Why do I feel extremely irritable and exhausted mentally, and what should I do about it?

Generally, feeling particularly irritable and exhausted may be caused by overwork, lack of sleep, neurasthenia, anxiety disorder, hyperthyroidism, or other conditions. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve symptoms under a doctor's guidance through lifestyle adjustments, medications, and other treatments. Specific explanations are as follows:

1. Overwork: Prolonged high-intensity work or physical labor leads to continuous physical and mental exhaustion, which can easily trigger irritability and fatigue. Plan work and rest periods reasonably, avoid consecutive overtime, and set aside 30 minutes daily for light activities such as walking or stretching to help relax the body.

2. Sleep deprivation: Long-term staying up late or poor sleep quality prevents proper recovery of the nervous system, leading to reduced emotional regulation and resulting in irritability and fatigue. Maintain a consistent sleep schedule, avoid electronic devices like phones and computers one hour before bedtime, and promote better sleep through foot baths or drinking warm milk. Aim for 7–8 hours of high-quality sleep each night.

3. Neurasthenia: Chronic mental stress or excessive pressure may lead to neurasthenia, characterized by irritability, weakness, and difficulty concentrating. Follow medical advice when using medications such as Oryzanol tablets, Vitamin B1 tablets, or Anshen Bunao Liquid. Engage regularly in calming activities such as playing chess or gardening to soothe emotions.

4. Anxiety disorder: Associated with psychosocial factors and genetic predisposition, individuals with anxiety disorder remain in a prolonged state of tension, often experiencing symptoms such as irritability, fatigue, and palpitations. Take prescribed medications such as Sertraline Hydrochloride tablets, Paroxetine tablets, or Lorazepam tablets, and combine treatment with psychological counseling to relieve mental stress.

5. Hyperthyroidism: Excessive secretion of thyroid hormones accelerates metabolism, causing symptoms such as irritability, anger, fatigue, and excessive sweating. Follow medical guidance when using medications such as Methimazole tablets, Propylthiouracil tablets, or Propranolol tablets. In severe cases, radiofrequency ablation of the thyroid may be performed to destroy part of the thyroid tissue and reduce hormone production.

Maintain a balanced diet rich in protein and vitamins, and avoid excessive consumption of spicy or stimulating foods. Communicate openly with family and friends to release inner stress, and gradually improve feelings of irritability and fatigue through regular作息 (daily routines) and moderate exercise.