Navigating a Nervous Breakdown: Effective Remedies and Coping Strategies
Key points
- Emotional: Severe anxiety, depression, feelings of detachment, frequent crying spells, and extreme mood swings.
- Psychological: Paranoia, hallucinations, or a feeling of losing touch with reality.
- Behavioral: Withdrawing from social activities, missing work, and having trouble with daily tasks.
- Physical: Insomnia, exhaustion, irregular heartbeat, digestive issues, and unexplained aches.
Understanding a "Nervous Breakdown"
While "nervous breakdown" or "mental breakdown" is not a clinical medical term, it is widely used to describe a period of intense mental distress or a mental health crisis. During this time, a person feels overwhelmed by stress and anxiety to the point where they are temporarily unable to function in their everyday life. This state is often triggered by an accumulation of stress from work, relationships, or financial pressures.
Recognizing the signs is the first step toward finding a remedy. Symptoms can be emotional, psychological, and physical.
Common Signs and Symptoms
- Emotional: Severe anxiety, depression, feelings of detachment, frequent crying spells, and extreme mood swings.
- Psychological: Paranoia, hallucinations, or a feeling of losing touch with reality.
- Behavioral: Withdrawing from social activities, missing work, and having trouble with daily tasks.
- Physical: Insomnia, exhaustion, irregular heartbeat, digestive issues, and unexplained aches.
Immediate Remedies and Coping Strategies
If you feel you are approaching or experiencing a mental health crisis, these immediate steps can help you regain a sense of control.
1. Remove Yourself from the Stressor
If possible, physically remove yourself from the immediate situation that is causing intense stress. Go to a quiet room, step outside for fresh air, or find a space where you can be alone for a few minutes.
2. Practice Deep Breathing
Controlled breathing can quickly calm your body's stress response. Try the 4-7-8 breathing technique:
- Inhale quietly through your nose for a count of 4.
- Hold your breath for a count of 7.
- Exhale completely through your mouth for a count of 8.
- Repeat this cycle 3 to 4 times.
3. Use Grounding Techniques
Grounding helps pull you out of an overwhelming emotional state and reconnect you with the present moment. A simple method is the 5-4-3-2-1 technique:
- 5: Acknowledge FIVE things you see around you.
- 4: Acknowledge FOUR things you can touch.
- 3: Acknowledge THREE things you can hear.
- 2: Acknowledge TWO things you can smell.
- 1: Acknowledge ONE thing you can taste.
4. Reach Out for Support
Do not go through this alone. Call or text a trusted friend, family member, or a mental health crisis hotline. Speaking with someone can provide immediate relief and perspective. If you are in the US, you can call or text 988 to reach the Suicide & Crisis Lifeline.
Long-Term Strategies for Recovery and Prevention
Managing a mental health crisis involves more than just in-the-moment remedies. Long-term strategies are crucial for sustainable recovery and preventing future episodes.
Seek Professional Help
This is the most important step for long-term health. A mental health professional can help you identify the root causes of your stress and develop healthy coping mechanisms.
- Therapy: Cognitive-behavioral therapy (CBT) is highly effective for managing anxiety, depression, and stress.
- Counseling: A counselor can provide a safe space to talk through your feelings and challenges.
- Medical Doctor: A doctor can rule out any underlying physical conditions and may prescribe medication, such as antidepressants or anti-anxiety drugs, if necessary.
Implement Lifestyle Changes
Small, consistent changes to your daily routine can significantly improve your resilience to stress.
- Prioritize Sleep: Aim for 7-9 hours of quality sleep per night. Establish a relaxing bedtime routine and avoid screens before bed.
- Balanced Diet: Eat regular, nutritious meals. Avoid excessive caffeine, sugar, and processed foods, which can worsen anxiety.
- Regular Exercise: Physical activity is a powerful stress reliever. Aim for at least 30 minutes of moderate exercise, like walking, jogging, or yoga, most days of the week.
Develop Stress Management Habits
Incorporate practices into your life that actively reduce stress.
- Mindfulness and Meditation: Daily meditation can help train your brain to respond more calmly to stressful thoughts. Resources like Headspace offer great starting points.
- Set Boundaries: Learn to say "no" to commitments that will overextend you. Protect your time and energy.
- Engage in Hobbies: Make time for activities you genuinely enjoy, whether it's painting, gardening, reading, or listening to music.
When to Seek Emergency Help
A nervous breakdown can sometimes escalate to a point where immediate medical attention is required. Seek emergency help if you or someone you know is:
- Having thoughts of self-harm or suicide.
- Unable to care for their basic needs (eating, drinking, hygiene).
- Experiencing severe paranoia or hallucinations.
In these situations, go to the nearest emergency room or contact emergency services immediately. Recovery is possible, and taking the first step to seek help is a sign of strength.
About the author
Jasmine Lee, MD, is a board-certified psychiatrist specializing in adult ADHD and mood disorders. She is in private practice in Colorado and serves as a clinical supervisor for psychiatry residents at the local university medical center.