Theories and Influence on Psychology


Key Takeaways

  • Sigmund Freud founded psychoanalysis, focusing on unconscious thoughts and bringing them into conscious awareness.
  • Freud’s theories on the unconscious mind, dream interpretation, and psychosexual development helped shape modern psychology.

Psychology’s most famous figure is also one of the most influential and controversial thinkers of the 20th century. Sigmund Freud, an Austrian neurologist born in 1856, is often referred to as the “father of modern psychology.”

Freud revolutionized how we think about and treat mental health conditions. Freud founded psychoanalysis as a way of listening to patients and better understanding how their minds work. Psychoanalysis continues to have an enormous influence on modern psychology and psychiatry.

Sigmund Freud’s theories and work helped shape current views of dreams, childhood, personality, memory, sexuality, and therapy. Freud’s work also laid the foundation for many other theorists to formulate ideas, while others developed new theories in opposition to his ideas.

Sigmund Freud Biography

To understand Freud’s legacy, it is important to begin with a look at his life. His experiences informed many of his theories, so learning more about his life and the times in which he lived can lead to a deeper understanding of where his theories came from.

Freud was born in 1856 in a town called Freiberg in Moravia—in what is now known as the Czech Republic. He was the oldest of eight children. His family moved to Vienna several years after he was born, and he lived most of his life there.

Freud earned a medical degree and began practicing as a doctor in Vienna. He was appointed Lecturer on Nervous Diseases at the University of Vienna in 1885.

After spending time in Paris and attending lectures given by the French neurologist Jean-Martin Charcot, Freud became more interested in theories explaining the human mind (which would later relate to his work in psychoanalysis).

Freud eventually withdrew from academia after the Viennese medical community rejected the types of ideas he brought back from Paris (specifically on what was then called hysteria). Freud went on to publish influential works in neurology, including “On Aphasia: A Critical Study,” in which he coined the term agnosia, meaning the inability to interpret sensations.

In later years, Freud and his colleague Josef Breuer published “Preliminary Report” and “Studies on Hysteria.” When their friendship ended, Freud continued to publish his own works on psychoanalysis.

Freud and his family left Vienna due to discrimination against Jewish people. He moved to England in 1938 and died in 1939.

Sigmund Freud’s Theories

Freud’s theories were enormously influential but subject to considerable criticism both now and during his life. However, his ideas have become interwoven into the fabric of our culture, with terms such as “Freudian slip,” “repression,” and “denial” appearing regularly in everyday language.

Freud’s theories include:

  • Unconscious mind: This is one of his most enduring ideas, which is that the mind is a reservoir of thoughts, memories, and emotions that lie outside the awareness of the conscious mind.
  • Personality: Freud proposed that personality is made up of three key elements: the id, the ego, and the superego. The ego is the conscious state, the id is the unconscious, and the superego is the moral or ethical framework that regulates how the ego operates. Conflicts and interactions between these parts makeup one’s personality.
  • Life and death instincts: Freud claimed that two classes of instincts, life and death, dictated human behavior. Life instincts include sexual procreation, survival, and pleasure; death instincts include aggression, self-harm, and destruction.
  • Psychosexual development: Freud’s theory of psychosexual development posits that there are five stages of growth in which people’s personalities and sexual selves evolve. These phases are the oral stage, anal stage, phallic stage, latent stage, and genital stage.
  • Mechanisms of defense: Freud suggested that people use defense mechanisms to avoid anxiety. These mechanisms include displacement, repression, sublimation, regression, and many more.

Sigmund Freud and Psychoanalysis

Freud’s ideas had such a strong impact on psychology that an entire school of thought emerged from his work: psychoanalysis. Psychoanalysis has had a lasting impact on both the study of psychology and the practice of psychotherapy.

Psychoanalysis sought to bring unconscious information into conscious awareness in order to induce catharsis. Catharsis is an emotional release that may bring about relief from psychological distress. 

Research has found that psychoanalysis can be an effective treatment for a number of mental health conditions. The self-examination that is involved in the therapy process can help people achieve long-term growth and improvement.

