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| Meta Title | Nervous Breakdown | How to Treat it | Buoy Health |
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| Boilerpipe Text | The terms “nervous breakdown” or “mental breakdown” are sometimes used to describe a state of overwhelming emotional stress. Nervous breakdown symptoms can become so intense that you may have difficulty accomplishing everyday tasks.
It’s important to know that the terms “nervous breakdown” or “mental breakdown” haven’t been used by doctors or psychiatrists for years and don’t describe a clinical condition. But many people use it to explain the experience of intense stress that temporarily interferes with normal activities.
A nervous breakdown may be diagnosed as an adjustment disorder, anxiety disorder, mood disorder, acute stress disorder, or other mental health condition.
Signs of a nervous breakdown can vary from person to person. The breakdown may or may not be caused by an underlying mental health condition, such as anxiety, depression, or post-traumatic stress disorder.
Dr. Rx
A nervous breakdown is not a real term used by the medical or psychiatric community. It is frequently used in mass culture to refer to a moment when someone has intense anxiety or emotion, or a mental health crisis. It can be compared to a pot boiling over. The emotion is simmering below and an event triggers it to boil over. Although this can feel overwhelming, confusing, and out of the blue—it is often the moment when a person recognizes that something in their life is not working and that they need to do something differently. —
Dr. Bobbi Wegner
Symptoms
The term nervous breakdown can refer to a worsening of a number of different psychological symptoms that make it difficult to continue with daily activities. Some people feel an increase in anxiety, with symptoms of a panic attack such as shortness of breath, shakiness, and upset stomach. Others may feel more depressed, with low mood, low energy, crying, irritability, or suicidal thoughts.
During a nervous breakdown normal routines often become hard to maintain,
leading to changes
in typical patterns of sleeping, eating, bathing and grooming, and social interactions.
Main symptoms
Physical symptoms
Headaches
Dizziness
Sweating
Shortness of breath
Chest tightness
Nausea
Upset stomach
Shakiness
Muscle tightness
Feeling like you’re in a dreamlike state (
derealization
)
Feeling detached from your body (depersonalization)
Mood changes
Anger
Hopelessness
Emotional numbness
Fear
Increased irritability
Angry outbursts
Mood swings
Uncontrollable crying
Behavior changes
Changes in sleep habits
Overeating or undereating
Low energy
Decline in self-care (such as poor hygiene and a decrease in exercise)
Increased use of alcohol, nicotine products, or other substances
Withdrawal from everyday life
Difficulty being around other people
Absences from school or work
Missing regularly scheduled activities
Losing touch with friends and family
Spending more time alone
Changes in thinking
Difficulty thinking clearly
Worrying
Racing thoughts
Hallucinations (
hearing
, seeing, or smelling things that aren’t there)
Having unwanted thoughts that are sometimes scary or anxiety provoking, like images of people you love getting hurt.
Nightmares
Suicidal thoughts or thoughts of self-harm
Next steps
Most people go through periods of life in which stress becomes hard to manage. If your stress becomes too much to handle or doesn’t get better after a couple weeks, talk to your doctor or a mental health professional.
If you have thoughts of hurting yourself or ending your life or feel too overwhelmed to take care of yourself, call 911 or go to the ER.
Although a nervous breakdown itself is not a medical condition, it may be a sign of an underlying mental health issue. Speaking with a professional is the first step toward getting a specific diagnosis and treatment plan to control your symptoms and learn how to prevent it from happening again.
How to calm someone down
The best approach to anyone in distress is to be a calming presence. First and foremost, let them know you are there to help, and listen to what they need. Never say "calm down." It is invalidating and unhelpful.
When someone is in the middle of an emotional crisis, most often, being by their side, listening more than talking, and being a calming presence is what helps. The goal in the moment is not to solve the bigger problem, it is to help get through the moment so you can help assess what is needed after the moment passes.
The only time this does not apply is if the person is in imminent danger of hurting themselves or someone else. In that case, call 911 immediately.
