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What are the signs that someone might struggle with emotional regulation?

Common signs that someone may struggle with emotional regulation include outbursts of strong emotion, such as anger or sadness, impulsive behavior, avoidance of difficult emotions, or extreme difficulty making decisions. People with emotional regulation difficulties may experience frequent mood swings or feel caught off guard by strong emotions. These experiences can affect personal, work, or school relationships, and may also contribute to or worsen mental health concerns.

How can therapy help with emotional regulation?

A therapist can help you understand emotional patterns and challenge automatic thoughts that may contribute to anger outbursts, impulsive behaviors, or other signs of emotion dysregulation. For instance, they may use worksheets, journaling exercises, or thought-reframing tools to help you identify triggers and respond differently. These activities often share the goal of creating more space between emotion and action. Over time, therapy can also help you recognize early warning signs of emotional distress before the emotions feel unmanageable.

Is emotional dysregulation a diagnosis?

Emotional dysregulation itself is not a diagnosis. Rather, it is a common symptom of several mental health conditions, such as attention-deficit/hyperactivity disorder (ADHD), depression, bipolar disorder, borderline personality disorder (BPD), and certain anxiety disorders. Therapy that helps improve emotional regulation can also help reduce the symptoms of related disorders.

Emotional dysregulation is also often linked to life experiences such as trauma or childhood neglect. In some cases, these experiences may contribute to emotional regulation difficulties and increase the risk of developing mental health conditions.

What therapeutic approaches can help with emotion regulation?

Two common therapeutic approaches used to support emotion regulation are cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT). CBT helps people identify negative thoughts and thought patterns, with the goal of developing healthier ways of thinking and responding. DBT is related to CBT and was originally developed for borderline personality disorder, though it is now used for many other concerns. Emotion regulation is one of DBT’s “core skills,” alongside other skills like mindfulness and distress tolerance.

Both CBT and DBT are skill-based, meaning that sessions focus on specific skills to manage emotions, such as thought records and problem-solving skills. This makes them different from traditional “talk therapy” approaches, as they place greater emphasis on learning and practicing specific strategies that can be used in moments of high emotional distress.

Can children and teens have therapy for emotional regulation?

Yes, children and teens, as well as adults, can benefit from therapy for emotional regulation. Many mental health concerns first appear in late childhood or adolescence, so therapy can help identify what may be part of normal development and what may require additional therapeutic support.

Therapy can also help children and teens build lifelong emotional regulation skills. Learning these skills early can make it easier to use them during stressful or difficult situations later in life.