“I drink and eat in moderation,” a client told me. “I go to bed at a reasonable hour. I love my wife and kids. The only thing I binge on is irritability and restlessness. I’m a bundle of blue moods.”
His blue moods, as he described them, were not agonizingly painful, yet he was weary of them and fed up with “the heaviness that rises and falls throughout my day.” Rarely did he experience a day completely free of the malady. It didn’t feel like depression, he said, but rather more like an intermittent gloominess, underlying angst, or, at worst, bouts of anxious distress.
Fortunately, his affliction didn’t qualify as a disruptive mood dysregulation disorder. This psychiatric term describes a condition in which a person has angry outbursts that occur, on average, three or more times a week, involving verbal rages and physical aggression. Rather, his moodiness indicates a less serious condition called generalized anxiety disorder. This disorder involves frequent experiences of three or more of the following symptoms: irritability, restlessness, muscle tension, sleep disturbances, tiredness, excessive worry, and difficulty concentrating or mind going blank.
In its diagnostic manual, American psychiatry doesn’t offer much in the way of an explanation for why and how a person develops or acquires this persistent moodiness. The manual does say in passing, however, that the disorder has been associated with “negative affectivity (neuroticism).” The depth psychology to which I subscribe attributes persistent moodiness to neurosis and explains how it arises.
All neurotics are subject to pronounced moodiness. Their psyche is an inner battleground between self-aggression (from the inner critic or superego) and inner passivity (located in the unconscious or subordinate ego). Moodiness is just one of many symptoms of this inner conflict. [Read more…]