Causes
Nervous breakdowns occur when life circumstances feel like too much to handle. Examples of triggers of a nervous breakdown include:
Major life events, such as childbirth, moving to a new home, or getting divorced
Natural disasters
Abuse
Death of a loved one
Persistent difficulties at work or school
Health problems, such as being diagnosed with a new medical condition
Financial problems
Relationship problems, such as a breakup or ongoing disagreement with a friend or family member
Pro Tip
It is not possible to say how long a nervous breakdown lasts since it isn’t an actual medical condition. A “nervous breakdown” can mean different things—from a panic attack to a psychiatric break. The duration is dependent on the symptoms, the intensity, the frequency, and treatment. —
Dr. Wegner
Risk factors
Nervous breakdowns may be caused by a combination of genetics and life experience. Factors that increase your risk for a nervous breakdown include:
A personal history of anxiety, a mood disorder, or substance use
A family history of anxiety or mood disorders
Stressful life circumstances
Limited social support
Treatment
See your primary care doctor or a mental health professional for help with symptoms of a mental breakdown. Your treatment will vary depending on your symptoms and the underlying causes of your stress. It may include recommendations for lifestyle changes, short-term psychotherapy, or medications.
In cases of severe distress, a brief hospital stay may be recommended. You may be diagnosed with another mental illness such as
anxiety disorder
, mood disorder, or acute stress disorder.
Psychotherapy
Short-term talk therapy can be helpful for many stress-related conditions. Individual therapy may focus on learning relaxation techniques, developing a plan for getting back into healthy daily routines, improving coping skills, and developing plans for addressing problems in your life. Your therapist may also work with you to examine thought patterns to identify and change unhelpful thoughts.
You can also join a support group, which can be helpful for coping with shared experiences, such as medical illness, bereavement, life transitions, and caregiving (for a family with a mental illness or an elderly family member, for example).
Medication
Medications may be useful depending on your symptoms and if you have an underlying mental health condition. Your doctor may recommend medications for a brief period to take as needed for
insomnia
or
anxiety attacks
. If anxiety symptoms are longstanding or you are diagnosed with depression, then daily antidepressant medication may be recommended. Common medications for mood and anxiety disorders include
escitalopram (Lexapro)
and
sertraline (Zoloft)
, but there are many options.
Follow up
You may find that your symptoms go away quickly, particularly if the source of stress cleared up. But you still want to try to adapt some better coping strategies and maintain a healthy lifestyle to prevent it from happening again.
If the nervous breakdown is a result of an underlying mood or anxiety, then it is important to continue medications as agreed upon with your doctor and attend regular follow-up visits to prevent nervous breakdown symptoms from returning.
Pro Tip
To recover from a “nervous breakdown,” taking good self-care is crucial—as it is for all mental health concerns. That means, getting enough sleep, exercise, and healthy food. These three things are the pillars of good mental health. Also, get professional help and stick to the treatment plan. Following these steps will help you recover as fast as possible. —Dr. Wegner
Prevention
Nervous breakdowns can be prevented by keeping stress under control. Some important ways to improve your ability to handle stressors include:
Keep a consistent sleep schedule.
Go to sleep and get up at the same time every day. Try not to take long naps during the day because they may interfere with the quality of your sleep at night. Avoid caffeine and alcohol for several hours before bedtime. Try not to use your phone and other electronics before bedtime.
Avoid substance use.
It is common to turn to
nicotine
, alcohol, cannabis, or other substances for relief during stressful times. Although substances may briefly relieve distress, they tend to worsen psychological symptoms over time.
Exercise regularly.
While it’s hard to maintain healthy routines during periods of stress, exercise is an effective way to control mood and anxiety symptoms. Try to do something that gets your heart rate up, such as taking a brisk walk, going for a run, or playing a sport, for 30 minutes at least 3 times per week.
Use relaxation techniques.
Deep breathing, meditation, guided imagery, progressive muscle relaxation, and yoga can help your mind and body stay relaxed. Short tutorials for these techniques can be found online. Try out different techniques to see which work for you and then include them in your daily routine.
Lecturer in Human Development and Psychology, Harvard Graduate School of Education
Dr. Bobbi Wegner is a clinical psychologist, lecturer at Harvard, author, advisor, writer and international speaker. She is the founder and CEO of Groops, an online platform that provides support groups and guided conversations around mental health issues and everyday worries.Dr. Wegner writes and speaks internationally on modern mental health. She has a column in Psychology Today, is a parenting...
Read full bio
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Read about
# Nervous Breakdown
How to know when your stress level is so high that you need to see your doctor.
