Anger, emotional instability and personality problems

गुस्सा और व्यक्तित्व की समस्याएँ

Personality patterns become a problem when they repeatedly cause distress or damage relationships and work.

These patterns can change. Therapy teaches skills to manage emotions and relationships.

Medically reviewed by Dr. Kuldeep Budania, MBBS, MD Psychiatry

Common symptoms

  • Sudden intense anger, shouting or breaking things
  • Rapid mood changes within hours
  • Fear of abandonment, unstable relationships
  • Impulsive self-harm or threats
  • Chronic emptiness, unclear sense of self
  • Repeated conflicts at home or work

Causes

  • Temperament combined with difficult childhood experiences
  • Ongoing stress, alcohol or drug use worsen control
  • Sometimes linked to ADHD, depression or bipolar disorder

Risk factors

  • Difficult childhood experiences — neglect, abuse, unstable care
  • Temperament inherited from parents
  • Ongoing substance use

How it is diagnosed

  • Patterns of emotions, relationships and behaviour that have lasted since adolescence or early adulthood
  • Several sessions and information from family to understand the pattern fairly
  • Treating depression, anxiety or addiction that often occur alongside

Classification: ICD-10 F60 · ICD-11 6D10, 6D11ICD-11 describes personality disorder by severity, with trait domains such as negative affectivity or a borderline pattern.

Treatment options

  1. 1Dialectical Behaviour Therapy (DBT) skills — emotion regulation and distress tolerance
  2. 2CBT and anger-management techniques
  3. 3Treating associated depression, anxiety, ADHD or addiction
  4. 4Medicines for specific symptoms when needed
  5. 5Family/couple sessions to reduce conflict

Psychotherapy and counselling

  • Structured psychotherapies such as DBT skills, schema-focused or mentalisation-based therapy
  • Skills for emotion regulation, distress tolerance and relationships

Guidance for family

  • Set calm, consistent limits and avoid getting drawn into repeated conflicts
  • Learn validation — acknowledging feelings without agreeing with harmful actions

When to see a psychiatrist

  • Anger leads to violence or legal trouble
  • Repeated self-harm or threats
  • Relationships keep breaking down

Thoughts of self-harm or a medical emergency? Call Tele-MANAS 14416 (24×7, free) or 112.

Frequently asked questions

Can personality change?

Yes. Problematic patterns improve with therapy and practice, especially when the person is motivated.

Is there a medicine for anger?

Medicines can reduce irritability and impulsivity in some people, but skills learned in therapy are the core of treatment.

Can my spouse join the session?

Yes, couple or family sessions can be arranged.

Help is available — confidential, in Hindi or English.

Private video consultation from anywhere in India with an Ajmer-based psychiatrist. Psychiatry consultation ₹500.

This page is for education and does not replace a personal consultation. Do not start or stop any medicine without a doctor's advice.