Sigmund Freud’s Patients

Freud based his ideas on case studies of his own patients and those of his colleagues. These patients helped shape his theories and many have become well known. Some of these individuals included:

Anna O. was never actually a patient of Freud’s. She was a patient of Freud’s colleague Josef Breuer. The two men often corresponded about Anna O’s symptoms, eventually publishing the book Studies on Hysteria on her case. It was through their work and correspondence that the technique known as talk therapy emerged. 

Major Works by Freud

Freud’s writings detail many of his major theories and ideas. His personal favorite was The Interpretation of Dreams. Of it, he wrote: “[It] contains…the most valuable of all the discoveries it has been my good fortune to make. Insight such as this falls to one’s lot but once in a lifetime.”

Some of Freud’s major books include:

  • “Civilization and Its Discontents”
  • “The Future of an Illusion”
  • The Interpretation of Dreams
  • “The Psychopathology of Everyday Life”
  • “Totem and Taboo”

Freud’s Perspectives

Outside of the field of psychology, Freud wrote and theorized about a broad range of subjects. He also wrote about and developed theories related to topics including sex, dreams, religion, women, and culture.

Views on Women

Both during his life and after, Freud was criticized for his views of women, femininity, and female sexuality. One of his most famous critics was the psychologist Karen Horney, who rejected his view that women suffered from “penis envy.”

Penis envy, according to Freud, was a phenomenon that women experienced upon witnessing a naked male body because they felt they themselves must be “castrated boys” and wished for their own penis.

Horney instead argued that men experience “womb envy” and are left with feelings of inferiority because they are unable to bear children.

Views on Religion

Freud was born and raised Jewish but described himself as an atheist in adulthood. “The whole thing is so patently infantile, so foreign to reality, that to anyone with a friendly attitude to humanity it is painful to think that the great majority of mortals will never be able to rise above this view of life,” he wrote of religion.

He continued to have a keen interest in the topics of religion and spirituality and wrote a number of books focused on the subject. 

Psychologists Influenced by Freud

In addition to his grand and far-reaching theories of human psychology, Freud also left his mark on a number of individuals who went on to become some of psychology’s greatest thinkers. Some of the eminent psychologists who were influenced by Sigmund Freud include:

While Freud’s work is often dismissed today as non-scientific, there is no question that he had a tremendous influence not only on psychology but on the larger culture as well.

Many of Freud’s ideas have become so steeped in the public psyche that we oftentimes forget that they have their origins in his psychoanalytic tradition.

Freud’s Contributions to Psychology

Freud’s theories are highly controversial today. For instance, he has been criticized for his lack of knowledge about women and for sexist notions in his theories about sexual development, hysteria, and penis envy.

People are skeptical about the legitimacy of Freud’s theories because they lack the scientific evidence that psychological theories have today. Think about how challenging it is to study unconscious processes like dreams and repressed memories with the scientific method.

However, it remains true that Freud had a significant and lasting influence on the field of psychology. He provided a foundation for many concepts that psychologists used and continue to use to make new discoveries.

Psychoanalysis

Perhaps Freud’s most important contribution to the field of psychology was the development of talk therapy as an approach to treating mental health problems.

In addition to serving as the basis for psychoanalysis, talk therapy is now part of many psychotherapeutic interventions designed to help people overcome psychological distress and behavioral problems. 

The Unconscious

Prior to the works of Freud, many people believed that behavior was inexplicable. He developed the idea of the unconscious as being the hidden motivation behind what we do. For instance, his work on dream interpretation suggested that our real feelings and desires lie underneath the surface of conscious life.

Childhood Influence

Freud believed that childhood experiences impact adulthood—specifically, traumatic experiences that we have as children can manifest as maladaptive personality traits and mental health issues when we’re adults.

While childhood experiences aren’t the only contributing factors to mental health during adulthood, Freud laid the foundation for a person’s childhood to be taken into consideration during therapy and when diagnosing.