English
Written by [Tim Becker, MD.](https://www.buoyhealth.com/writers/tim-becker-md)
Resident Physician, The Mount Sinai Hospital
Medically reviewed by [Bobbi Wegner, PsyD.](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
Lecturer in Human Development and Psychology, Harvard Graduate School of Education
Last updated June 4, 2024
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On this page
1. [Symptoms](https://www.buoyhealth.com/learn/nervous-breakdown#symptoms)
2. [Next steps](https://www.buoyhealth.com/learn/nervous-breakdown#next-steps)
3. [How to calm someone down](https://www.buoyhealth.com/learn/nervous-breakdown#how-to-calm-someone-down)
4. [Causes and risk factors](https://www.buoyhealth.com/learn/nervous-breakdown#causes-and-risk-factors)
5. [Treatment](https://www.buoyhealth.com/learn/nervous-breakdown#treatment)
6. [Prevention](https://www.buoyhealth.com/learn/nervous-breakdown#prevention)
On this page
[Symptoms](https://www.buoyhealth.com/learn/nervous-breakdown#symptoms)
[Next steps](https://www.buoyhealth.com/learn/nervous-breakdown#next-steps)
[How to calm someone down](https://www.buoyhealth.com/learn/nervous-breakdown#how-to-calm-someone-down)
[Causes and risk factors](https://www.buoyhealth.com/learn/nervous-breakdown#causes-and-risk-factors)
[Treatment](https://www.buoyhealth.com/learn/nervous-breakdown#treatment)
[Prevention](https://www.buoyhealth.com/learn/nervous-breakdown#prevention)
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Written by [Tim Becker, MD.](https://www.buoyhealth.com/writers/tim-becker-md)
Resident Physician, The Mount Sinai Hospital
Medically reviewed by
[Bobbi Wegner, PsyD.](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
Lecturer in Human Development and Psychology, Harvard Graduate School of Education
Last updated June 4, 2024
Nervous breakdown quiz
Take a quiz to find out if you have nervous breakdown.
[Buoy Chat Icon. Take symptom quiz](https://www.buoyhealth.com/symptom-checker?slug=nervous-breakdown)
The terms “nervous breakdown” or “mental breakdown” are sometimes used to describe a state of overwhelming emotional stress. Nervous breakdown symptoms can become so intense that you may have difficulty accomplishing everyday tasks.
It’s important to know that the terms “nervous breakdown” or “mental breakdown” haven’t been used by doctors or psychiatrists for years and don’t describe a clinical condition. But many people use it to explain the experience of intense stress that temporarily interferes with normal activities.
A nervous breakdown may be diagnosed as an adjustment disorder, anxiety disorder, mood disorder, acute stress disorder, or other mental health condition.
Signs of a nervous breakdown can vary from person to person. The breakdown may or may not be caused by an underlying mental health condition, such as anxiety, depression, or post-traumatic stress disorder.
Dr. Rx
A nervous breakdown is not a real term used by the medical or psychiatric community. It is frequently used in mass culture to refer to a moment when someone has intense anxiety or emotion, or a mental health crisis. It can be compared to a pot boiling over. The emotion is simmering below and an event triggers it to boil over. Although this can feel overwhelming, confusing, and out of the blue—it is often the moment when a person recognizes that something in their life is not working and that they need to do something differently. —[Dr. Bobbi Wegner](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
## Symptoms
The term nervous breakdown can refer to a worsening of a number of different psychological symptoms that make it difficult to continue with daily activities. Some people feel an increase in anxiety, with symptoms of a panic attack such as shortness of breath, shakiness, and upset stomach. Others may feel more depressed, with low mood, low energy, crying, irritability, or suicidal thoughts.
During a nervous breakdown normal routines often become hard to maintain, [leading to changes](https://www.buoyhealth.com/learn/personality-change) in typical patterns of sleeping, eating, bathing and grooming, and social interactions.
