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Are You Overreacting—Or Is It the First Sign of Emotional Dysregulation?

emotional dysregulation symptoms
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Written by Andrew Le, MD.
Medically reviewed by
Last updated June 12, 2025

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Do you ever feel like your emotions take over before you can think?

That overreaction might be a sign of emotional dysregulation. It happens when your brain has trouble keeping feelings in balance.

For example, a small issue might cause an angry outburst or deep sadness. It’s closely linked to problems with executive function, which is how the brain organizes and controls behavior.

Normally, people learn how to manage emotions as they grow. It’s like turning the volume knob on a speaker—most people can adjust how loud their feelings feel. But when someone has emotional dysregulation, that volume control doesn't work properly.

Kids, for example, usually grow out of temper tantrums as they learn to handle emotions. But if emotional regulation doesn’t improve, it can lead to bigger problems later in life.

What is Emotional Dysregulation

Emotional dysregulation means having a hard time managing your emotions. Your feelings might come on too strong, last too long, or feel like they take over. You may react in big ways, even when the situation doesn’t seem that big to others.

Here’s what emotional dysregulation can look like:

  • Feeling stuck in a bad mood or unable to calm down
  • Getting upset or angry over small things
  • Sudden mood swings
  • Acting on impulse without thinking
  • Yelling, crying, or losing your temper easily
  • Trouble staying focused on goals because emotions get in the way
  • Feeling irritated or angry most of the time
  • Trouble calming down once upset

For people with ADHD, emotional dysregulation also includes rejection-sensitive dysphoria—a strong fear of being rejected or feeling like a failure. Even small things can feel deeply painful.

How Emotional Dysregulation Affects People with ADHD

Emotional dysregulation is a common challenge for people with ADHD—even though it's not one of the core symptoms doctors use for diagnosis. Unlike hyperactivity, impulsivity, or inattention, emotional struggles are often overlooked.

However, according to research, emotional dysregulation is closely tied to ADHD and may even be a central feature. This difficulty in managing emotions can affect multiple parts of life.

In Work and Career

Emotional dysregulation can make it hard to manage stress, communicate clearly, or stay calm at work. This may affect how well someone performs on the job and how they get along with coworkers.

These are how emotional dysregulation shows up at work:

  • Sudden emotional outbursts or tension with coworkers
  • Mood swings and impulsive decisions that affect job performance
  • Missed promotions or stalled career progress due to emotional missteps
  • Ongoing frustration and burnout

In Relationships

Strong emotions that are hard to control can make personal relationships feel confusing or one-sided. This can lead to hurt feelings, arguments, or lost connections.

It may look like:

  • Overreacting to minor issues
  • Difficulty recognizing or responding to others’ emotions
  • Friends or partners feeling ignored or unsupported
  • Increased conflict or misunderstandings
  • Could lead to breakups

Your Mental Health

When emotions feel out of control, mental health can suffer. Emotional dysregulation often shows up alongside other mental health issues and makes it harder to manage daily life.

  • Higher risk of anxiety
  • Higher risk of depression
  • Feelings of being overwhelmed
  • Feelings of being emotionally exhausted
  • Difficulty coping with everyday stressors

Your Physical Health

Constant emotional stress also takes a toll on the body. Over time, this stress can lead to real health problems.

  • Headaches
  • Muscle tension
  • Elevated cortisol (stress hormone) levels
  • Weakened immune function and increased risk of illness

Overall, emotional dysregulation is a consistent pattern that influences how people with ADHD feel, behave, connect with others, and navigate the world. Being able to understand it is the first step toward getting better and finding the right support.

Simple Ways to Cope with Emotional Dysregulation

Learning how to handle your emotions can help you feel better, improve your relationships, and reduce stress. Here are some simple tips that work:

  • Stay present. Don’t react right away when you’re upset. Take a moment to think before you speak or act. This helps you stay in control.
  • Name your feelings. Try to say exactly what you're feeling, like “I feel sad and left out.” Naming your emotions can make them feel less overwhelming.
  • Do the opposite. If you feel scared, try acting brave. If you feel nervous, stand tall and smile. Acting differently can help change how you feel inside.
  • Move your body. Exercise helps you release strong feelings like anger or anxiety. Even a short walk can help you calm down.
  • Don’t put things off. Avoiding tasks can make you feel more stressed later. Try to start right away and take short breaks as you go.

These small steps can help you feel more in control, even during tough moments.

End Note

Emotional dysregulation can quietly shape how you think, feel, and act each day. It can cloud your judgment, strain your relationships, and wear down your body over time. But awareness is a powerful first step. Once you recognize the signs, you can start finding tools that work for you. With the right support, it’s possible to rebuild emotional control, protect your mental health, and move toward a more balanced life.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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