Literary Theory

Literary scholars and students alike often analyze texts through a Freudian lens. Freud’s theories created an opportunity to understand fictional characters and their authors based on what’s written or what a reader can interpret from the text on topics such as dreams, sexuality, and personality.

Frequently Asked Questions


  • Who was Sigmund Freud?

    Sigmund Freud was an Austrian neurologist who founded psychoanalysis. Also known as the father of modern psychology, he was born in 1856 and died in 1939.


  • What was the main difference between Sigmund Freud and the neo-Freudians?

    While Freud theorized that childhood experiences shaped personality, the neo-Freudians (including Carl Jung, Alfred Adler, and Karen Horney) believed that social and cultural influences played an important role. Freud believed that sex was a primary human motivator, whereas neo-Freudians did not.


  • What did Sigmund Freud do?

    Sigmund Freud founded psychoanalysis and published many influential works such as “The Interpretation of Dreams.” His theories about personality and sexuality were and continue to be extremely influential and controversial in the fields of psychology and psychiatry.


  • Where was Sigmund Freud born?

    Sigmund Freud was born in a town called Freiberg in Moravia, which is now the Czech Republic. However, most of his childhood years were spent in Vienna.


  • How did Sigmund Freud die?

    It’s likely that Freud died by natural means. However, he did have oral cancer at the time of his death and was administered a dose of morphine that some believed was a method of physician-assisted suicide.


  • What type of treatment did Sigmund Freud use when treating his patients?

    Freud used psychoanalysis, also known as talk therapy, along with hypnosis and dream analysis, in order to get his patients to uncover their own unconscious thoughts and bring them into consciousness. Freud believed this would help his patients change their maladaptive behaviors.


  • What is Freud most famous for?

    Freud was the founder of psychoanalysis and introduced influential theories such as: his ideas of the conscious and unconscious; the id, ego, and superego; dream interpretation; and psychosexual development.


Final Thoughts

While Freud’s theories have been the subject of considerable controversy and debate, his impact on psychology, therapy, and culture is undeniable. As W.H. Auden wrote in his 1939 poem, “In Memory of Sigmund Freud”:

In Memory of Sigmund Freud, Poem Stanza by W.H. Auden (1939)

For one who’d lived among enemies so long, if often he was wrong and, at times, absurd, to us, he is no more a person now but a whole climate of opinion under whom we conduct our different lives…

— In Memory of Sigmund Freud, Poem Stanza by W.H. Auden (1939)


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Definition, Symptoms, Traits, Causes, Treatment

Key Takeaways

  • Delusions are fixed, false beliefs that a person cannot let go of even when there is evidence against them.
  • They may be a symptom of conditions like delusional disorder, schizophrenia, or mood disorders.
  • Treatment often includes a combination of medication and therapy.

Delusions are fixed, false beliefs that conflict with reality. If a person is in a delusional state, they can’t let go of their untrue convictions despite contrary evidence.

Delusions are often reinforced by misinterpreting events. Many also involve some level of paranoia. For example, someone who is delusional might contend that the government is controlling our every move via radio waves, even with no evidence to support this belief.

Delusions are common symptoms of some psychotic disorders. They may occur along with hallucinations, which involve perceiving something that isn’t really there, like hearing voices or feeling bugs crawling on your skin.

Delusions vs. Hallucinations

While they both involve distortions of reality, there are differences between delusions and hallucinations. For instance, delusional thinking means that the person’s cognitive process is distorted (their thoughts are distorted). In hallucinations, the distortion exists in the senses, such as in their sense of hearing or touch.

Signs of Delusional Thinking

How can you tell if you or someone you love is experiencing delusional thoughts? Delusions are characterized by an unshakable belief in things that are not true, and in many cases, people continue to believe in them despite evidence to the contrary.

It’s also important to recognize that not all delusions are the same. Some delusions might involve non-bizarre beliefs that could theoretically occur in real life, such as believing that your spouse is cheating on you. Other delusions are bizarre, fantastical, or impossible, like thinking that you are responsible for the fate of the world. 