### Main symptoms
#### Physical symptoms
- Headaches
- [Dizziness](https://www.buoyhealth.com/learn/dizziness)
- Sweating
- [Shortness of breath](https://www.buoyhealth.com/learn/lungs/shortness-of-breath-hub)
- [Chest tightness](https://www.buoyhealth.com/learn/chest-tightness-or-pain)
- Nausea
- Upset stomach
- Shakiness
- Muscle tightness
- Feeling like you’re in a dreamlike state ([derealization](https://www.buoyhealth.com/learn/derealization-disorder))
- Feeling detached from your body (depersonalization)
#### Mood changes
- Anger
- Hopelessness
- [Emotional numbness](https://www.buoyhealth.com/learn/emotional-numbness)
- Fear
- [Increased irritability](https://www.buoyhealth.com/learn/irritability)
- [Angry outbursts](https://www.buoyhealth.com/learn/aggression)
- Mood swings
- Uncontrollable crying
#### Behavior changes
- Changes in sleep habits
- Overeating or undereating
- Low energy
- Decline in self-care (such as poor hygiene and a decrease in exercise)
- Increased use of alcohol, nicotine products, or other substances
#### Withdrawal from everyday life
- [Difficulty being around other people](https://www.buoyhealth.com/learn/agoraphobia)
- Absences from school or work
- Missing regularly scheduled activities
- Losing touch with friends and family
- Spending more time alone
#### Changes in thinking
- [Difficulty thinking clearly](https://www.buoyhealth.com/learn/difficulty-concentrating)
- Worrying
- Racing thoughts
- Hallucinations ([hearing](https://www.buoyhealth.com/learn/auditory-hallucinations), seeing, or smelling things that aren’t there)
- Having unwanted thoughts that are sometimes scary or anxiety provoking, like images of people you love getting hurt.
- Nightmares
- Suicidal thoughts or thoughts of self-harm
## Nervous breakdown quiz
Take a quiz to find out if you have nervous breakdown.
[Take a diagnosis quiz](polaris://interview?action=open&type=dxoc)
## Next steps
Most people go through periods of life in which stress becomes hard to manage. If your stress becomes too much to handle or doesn’t get better after a couple weeks, talk to your doctor or a mental health professional.
If you have thoughts of hurting yourself or ending your life or feel too overwhelmed to take care of yourself, call 911 or go to the ER.
Although a nervous breakdown itself is not a medical condition, it may be a sign of an underlying mental health issue. Speaking with a professional is the first step toward getting a specific diagnosis and treatment plan to control your symptoms and learn how to prevent it from happening again.
## How to calm someone down
The best approach to anyone in distress is to be a calming presence. First and foremost, let them know you are there to help, and listen to what they need. Never say "calm down." It is invalidating and unhelpful.
When someone is in the middle of an emotional crisis, most often, being by their side, listening more than talking, and being a calming presence is what helps. The goal in the moment is not to solve the bigger problem, it is to help get through the moment so you can help assess what is needed after the moment passes.
The only time this does not apply is if the person is in imminent danger of hurting themselves or someone else. In that case, call 911 immediately.
## Causes
Nervous breakdowns occur when life circumstances feel like too much to handle. Examples of triggers of a nervous breakdown include:
- Major life events, such as childbirth, moving to a new home, or getting divorced
- Natural disasters
- Abuse
- Death of a loved one
- Persistent difficulties at work or school
- Health problems, such as being diagnosed with a new medical condition
- Financial problems
- Relationship problems, such as a breakup or ongoing disagreement with a friend or family member
Pro Tip
It is not possible to say how long a nervous breakdown lasts since it isn’t an actual medical condition. A “nervous breakdown” can mean different things—from a panic attack to a psychiatric break. The duration is dependent on the symptoms, the intensity, the frequency, and treatment. —[Dr. Wegner](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
## Risk factors
Nervous breakdowns may be caused by a combination of genetics and life experience. Factors that increase your risk for a nervous breakdown include:
- A personal history of anxiety, a mood disorder, or substance use
- A family history of anxiety or mood disorders
- Stressful life circumstances
- Limited social support
## Treatment
See your primary care doctor or a mental health professional for help with symptoms of a mental breakdown. Your treatment will vary depending on your symptoms and the underlying causes of your stress. It may include recommendations for lifestyle changes, short-term psychotherapy, or medications.
In cases of severe distress, a brief hospital stay may be recommended. You may be diagnosed with another mental illness such as [anxiety disorder](https://www.buoyhealth.com/learn/anxiety), mood disorder, or acute stress disorder.
### Psychotherapy
Short-term talk therapy can be helpful for many stress-related conditions. Individual therapy may focus on learning relaxation techniques, developing a plan for getting back into healthy daily routines, improving coping skills, and developing plans for addressing problems in your life. Your therapist may also work with you to examine thought patterns to identify and change unhelpful thoughts.
