What is a nervous breakdown?

You’ve likely heard people use the term “nervous breakdown,” and you might intuitively know that it refers to someone having a mental health crisis or a very stressful experience. But if you’ve ever wondered what exactly a nervous breakdown is, you’re not alone. 

The term “nervous breakdown” is used to describe a wide range of psychiatric symptoms. But thanks to our deeper understanding of mental and emotional health, we now have more precise terms to describe mental health conditions. Trading the term “nervous breakdown” for more specific terms can help us better understand the experience and make it easier to find the right kind of support. 

What is a nervous breakdown?

In the early to mid-1900s, the term “nervous breakdown” was common. Essentially, it referred to a period of intense emotional turmoil that became so overwhelming it interfered with daily life. In the past, doctors believed that complications in our nervous systems caused mental ailments. So the resulting signs of stress were called a nervous breakdown. Throughout history, saying someone was having a nervous breakdown could also be a way for people to avoid the stigma related to mental health conditions. 

Today, we understand that the nervous system is not the cause of mental health issues. Modern diagnostic criteria allows mental health professionals to pinpoint the exact condition based on a person’s symptoms, rather than vaguely labeling their experience as a “nervous breakdown.” But in the past, conditions known to cause intense emotional distress were frequently mislabeled as nervous breakdowns. Such conditions included anxiety disorders, depression, personality disorders, and others.

Today, some people still use the term “nervous breakdown” to describe what happens when someone becomes overwhelmed by mental health symptoms. The term especially applies when those symptoms become unmanageable and negatively affect a person’s ability to live their daily life. However, we now have ways to identify and treat exactly what is going on.

Signs and symptoms of a nervous breakdown

Because there is no set definition of a nervous breakdown, there is no official set of symptoms associated with it. Signs of a nervous breakdown can look different from one person to the next and can vary based on a person’s cultural background. Some of the most common signs of emotional distress include: 

• Social withdrawal, not showing up for work, not answering the phone, no longer participating in typical activities, or missing appointments
• Frequent irritability or problems with anger
• Not maintaining personal hygiene routines, like showering or brushing your teeth
• Unmanageable anxiety, panic, or paranoia
• Feeling hopeless or worthless
• Losing touch with reality, a feeling of not being oneself, or feeling detached
• Fatigue and sleep disturbances, like not sleeping enough or being unable to fall asleep
• Changes in appetite or eating too much or too little
• Physical symptoms such as sweaty, clammy skin or a racing heartbeat

Since nervous breakdowns can manifest in many ways, there’s no single accepted treatment for them. The experience and length of a nervous breakdown are unique to each person experiencing one. Similarly, recovery from a nervous breakdown depends on the person, the symptoms, and the cause. If you or someone you love is experiencing a nervous breakdown, treatment will depend on the specific diagnosis you receive from a mental health professional. 

Causes and risk factors of nervous breakdowns

Each person has a different level of stress they can tolerate before they experience overwhelming negative effects. Some people might begin to struggle after many small triggers add up, like battling an ongoing illness. Others might buckle under the weight of a single stressful event, like a relationship ending or losing a job. Some may experience emotional distress from ongoing small stressors that are then impacted by larger stressors, like arguing with a partner or family member and then getting into a car accident. 

No matter the reason a person’s stress accumulates, a nervous breakdown can happen when it becomes too much for them to handle in healthy ways. Added stress can stem from many sources, but some of the most common factors known to contribute to nervous breakdowns, include:

• An overwhelming accumulation of stress
• Financial or legal problems
• Loneliness or lack of social support
• Work stress or burnout
• Unhappy relationships or family dysfunction
• Harmful or unhealthy substance use
• Death of a loved one
• Divorce or breakup
• Job loss
• Major health issues
• Experiencing a traumatic event
• Living with anxiety or a personality disorder
• Lack of sleep
• Poor diet or inactivity

How to prevent a nervous breakdown

Managing stress is one of the keys to preventing nervous breakdowns. Research shows that there are some simple lifestyle changes that can help keep your stress level in check. In general, it might help to think of stress management similar to getting a tune-up on your car or going to the doctor for your annual visit. Likewise, there are some steps you can take in your daily life to help with stress management:

• Eat a balanced diet, exercise, practice mindfulness, improve your sleep routine, or try a biofeedback app.
• Practice anger management techniques, work on your problem-solving skills, and seek out time management support.
• Do some gentle movement, such as yoga, tai chi, or any physical activity that relaxes you.
• Work to improve and support your existing personal relationships, or join a volunteer group to meet new people.
• Make time for stress-busting activities that work for you. This can be anything from joining a book club for some social interaction to taking a solitary walk each morning.
• Schedule consistent time for self-care, and follow through with it. Getting into a steady routine can help reduce stress simply by knowing that you’ll have a break you can count on.
• Set boundaries, and say “no” to others when you need time to recharge.

Find a therapist with Rula

It’s common to hear people say they feel like they’re having a nervous breakdown when they’re stressed. And while mental health professionals don’t use that term anymore, if you feel like you’re having one, know that you’re not alone and help is available. At Rula, we can connect you with a mental health professional who can help you regain control of your emotions and foster a sense of balance in your life. 

Our therapist-matching program makes it easy to connect with a provider who takes your insurance. And our convenient online platform means you can meet with them from the comfort of home or wherever you’re most comfortable. Whether you feel anxious, stressed, or emotionally overwhelmed, our team is here to help you take the first step toward accessing the care you deserve.

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