The nature of the delusional symptoms may play a central role in the diagnosis. Delusional disorder, for example, is characterized by non-bizarre delusions that often involve the misinterpretation of an experience or perception. Conversely, in schizophrenia, delusions may be bizarre and not rooted in reality.

Types of Delusions

Several different types of delusions can characterize the diagnosis of a delusional disorder. The disorder is diagnosed as delusional disorder and includes a specifier with XYZ type. For example, if you have grandiose delusions, your diagnosis would be “delusional disorder, grandiose type.”

Erotomanic Delusions

In this type of delusion, individuals believe that a person—usually with a higher social standing—is in love with them. An example of erotomanic delusional thinking would be someone who believes that an actress loves them and that they are communicating with them via secret hand gestures during their TV show.

Grandiose Delusions

In grandiose delusions, individuals believe that they have extraordinary talent, fame, wealth, or power despite a lack of evidence. An example of this type of delusional thinking would be someone who believes God gave them the power to save the universe and completes certain tasks every day that will help the planet continue.

Persecutory Delusions

Individuals with persecutory delusions believe that they are being spied on, drugged, followed, slandered, cheated on, or somehow mistreated. A delusional thought of this type might involve someone believing that their boss is drugging the employees by adding a substance to the water cooler that makes people work harder. 

Jealous Delusions

Individuals with jealous delusions might believe that their partners are unfaithful. For instance, someone with this type of delusion might believe their partner is meeting their lover every time they use the restroom in public settings—they also think that they are sending their lover secret messages through other people (like the cashier in a grocery store).

Somatic Delusions

Individuals with somatic delusions believe that they are experiencing physical sensations or bodily dysfunctions under the skin or that they’re suffering from a general medical condition or defect. For instance, someone who believes there are parasites living inside their body could be suffering from somatic delusions.

Mixed or Unspecified Delusions

When delusional beliefs don’t fall into a single category, and no single theme dominates, the delusions are considered “mixed.” Mental health professionals may refer to the disorder as “unspecified” when delusions don’t fall into a specific category or the delusion type can’t be clearly determined.

Causes of Delusions

Researchers aren’t exactly sure what causes delusional behavior and states. It appears that various genetic, biological, psychological, and environmental factors may be at play.

  • Genetic causes: Psychotic disorders seem to run in families, so researchers suspect that there is a genetic component to delusions. Children born to a parent with schizophrenia, for example, may be at a higher risk of developing delusions.
  • Biological causes: Abnormalities in the brain may contribute to delusional thoughts and behaviors. An imbalance of neurotransmitters (chemical messengers in the brain) might increase the likelihood that an individual will develop delusions.
  • Psychological causes: Trauma and stress can even trigger delusions. Individuals who tend to be isolated appear more vulnerable to developing a delusional disorder as well.
  • Environmental causes: Sometimes, people share delusions. This experience is most common in individuals who reside together and have little contact with the outside world.

Conditions With Delusional Symptoms

Delusions may be symptoms of a mental health issue or brain disorder. The following are a few conditions that are associated with delusional thoughts or behaviors:

  • Brief psychotic disorder: When triggered by a stressful event, people can experience brief episodes of hallucinations, delusions, or disorganized speech. In brief psychotic disorder, symptoms persist for one month or less.
  • Delusional disorder: People with delusional disorder experience “non-bizarre” types of delusions and can usually act normally, with no markedly impaired functioning. An estimated 0.2% of the population meets the criteria, so this disorder is considered a relatively rare mental illness.
  • Dementia: Although estimates vary, roughly one-third of individuals with dementia may experience delusions. Often, these delusions involve paranoia, such as thinking family members or caretakers are stealing from them.
  • Mood disorders: Sometimes, individuals with mood disorders like depression or bipolar disorder experience delusional thinking.
  • Parkinson’s disease: The prevalence varies widely, but many patients with advanced Parkinson’s disease experience hallucinations and delusions.
  • Postpartum psychosis: Hormonal shifts after giving birth may trigger postpartum psychosis in some women, and one symptom of this condition is delusions. Some research indicates that postpartum psychosis might be linked to bipolar disorder.
  • Schizoaffective disorder: This disorder involves symptoms of schizophrenia—including delusional thinking and hallucinations—as well as mood issues like depression and mania.
  • Schizophrenia: Schizophrenia involves “positive symptoms,” such as hallucinations or delusions. It also involves “negative symptoms,” including flat affect, reduced feelings of pleasure in everyday life, difficulty beginning and sustaining activities, and reduced speaking.
  • Schizophreniform disorder: This disorder involves symptoms similar to schizophrenia, but, in this case, the symptoms are experienced for less than six months.
  • Substance/medication-induced psychotic disorder: Drug or alcohol intoxication or withdrawal may cause some individuals to experience delusions. Delusional symptoms are usually brief and tend to resolve once the drug is cleared, although psychosis triggered by amphetamines, cocaine, and PCP can persist for weeks.