You can also join a support group, which can be helpful for coping with shared experiences, such as medical illness, bereavement, life transitions, and caregiving (for a family with a mental illness or an elderly family member, for example).
### Medication
Medications may be useful depending on your symptoms and if you have an underlying mental health condition. Your doctor may recommend medications for a brief period to take as needed for [insomnia](https://www.buoyhealth.com/learn/insomnia-disorder) or [anxiety attacks](https://www.buoyhealth.com/learn/anxiety-attack). If anxiety symptoms are longstanding or you are diagnosed with depression, then daily antidepressant medication may be recommended. Common medications for mood and anxiety disorders include [escitalopram (Lexapro)](https://buoyhealth.cuverd.com/SearchMedication/Lexapro) and [sertraline (Zoloft)](https://buoyhealth.cuverd.com/SearchMedication/Zoloft), but there are many options.
## Follow up
You may find that your symptoms go away quickly, particularly if the source of stress cleared up. But you still want to try to adapt some better coping strategies and maintain a healthy lifestyle to prevent it from happening again.
If the nervous breakdown is a result of an underlying mood or anxiety, then it is important to continue medications as agreed upon with your doctor and attend regular follow-up visits to prevent nervous breakdown symptoms from returning.
Pro Tip
To recover from a “nervous breakdown,” taking good self-care is crucial—as it is for all mental health concerns. That means, getting enough sleep, exercise, and healthy food. These three things are the pillars of good mental health. Also, get professional help and stick to the treatment plan. Following these steps will help you recover as fast as possible. —Dr. Wegner
## Prevention
Nervous breakdowns can be prevented by keeping stress under control. Some important ways to improve your ability to handle stressors include:
- **Keep a consistent sleep schedule.** Go to sleep and get up at the same time every day. Try not to take long naps during the day because they may interfere with the quality of your sleep at night. Avoid caffeine and alcohol for several hours before bedtime. Try not to use your phone and other electronics before bedtime.
- **Avoid substance use.** It is common to turn to [nicotine](https://www.buoyhealth.com/learn/quit-smoking), alcohol, cannabis, or other substances for relief during stressful times. Although substances may briefly relieve distress, they tend to worsen psychological symptoms over time.
- **Exercise regularly.** While it’s hard to maintain healthy routines during periods of stress, exercise is an effective way to control mood and anxiety symptoms. Try to do something that gets your heart rate up, such as taking a brisk walk, going for a run, or playing a sport, for 30 minutes at least 3 times per week.
- **Use relaxation techniques.** Deep breathing, meditation, guided imagery, progressive muscle relaxation, and yoga can help your mind and body stay relaxed. Short tutorials for these techniques can be found online. Try out different techniques to see which work for you and then include them in your daily routine.
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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.
[Bobbi Wegner, PsyD.](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
Lecturer in Human Development and Psychology, Harvard Graduate School of Education
Dr. Bobbi Wegner is a clinical psychologist, lecturer at Harvard, author, advisor, writer and international speaker. She is the founder and CEO of Groops, an online platform that provides support groups and guided conversations around mental health issues and everyday worries.Dr. Wegner writes and speaks internationally on modern mental health. She has a column in Psychology Today, is a parenting...
