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Why am I so irritable and want to be alone?

Many factors can cause or contribute to irritability, including life stress, a lack of sleep, low blood sugar levels, and hormonal changes. Extreme irritability, or feeling irritable for an extended period, can sometimes indicate an underlying condition, such as an infection or diabetes.

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When a person feels irritable, small things that would not usually bother them can make them feel annoyed or agitated. The resulting tension can make a person more sensitive to stressful situations. Irritability is a common emotion. Many factors can cause or contribute to irritability, including life stress, a lack of sleep, low blood sugar levels, and hormonal changes. Extreme irritability, or feeling irritable for an extended period, can sometimes indicate an underlying condition, such as an infection or diabetes. It may also be a sign of a mental health condition, such as anxiety or depression. People may experience the following symptoms along with increased irritability: confusion or difficulty concentrating

excessive sweating

a rapid heartbeat

fast or shallow breathing In this article, we look at what can cause irritability in adults and children and provide tips for managing irritability. Life stress Share on Pinterest Life stress is one of the major causes of irritability. Going through a stressful period can make a person feel more irritable than usual. When someone experiences a stressful life event — which may tie in with work, school, trauma, or grief — they may find it more difficult to manage their emotions and can become overwhelmed. They may feel less tolerant of the people around them. Feeling overwhelmed by life stress is normal, but prolonged periods of stress can lead to emotional exhaustion. Recognizing the early signs of stress and taking steps to relieve this feeling can help people avoid burnout. The National Alliance on Mental Illness (NAMI) provide useful tips for coping with life stress. Anxiety Feelings of anxiety often arise in response to stressful situations in life, such as problems at work, preparing for an important exam, or going through significant life changes. This type of anxiety usually goes away once the stressful situation passes. However, anxiety may linger or worsen over time and can severely affect a person’s daily activities, work performance, and personal relationships. If a person has excessive anxiety or worry that lasts for 6 months or longer , they may have generalized anxiety disorder (GAD), which affects up to 20% of adults in the U.S. each year. The symptoms of GAD can occur in other types of anxiety disorder and may include: irritability

a rapid heart rate

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shallow breathing

muscle tension

difficulty concentrating or making decisions

problems falling asleep or staying asleep People may also experience panic attacks. A panic attack refers to a period of intense fear that develops with little to no warning and peaks within minutes . The exact triggers vary from person to person, and they may not always be apparent. People who experience panic attacks may find themselves worrying about when the next attack will occur. They might go out of their way to avoid situations, places, or behaviors that could trigger an attack. Thinking about triggers and panic attacks can make a person feel overwhelmed and irritable. Phobia disorders The term phobia describes an intense fear or aversion to a certain object, person, or situation. Thinking about or having exposure to the phobic situation or item can make a person feel overwhelmed, panicky, and more irritable than usual. People who have a phobia disorder may feel intense fear or anxiety about: flying

heights

needles

blood

being outside

social situations

specific animals, such as dogs or snakes

Low blood sugar Having low blood sugar, called hypoglycemia, can affect a person’s physical and psychological health. Low blood sugar commonly affects people with diabetes as a result of them using insulin and other diabetes medications. However, people with or without diabetes can experience temporary hypoglycemia if they have not eaten for several hours. The symptoms of hypoglycemia include: irritability or nervousness

difficulty concentrating

a rapid heartbeat

trembling

headaches

drowsiness

feeling dizzy or lightheaded Hypoglycemia can also affect a person’s sleep. People can experience nightmares and excessive sweating throughout the night. Hormonal imbalance Hormonal imbalances can cause various physical and psychological symptoms, including irritability. High levels of stress, poor nutrition, and inadequate sleep can influence people’s hormones. Other possible causes of hormonal imbalance include: diabetes

hyperthyroidism

polycystic ovary syndrome (PCOS)

menopause Low levels of testosterone or high levels of estrogen can cause irritability in males. Premenstrual syndrome Premenstrual syndrome (PMS) is an example of a common hormonal imbalance that can result in mood swings and irritability. PMS is very common, with over 90% of people reporting PMS symptoms in the week or fortnight before their period. Other common symptoms of PMS include: headaches

fatigue

low mood

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increased anxiety

crying easily

food cravings

abdominal bloating

tender or swollen breasts

constipation or diarrhea If a person experiences severe irritability, depression, or anxiety in the lead up to their period, they may have premenstrual dysphoric disorder (PMDD). This condition affects up to 5% of females of childbearing age. A doctor can provide information on treatment options for PMDD. Irritability in children Young children go through phases of appearing more or less irritable. These phases are a normal part of development. Children often seem irritable if they have a viral or bacterial infection. This irritability will usually go away when they feel better. In other cases, irritability in children and adolescents can indicate a mood or behavior disorder, such as: anxiety disorder

oppositional defiant disorder (ODD)

depression Mood and behavior disorders are relatively common. According to a 2019 study on mood and behavior disorders in children aged 3–17 years: 7.4% have a behavior or conduct disorder

7.1% have anxiety

3.2% have depression

Treatments The treatment options for irritability vary depending on the underlying cause. Effectively treating the cause will relieve feelings of irritability and other related symptoms. Medications, such as mood stabilizers and antidepressants, can help treat mood disorders. Professional counseling can help reduce mood-related symptoms, such as fear, worry, and irritability. Treatments for hormonal imbalances include diet and lifestyle changes as well as hormone therapy. Hormone therapy may not work for everyone, so it is best to consult a trained healthcare professional before starting hormone supplements. Ways to manage irritability Share on Pinterest A person may be able to manage their irritability through regular exercise. People can manage their irritability in several different ways. Certain methods will work better for some people than others. It is up to the individual to find which coping mechanisms best suit their personality and lifestyle. A few general tips for managing irritability include: exercising regularly eating a balanced diet rich in whole foods, such as fruits and vegetables, and low in processed foods

maintaining a regular sleep schedule

practicing slow breathing techniques

practicing meditation

speaking with trusted friends and family members

meeting with a mental health practitioner or counselor

using a journal to keep track of mood changes and triggers

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