Diagnosis of Delusions

If a person is experiencing delusional symptoms, their healthcare provider will begin by taking a medical history and performing a physical exam. Lab tests may also be ordered to rule out any physical illnesses that might be causing the delusions.

If no medical condition is instigating the symptoms, the healthcare provider may refer the individual to a psychiatrist for further evaluation. Mental health professionals can use a variety of psychological assessments to learn more about the person’s symptoms. A diagnosis may then be made based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)

Treatment for Delusions

It’s essential for anyone experiencing delusional thinking to seek professional help. This can be incredibly challenging, however, since people experiencing delusions often don’t think of their beliefs as a problem.

By definition, a person who is having delusions believes their experience to be fact. Consequently, it is often concerned loved ones who must bring the issue to the attention of a healthcare professional.

Treatment for delusions often includes a combination of medication and therapy.

Medication

Medications that may be used to help treat delusional thought processes and their resulting behaviors may include:

  • Typical antipsychotics: These first-generation medications are used to block dopamine receptors in the brain. Dopamine is a neurotransmitter believed to be involved in the development of delusions.
  • Atypical antipsychotics: These medicines block dopamine and also serotonin receptors in the brain. This leads to a different side effect profile than first-generation antipsychotics.
  • Tranquilizers: Sometimes, tranquilizers are used to address the anxiety, agitation, or sleep issues that are common in people with delusional disorders.
  • Antidepressants: These prescription medications may be used if the person with delusional beliefs is also experiencing a mood issue, such as depression.

Therapy

Therapy for delusions may include cognitive behavioral therapy (CBT). CBT helps an individual with delusional beliefs learn to recognize and change unhelpful thoughts and behaviors.

Family therapy is often part of the treatment for delusions as well. Through this type of therapy, family members can learn how to support their loved one who is experiencing delusional thoughts or behavior patterns.

In some cases, psychiatric hospitalization may be required to help the person with delusions become stabilized—especially if they become a danger to themselves or others.

Coping With Delusions

Managing the environment can help someone with delusions. For example, if a person believes that the government is spying on them through the TV, it may be best to avoid watching television. Or if a person believes they are being followed when they go out in the community alone, it may be best to have someone go with them.

Final Thoughts

Most disorders that involve delusions are treatable. This enables people with these delusional beliefs to live healthy, productive lives with relatively few symptoms.

Others with delusions do struggle to work, maintain healthy relationships, or participate in activities associated with daily living. If you or a loved one are experiencing issues as a result of delusional thinking, a healthcare professional can provide the help and support you need.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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  4. González-Rodríguez A, Esteve M, Álvarez A, et al. What we know and still need to know about gender aspects of delusional disorder: A narrative review of recent work. J Psychiatry Brain Sci. 2019;4:e190009. doi:10.20900/jpbs.20190009

  5. Pepper EJ, Pathmanathan S, Mcilrae S, Rehman FU, Cardno AG. Associations between risk factors for schizophrenia and concordance in four monozygotic twin samples. Am J Med Genet B Neuropsychiatr Genet. 2018;177(5):503-510. doi:10.1002/ajmg.b.32640

  6. Joyce EM. Organic psychosis: The pathobiology and treatment of delusions. CNS Neurosci Ther. 2018;24(7):598-603. doi:10.1111/cns.12973