[Read full bio](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
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Slide 1 of 4
[What an Anxiety Attack Feels Like](https://www.buoyhealth.com/learn/anxiety-attack)
[Anxiety attacks are the manifestation of a fight-or-flight response gone awry, which may rise up seemingly at random or in response to an emotional stimulus.](https://www.buoyhealth.com/learn/anxiety-attack)
[Read more](https://www.buoyhealth.com/learn/anxiety-attack)
[How to Ease Anxiety During COVID-19 in Kids](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[The pandemic has increased anxiety in children and teenagers. It’s important for parents to keep an eye out for behavioral changes that signal anxiety. There’s a lot you can do to help prevent and ease anxiety.](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Read more](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Panic Disorder](https://www.buoyhealth.com/learn/panic-disorder)
[Panic disorder is an anxiety disorder where you have repeated bouts of intense anxiety, called panic attacks. You become so worried about having a panic attack that it is all you think about. It can be treated with talk therapy and medications.](https://www.buoyhealth.com/learn/panic-disorder)
[Read more](https://www.buoyhealth.com/learn/panic-disorder)
[Anxiety Disorders](https://www.buoyhealth.com/learn/anxiety)
[Anxiety is a natural response to stress, but it can get in the way of your life and relationships, especially if you have panic attacks.](https://www.buoyhealth.com/learn/anxiety)
[Read more](https://www.buoyhealth.com/learn/anxiety)
[What an Anxiety Attack Feels Like](https://www.buoyhealth.com/learn/anxiety-attack)
[Anxiety attacks are the manifestation of a fight-or-flight response gone awry, which may rise up seemingly at random or in response to an emotional stimulus.](https://www.buoyhealth.com/learn/anxiety-attack)
[Read more](https://www.buoyhealth.com/learn/anxiety-attack)
[How to Ease Anxiety During COVID-19 in Kids](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[The pandemic has increased anxiety in children and teenagers. It’s important for parents to keep an eye out for behavioral changes that signal anxiety. There’s a lot you can do to help prevent and ease anxiety.](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Read more](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Panic Disorder](https://www.buoyhealth.com/learn/panic-disorder)
[Panic disorder is an anxiety disorder where you have repeated bouts of intense anxiety, called panic attacks. You become so worried about having a panic attack that it is all you think about. It can be treated with talk therapy and medications.](https://www.buoyhealth.com/learn/panic-disorder)
[Read more](https://www.buoyhealth.com/learn/panic-disorder)
[Anxiety Disorders](https://www.buoyhealth.com/learn/anxiety)
[Anxiety is a natural response to stress, but it can get in the way of your life and relationships, especially if you have panic attacks.](https://www.buoyhealth.com/learn/anxiety)
[Read more](https://www.buoyhealth.com/learn/anxiety)
[What an Anxiety Attack Feels Like](https://www.buoyhealth.com/learn/anxiety-attack)
[Anxiety attacks are the manifestation of a fight-or-flight response gone awry, which may rise up seemingly at random or in response to an emotional stimulus.](https://www.buoyhealth.com/learn/anxiety-attack)
[Read more](https://www.buoyhealth.com/learn/anxiety-attack)
[How to Ease Anxiety During COVID-19 in Kids](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[The pandemic has increased anxiety in children and teenagers. It’s important for parents to keep an eye out for behavioral changes that signal anxiety. There’s a lot you can do to help prevent and ease anxiety.](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Read more](https://www.buoyhealth.com/learn/easing-covid-19-anxiety-in-kids)
[Panic Disorder](https://www.buoyhealth.com/learn/panic-disorder)
[Panic disorder is an anxiety disorder where you have repeated bouts of intense anxiety, called panic attacks. You become so worried about having a panic attack that it is all you think about. It can be treated with talk therapy and medications.](https://www.buoyhealth.com/learn/panic-disorder)
[Read more](https://www.buoyhealth.com/learn/panic-disorder)
[Anxiety Disorders](https://www.buoyhealth.com/learn/anxiety)
[Anxiety is a natural response to stress, but it can get in the way of your life and relationships, especially if you have panic attacks.](https://www.buoyhealth.com/learn/anxiety)
[Read more](https://www.buoyhealth.com/learn/anxiety)
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| Readable Markdown | The terms “nervous breakdown” or “mental breakdown” are sometimes used to describe a state of overwhelming emotional stress. Nervous breakdown symptoms can become so intense that you may have difficulty accomplishing everyday tasks.
It’s important to know that the terms “nervous breakdown” or “mental breakdown” haven’t been used by doctors or psychiatrists for years and don’t describe a clinical condition. But many people use it to explain the experience of intense stress that temporarily interferes with normal activities.
A nervous breakdown may be diagnosed as an adjustment disorder, anxiety disorder, mood disorder, acute stress disorder, or other mental health condition.
Signs of a nervous breakdown can vary from person to person. The breakdown may or may not be caused by an underlying mental health condition, such as anxiety, depression, or post-traumatic stress disorder.
