return to a normal emotional state. This is manifested biologically by deficits[clarification needed] in the frontal cortices of the brain.[11] As such, the period after a traumatic brain injury such as a frontal lobe disorder can be marked by emotional dysregulation. This is also true of neurodegenerative diseases.[12]

Possible manifestations of emotion dysregulation include extreme tearfulness, angry outbursts or behavioral outbursts such as destroying or throwing objects, aggression towards self or others, and threats to kill oneself. Emotion dysregulation can lead to behavioral problems and can interfere with a person's social interactions and relationships at home, in school, or at their place of employment.[13]

  1. ^ Austin and Highnet, 2017[full citation needed]
  2. ^ Linehan 1993, p. 43
  3. ^ Manning 2011, p. 36
  4. ^ Carpenter, Ryan W.; Trull, Timothy J. (January 2013). "Components of Emotion Dysregulation in Borderline Personality Disorder: A Review". Current Psychiatry Reports. 15 (1): 335. doi:10.1007/s11920-012-0335-2. ISSN 1523-3812. PMC 3973423. PMID 23250816.
  5. ^ Schechter DS, Willheim E (July 2009). "Disturbances of attachment and parental psychopathology in early childhood". Child and Adolescent Psychiatric Clinics of North America. 18 (3): 665–86. doi:10.1016/j.chc.2009.03.001. PMC 2690512. PMID 19486844.
  6. ^ Retz W, Stieglitz RD, Corbisiero S, Retz-Junginger P, Rösler M (October 2012). "Emotional dysregulation in adult ADHD: What is the empirical evidence?". Expert Review of Neurotherapeutics. 12 (10): 1241–51. doi:10.1586/ern.12.109. PMID 23082740. S2CID 207221320.
  7. ^ Pynoos RS, Steinberg AM, Piacentini JC (December 1999). "A developmental psychopathology model of childhood traumatic stress and intersection with anxiety disorders". Biological Psychiatry. 46 (11): 1542–54. CiteSeerX 10.1.1.456.8902. doi:10.1016/s0006-3223(99)00262-0. PMID 10599482. S2CID 205870651.
  8. ^ Schore, A., (2003). Affect dysregulation and disorders of the self. New York: Norton.[page needed]
  9. ^ Bjorkquist OA, Fryer SL, Reiss AL, Mattson SN, Riley EP (February 2010). "Cingulate gyrus morphology in children and adolescents with fetal alcohol spectrum disorders". Psychiatry Research. 181 (2): 101–7. doi:10.1016/j.pscychresns.2009.10.004. PMC 2815126. PMID 20080394.
  10. ^ Brewin CR, Cloitre M, Hyland P, Shevlin M, Maercker A, Bryant RA, et al. (December 2017). "A review of current evidence regarding the ICD-11 proposals for diagnosing PTSD and complex PTSD" (PDF). Clinical Psychology Review. 58: 1–15. doi:10.1016/j.cpr.2017.09.001. PMID 29029837. S2CID 4874961.
  11. ^ Clinical trial number NCT00467038 for "Treatment of Aggression, Anger and Emotion Dysregulation in Borderline Personality Disorder" at ClinicalTrials.gov
  12. ^ "Emotional Dysregulation Disorder Treatment | PCH Treatment".
  13. ^ Dialetical Living. "What is Emotion Dysregulation?". www.dialecticalliving.ca/. Dialetical Living. Retrieved 1 April 2021.

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