  7. Nygaard M, Sonne C, Carlsson J. Secondary psychotic features in refugees diagnosed with post-traumatic stress disorder: A retrospective cohort study. BMC Psychiatry. 2017;17(1):5. doi:10.1186/s12888-016-1166-1

  8. MedlinePlus. Brief psychotic disorder.

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  10. Taddei RN, Cankaya S, Dhaliwal S, Chaudhuri KR. Management of psychosis in Parkinson’s disease: Emphasizing clinical subtypes and pathophysiological mechanisms of the conditionParkinsons Dis. 2017;2017:3256542. doi:10.1155/2017/3256542

  11. Wesseloo R, Kamperman AM, Munk-Olsen T, Pop VJ, Kushner SA, Bergink V. Risk of postpartum relapse in bipolar disorder and postpartum psychosis: A systematic review and meta-analysis. Am J Psychiatry. 2016;173(2):117-127. doi:10.1176/appi.ajp.2015.15010124

  12. MedlinePlus. Schizoaffective disorder.

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  15. Skelton M, Khokhar WA, Thacker SP. Treatments for delusional disorder. Cochrane Schizophrenia Group, ed. Cochrane Database of Systematic Reviews. 2015;2015(5). doi:10.1002/14651858.CD009785.pub2

  16. Mehl S, Werner D, Lincoln TM. Corrigendum: Does cognitive behavior therapy for psychosis (CBTp) show a sustainable effect on delusions? A meta-analysis. Front Psychol. 2019;10:1868. doi:10.3389/fpsyg.2015.01450

Additional Reading

Amy Morin

By Amy Morin, LCSW

Amy Morin, LCSW, is a psychotherapist and international bestselling author. Her books, including “13 Things Mentally Strong People Don’t Do,” have been translated into more than 40 languages. Her TEDx talk,  “The Secret of Becoming Mentally Strong,” is one of the most viewed talks of all time.


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The Best Time to Take Antidepressants: Morning or Night?


Timing Suggestions Based on Side Effect
Side Effect When to Take Medication
Insomnia Morning
Drowsiness Bedtime
Sexual Issues Morning
Nausea Bedtime
Urinary Problems Morning

When to Take an Antidepressant in the Morning

Antidepressants are sometimes best taken in the morning due to potential side effects. Here are a few to consider.

Insomnia

Some selective serotonin reuptake inhibitors (SSRIs), the class of antidepressants most often used, can disrupt sleep for some people and would be best taken in the morning.

For example, the manufacturer of Prozac (fluoxetine) recommends it be taken in the morning because it can make some people feel more energized, especially at the beginning of treatment. Effexor (venlafaxine) is sometimes recommended to be taken in the morning because it may interfere with sleep when taken at night.

However, when Prozac is given in combination with Zyprexa (olanzapine)—a combination called Symbyax—as a therapy for treatment-resistant depression, it can cause sleepiness, so then it’s recommended to be taken in the evening.

Paxil (paroxetine) is generally taken in the morning in order to prevent sleeplessness at night. However, it may be given at bedtime if it is found to cause drowsiness in the person taking it. Wellbutrin (bupropion) is another antidepressant that is recommended to be taken in the morning in order to prevent insomnia at night.

Urinary Problems

When prescribed in children or adolescents, Zoloft can cause frequent urination as well as urinary incontinence. In this case, taking the pill in the morning can prevent any nighttime bedwetting.

While relatively uncommon, urinary incontinence can also sometimes be a side effect of Wellbutrin (bupropion).

Sexual Issues

If you experience sexual side effects (such as low libido, erectile dysfunction, or inability to ejaculate) from your antidepressant, the timing of when you take your antidepressant can make a difference.

Antidepressants are the most likely to cause sexual side effects include SSRIs such as Zoloft (sertraline), Lexapro (escitalopram), Paxil (paroxetine), Prozac (fluoxetine), tricyclic antidepressants such as amitriptyline, and MAOIs such as Nardil (phenelzine).

