Emotional dysregulation

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Emotional dysregulation (or affect dysregulation) is a term used in the mental health community to refer to an emotional response that is not well modulated. This means that an individual does not respond to a person, place, thing, or event in a manner that would generally be considered within the normal range of emotions. Emotional dysregulation is seen across both positive and negative affect. It is characterized by difficulty regulating one's emotions; examples of this might be rage over a broken plate, or hysterics over a missed appointment. In contrast, emotional regulation is defined as the relative ability to tolerate painful affect (referred to as affect tolerance), along with the ability to internally reduce distress.^{[citation needed]}

Emotional dysregulation is a broad phenomenon that is a component of many mental health disorders. It is often caused by early exposure to psychological trauma or chronic maltreatment (such as child abuse, child neglect, or institutional neglect/abuse), and is strongly associated with Complex Post Traumatic Stress Disorder.^[1][1] The term is also used with reference to Borderline Personality Disorder (BPD), Reactive Attachment Disorder and other conditions. There is an effort within some sectors of the mental health community to rename Borderline Personality Disorder as either "Emotional Dysregulation Disorder" or "Emotional Dysregulatory Disorder" in the DSM and ICD-10.^{[citation needed]}

Treatment for emotional dysregulation must address the underlying cause. For example, attachment-based treatment interventions may be appropriate for children or adolescents suffering from emotional dysregulation such as is found in Reactive Attachment Disorder or Complex Post-Traumatic Stress Disorder.^{[citation needed]}

See also

• Attachment theory
• Borderline Personality Disorder or BPD
• Complex Post Traumatic Stress Disorder or C-PTSD
• Labile affect
• Post Traumatic Stress Disorder or PTSD
• Reactive Attachment Disorder
• Dissociative Disorders (DSM-IV Dissociative Disorders); Structured Clinical Interview for DSM-IV
• Dissociation (psychology)
• Depersonalization Disorder (DSM-IV Dissociative Disorders 300.6)
• Psychogenic amnesia; Dissociative Amnesia (formerly Psychogenic Amnesia) (DSM-IV Dissociative Disorders 300.12)
• Fugue state; Dissociative Fugue (formerly Psychogenic Fugue) (DSM-IV Dissociative Disorders 300.13)
• Dissociative Identity Disorder (formerly Multiple Personality Disorder) (DSM-IV Dissociative Disorders 300.14)

References

Notes

Sources

• Clarkin J., Hull J., Hurt S., (1993). Factor structure of borderline personality disorder. Journal of Personality Disorders.

• Donegan, N., Sanislow, C., Blumberg, H., Fulbright, R., Lacadie, C., Skudlarski, P., Gore, J., Olson, I., McGlashan, T., & Wexler, B. (2003). Amygdala Hyperreactivity in Borderline Personality Disorder: Implications for Emotional Dysregulation. Journal of Biological Psychiatry.

• Gunderson J., Zanarini, M. (1989). Pathogenesis in borderline personality. In: Tasman A., Hales R., Frances A., (Ed.). Review of Psychiatry, Vol. 8.

• Linehan, M. (1995). Understanding borderline personality disorder. New York. Guilford Press.

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .