Source: # Mira and the Storm of Feelings *Mira D'Souza, twenty-six, from Goa, felt things more intensely than anyone she knew. When her boyfriend Rohan was late replying, she felt a flood of panic that he was leaving. She would send many messages, then accuse hi…* Mira D'Souza, twenty-six, from Goa, felt things more intensely than anyone she knew. When her boyfriend Rohan was late replying, she felt a flood of panic that he was leaving. She would send many messages, then accuse him, then beg him to forgive her. Her friends were often 'the best people in the world' one week and 'traitors' the next. Afterwards she felt hollow and ashamed. Rohan loved her, but he was exhausted. When he said he needed a break, Mira felt the floor drop. She hurt herself that night out of unbearable pain, and then told him. Frightened, he stayed with her, called her sister, and the next day they went together to a doctor. The psychiatrist listened for a long time and then explained that some people have long-standing patterns of very strong emotions, fear of abandonment and unstable relationships, sometimes described as a personality disorder, one of several types in the chapter. It is not a moral failing. It often grows out of early pain, and it improves with the right therapy. Mira began a structured talking therapy that teaches skills to ride out emotional waves, communicate needs, and tolerate distress without harm. Her family learned how to respond calmly. It took more than a year, with setbacks. But Mira built a toolkit: slow breathing, a call to her sister before sending that angry message, and a safety plan agreed with her therapist. 'The storm still comes,' she said. 'But now I have a boat.' ### How to recognise it - Intense, fast-changing emotions with strong fear of being left or rejected. - Relationships that swing between idealising and angry blaming. - Impulsive behaviour such as risky actions, spending, substance use or self-harm in times of distress. - A long-standing pattern since the teens or early adult life, across many situations, not just one stress. - Feeling empty, unsure of identity, and ashamed after outbursts. ### What this story explains The chapter describes personality disorders as long-standing patterns of thinking, feeling and relating, including the 'dramatic, emotional' cluster B. The story shows that skills-based therapy and a supportive family can bring real improvement. ### Probable root causes - Early experiences of neglect, loss, abuse or unstable care. - Naturally sensitive emotional temperament. - Genetic and biological factors affecting emotion control. - Stress and unsafe relationships that reinforce fear of abandonment. ### What to do 1. Stay calm and keep the person safe if they are in distress. 2. Encourage assessment by a mental health professional rather than debate labels. 3. Support structured therapy that teaches emotion and relationship skills. 4. Agree on a safety plan with the therapist, including who to call and what to do in a crisis. 5. Keep your own boundaries and care for yourself. ### Whom to consult - Psychiatrist for assessment, and to treat linked problems like depression or anxiety. - Clinical psychologist trained in skills-based therapy for emotion regulation. - Family doctor as a first contact if unsure where to start. - Emergency services or nearest hospital at once if the person has harmed themselves or is in immediate danger. ### Do and don’t **Do** | **Don’t** | Do respond calmly and consistently. | Don't threaten, shame or mock. | Do acknowledge feelings before problem-solving. | Don't give in to every demand out of fear. | Do keep promises you can keep. | Don't dismiss self-harm as attention-seeking. | Do take any self-harm seriously. | Don't use labels as insults. | Do seek family guidance and support. | Don't carry the whole burden alone. | ### How to behave and communicate - Validate first: 'I can see how much pain you are in right now.' - Set boundaries kindly: 'I care about you, and I cannot talk at 3 a.m. Let's speak tomorrow.' - Keep your voice low and steady during outbursts. - Listen without interrupting, then ask 'What would help right now?' - Praise use of coping skills. 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