Dr. Rx
A nervous breakdown is not a real term used by the medical or psychiatric community. It is frequently used in mass culture to refer to a moment when someone has intense anxiety or emotion, or a mental health crisis. It can be compared to a pot boiling over. The emotion is simmering below and an event triggers it to boil over. Although this can feel overwhelming, confusing, and out of the blue—it is often the moment when a person recognizes that something in their life is not working and that they need to do something differently. —[Dr. Bobbi Wegner](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
## Symptoms
The term nervous breakdown can refer to a worsening of a number of different psychological symptoms that make it difficult to continue with daily activities. Some people feel an increase in anxiety, with symptoms of a panic attack such as shortness of breath, shakiness, and upset stomach. Others may feel more depressed, with low mood, low energy, crying, irritability, or suicidal thoughts.
During a nervous breakdown normal routines often become hard to maintain, [leading to changes](https://www.buoyhealth.com/learn/personality-change) in typical patterns of sleeping, eating, bathing and grooming, and social interactions.
### Main symptoms
#### Physical symptoms
- Headaches
- [Dizziness](https://www.buoyhealth.com/learn/dizziness)
- Sweating
- [Shortness of breath](https://www.buoyhealth.com/learn/lungs/shortness-of-breath-hub)
- [Chest tightness](https://www.buoyhealth.com/learn/chest-tightness-or-pain)
- Nausea
- Upset stomach
- Shakiness
- Muscle tightness
- Feeling like you’re in a dreamlike state ([derealization](https://www.buoyhealth.com/learn/derealization-disorder))
- Feeling detached from your body (depersonalization)
#### Mood changes
- Anger
- Hopelessness
- [Emotional numbness](https://www.buoyhealth.com/learn/emotional-numbness)
- Fear
- [Increased irritability](https://www.buoyhealth.com/learn/irritability)
- [Angry outbursts](https://www.buoyhealth.com/learn/aggression)
- Mood swings
- Uncontrollable crying
#### Behavior changes
- Changes in sleep habits
- Overeating or undereating
- Low energy
- Decline in self-care (such as poor hygiene and a decrease in exercise)
- Increased use of alcohol, nicotine products, or other substances
#### Withdrawal from everyday life
- [Difficulty being around other people](https://www.buoyhealth.com/learn/agoraphobia)
- Absences from school or work
- Missing regularly scheduled activities
- Losing touch with friends and family
- Spending more time alone
#### Changes in thinking
- [Difficulty thinking clearly](https://www.buoyhealth.com/learn/difficulty-concentrating)
- Worrying
- Racing thoughts
- Hallucinations ([hearing](https://www.buoyhealth.com/learn/auditory-hallucinations), seeing, or smelling things that aren’t there)
- Having unwanted thoughts that are sometimes scary or anxiety provoking, like images of people you love getting hurt.
- Nightmares
- Suicidal thoughts or thoughts of self-harm
## Next steps
Most people go through periods of life in which stress becomes hard to manage. If your stress becomes too much to handle or doesn’t get better after a couple weeks, talk to your doctor or a mental health professional.
If you have thoughts of hurting yourself or ending your life or feel too overwhelmed to take care of yourself, call 911 or go to the ER.
Although a nervous breakdown itself is not a medical condition, it may be a sign of an underlying mental health issue. Speaking with a professional is the first step toward getting a specific diagnosis and treatment plan to control your symptoms and learn how to prevent it from happening again.
## How to calm someone down
The best approach to anyone in distress is to be a calming presence. First and foremost, let them know you are there to help, and listen to what they need. Never say "calm down." It is invalidating and unhelpful.
When someone is in the middle of an emotional crisis, most often, being by their side, listening more than talking, and being a calming presence is what helps. The goal in the moment is not to solve the bigger problem, it is to help get through the moment so you can help assess what is needed after the moment passes.
The only time this does not apply is if the person is in imminent danger of hurting themselves or someone else. In that case, call 911 immediately.
## Causes
Nervous breakdowns occur when life circumstances feel like too much to handle. Examples of triggers of a nervous breakdown include:
- Major life events, such as childbirth, moving to a new home, or getting divorced
- Natural disasters
- Abuse
- Death of a loved one
- Persistent difficulties at work or school
- Health problems, such as being diagnosed with a new medical condition
- Financial problems
- Relationship problems, such as a breakup or ongoing disagreement with a friend or family member
Pro Tip
It is not possible to say how long a nervous breakdown lasts since it isn’t an actual medical condition. A “nervous breakdown” can mean different things—from a panic attack to a psychiatric break. The duration is dependent on the symptoms, the intensity, the frequency, and treatment. —[Dr. Wegner](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
## Risk factors
Nervous breakdowns may be caused by a combination of genetics and life experience. Factors that increase your risk for a nervous breakdown include:
- A personal history of anxiety, a mood disorder, or substance use
- A family history of anxiety or mood disorders
- Stressful life circumstances
- Limited social support
## Treatment
See your primary care doctor or a mental health professional for help with symptoms of a mental breakdown. Your treatment will vary depending on your symptoms and the underlying causes of your stress. It may include recommendations for lifestyle changes, short-term psychotherapy, or medications.
