What are the causes of irritability and anger in a 60-year-old woman?

Generally, irritability and anger in a 60-year-old woman may be caused by hormonal fluctuations during menopause, decreased sleep quality, neurasthenia, anxiety disorder, hyperthyroidism, or other reasons. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Specific analysis is as follows:

1. Hormonal fluctuations during menopause: At age 60, women experience ovarian function decline and a sharp drop in estrogen levels, leading to neuroendocrine disorders that can easily trigger emotional instability, irritability, and anger. Increase intake of soy products to supplement plant-based estrogens, engage in 30 minutes of gentle exercise such as tai chi daily, and have family members provide companionship and patient communication.

2. Decreased sleep quality: In older adults, the sleep cycle shortens, causing early awakening and frequent dreams. The brain does not get sufficient rest, resulting in reduced emotional regulation. Maintain a consistent sleep schedule, soak feet in warm water before bedtime, keep the bedroom quiet and dark, and consider short-term use of sleep-supporting supplements under medical supervision to improve sleep.

3. Neurasthenia: Prolonged loneliness or excessive worry about household matters can lead to chronic nerve tension and neurasthenia, manifesting as irritability and memory problems. Follow medical advice to take medications such as oryzanol tablets, vitamin B1 tablets, and Anshen Bunao Liquid, and cultivate hobbies like gardening or playing chess to redirect attention.

4. Anxiety disorder: Concerns about personal health and elderly care can trigger anxiety disorder, characterized by emotional excitability, palpitations, and restlessness. Take prescribed medications such as sertraline hydrochloride tablets, paroxetine tablets, or lorazepam tablets, and combine with psychological counseling to alleviate inner worries.

5. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates metabolism, over-activating the sympathetic nervous system and causing symptoms such as irritability, sweating, and hand tremors. Follow medical instructions to take medications like methimazole tablets, propylthiouracil tablets, or propranolol tablets. In severe cases, subtotal thyroidectomy may be performed to remove part of the thyroid tissue and reduce hormone production.

Maintain a light and easily digestible diet, avoiding excessive consumption of spicy or stimulating foods. Actively participate in community senior activities to expand social connections. When experiencing emotional fluctuations, promptly communicate with family members and release negative emotions through healthy coping strategies.