In cases of severe distress, a brief hospital stay may be recommended. You may be diagnosed with another mental illness such as [anxiety disorder](https://www.buoyhealth.com/learn/anxiety), mood disorder, or acute stress disorder.
### Psychotherapy
Short-term talk therapy can be helpful for many stress-related conditions. Individual therapy may focus on learning relaxation techniques, developing a plan for getting back into healthy daily routines, improving coping skills, and developing plans for addressing problems in your life. Your therapist may also work with you to examine thought patterns to identify and change unhelpful thoughts.
You can also join a support group, which can be helpful for coping with shared experiences, such as medical illness, bereavement, life transitions, and caregiving (for a family with a mental illness or an elderly family member, for example).
### Medication
Medications may be useful depending on your symptoms and if you have an underlying mental health condition. Your doctor may recommend medications for a brief period to take as needed for [insomnia](https://www.buoyhealth.com/learn/insomnia-disorder) or [anxiety attacks](https://www.buoyhealth.com/learn/anxiety-attack). If anxiety symptoms are longstanding or you are diagnosed with depression, then daily antidepressant medication may be recommended. Common medications for mood and anxiety disorders include [escitalopram (Lexapro)](https://buoyhealth.cuverd.com/SearchMedication/Lexapro) and [sertraline (Zoloft)](https://buoyhealth.cuverd.com/SearchMedication/Zoloft), but there are many options.
## Follow up
You may find that your symptoms go away quickly, particularly if the source of stress cleared up. But you still want to try to adapt some better coping strategies and maintain a healthy lifestyle to prevent it from happening again.
If the nervous breakdown is a result of an underlying mood or anxiety, then it is important to continue medications as agreed upon with your doctor and attend regular follow-up visits to prevent nervous breakdown symptoms from returning.
Pro Tip
To recover from a “nervous breakdown,” taking good self-care is crucial—as it is for all mental health concerns. That means, getting enough sleep, exercise, and healthy food. These three things are the pillars of good mental health. Also, get professional help and stick to the treatment plan. Following these steps will help you recover as fast as possible. —Dr. Wegner
## Prevention
Nervous breakdowns can be prevented by keeping stress under control. Some important ways to improve your ability to handle stressors include:
- **Keep a consistent sleep schedule.** Go to sleep and get up at the same time every day. Try not to take long naps during the day because they may interfere with the quality of your sleep at night. Avoid caffeine and alcohol for several hours before bedtime. Try not to use your phone and other electronics before bedtime.
- **Avoid substance use.** It is common to turn to [nicotine](https://www.buoyhealth.com/learn/quit-smoking), alcohol, cannabis, or other substances for relief during stressful times. Although substances may briefly relieve distress, they tend to worsen psychological symptoms over time.
- **Exercise regularly.** While it’s hard to maintain healthy routines during periods of stress, exercise is an effective way to control mood and anxiety symptoms. Try to do something that gets your heart rate up, such as taking a brisk walk, going for a run, or playing a sport, for 30 minutes at least 3 times per week.
- **Use relaxation techniques.** Deep breathing, meditation, guided imagery, progressive muscle relaxation, and yoga can help your mind and body stay relaxed. Short tutorials for these techniques can be found online. Try out different techniques to see which work for you and then include them in your daily routine.
Lecturer in Human Development and Psychology, Harvard Graduate School of Education
Dr. Bobbi Wegner is a clinical psychologist, lecturer at Harvard, author, advisor, writer and international speaker. She is the founder and CEO of Groops, an online platform that provides support groups and guided conversations around mental health issues and everyday worries.Dr. Wegner writes and speaks internationally on modern mental health. She has a column in Psychology Today, is a parenting...[Read full bio](https://www.buoyhealth.com/writers/bobbi-wegner-psyd)
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