Research indicates that it may be helpful to consider the time of day when you’re most likely to engage in sexual activity and plan to take your antidepressant shortly thereafter.

When to Take an Antidepressant at Night

Some side effects are better tolerated if an antidepressant is taken closer to bedtime. These are a few of the effects that fall into this category.

Drowsiness

Unlike some SSRIs, some antidepressants can make you feel drowsy, so they’re better tolerated if you take them at bedtime. Among these medications are Luvox (fluvoxamine), Remeron (mirtazapine), and the tricyclic antidepressants, including:

  • Elavil (amitriptyline)
  • Norpramin (desipramine)
  • Tofranil (imipramine)
  • Pamelor (nortriptyline)

Nausea

Some classes of antidepressants (mostly SSRIs) can trigger nausea, vomiting, diarrhea, and loss of appetite. Commonly prescribed antidepressants that may cause nausea include:

  • Celexa (citalopram)
  • Lexapro (escitalopram)
  • Prozac (fluoxetine)
  • Viibryd (vilazodone)
  • Wellbutrin (bupropion)
  • Zoloft (sertraline)

While this often resolves itself as your body adjusts to the medication, sticking to a nighttime medication schedule can also help by hopefully allowing you to sleep through any digestive woes.

Other Optimal Medication Strategies

In addition to discussing with your doctor the time of day that is best to take your antidepressant, it’s critical to remember that there are other strategies that affect how well your medication will work, including:

Have Patience

It typically takes several weeks for the full therapeutic effects of antidepressants to kick in. Remember that antidepressants take time to work, potentially anywhere from six to 12 weeks for the full effect, although many people notice improvement within a week or two.

However, you may begin experiencing side effects during the first week. Many of these side effects will gradually subside as your body adjusts to your medication.

When you start your antidepressant, keep in close contact with your doctor and stay positive. You can find a way to treat your condition, but it may take a little bit of trial and error.

Stay Consistent

Take your antidepressant as directed at the same time every day and do not stop it without first talking to your doctor.

Talk to Your Doctor

If your antidepressant is causing side effects, remember that many, if not all of them, will go away with time. If the side effects are intolerable, get in touch with your doctor right away. Finding relief may be as simple as changing the dose, switching to a different antidepressant, or adding a second medication to ease the side effect.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Brambilla P, Cipriani A, Hotopf M, Barbui C. Side-effect profile of fluoxetine in comparison with other SSRIs, tricyclic and newer antidepressants; a meta-analysis of clinical trial data. Pharmacopsychiatry. 2005;38(2):69-77. doi:1055/s-2005-837806

  2. Wichniak A, Wierzbicka A, Walęcka M, Jernajczyk W. Effects of antidepressants on sleep. Curr Psychiatry Rep. 2017;19(9):63. doi:10.1007/s11920-017-0816-4

  3. Fava M, Rush AJ, Thase ME, et al. 15 years of clinical experience with bupropion HCl: from bupropion to bupropion SR to bupropion XL. Prim Care Companion J Clin Psychiatry. 2005;7(3):106-13. doi:10.4088/pcc.v07n0305

  4. Izci F, Iris Koc M, Bilici R, Yalcin M, Bestepe EE. Urinary incontinence during sleep associated with extended release form of bupropion HCICase Rep Psychiatry. 2015;2015:906294. doi:10.1155/2015/906294

  5. Kelly K, Posternak M, Jonathan EA. Toward achieving optimal response: understanding and managing antidepressant side effects. Dialogues Clin Neurosci. 2008;10(4):409-418. doi:10.31887/DCNS.2008.10.4/kkelly

  6. Al-Harbi KS. Treatment-resistant depression: therapeutic trends, challenges, and future directions. Patient Prefer Adherence. 2012;6:369-88. doi:10.2147/PPA.S29716

Additional Reading

By Nancy Schimelpfening

Nancy Schimelpfening, MS is the administrator for the non-profit depression support group Depression Sanctuary. Nancy has a lifetime of experience with depression, experiencing firsthand how devastating this illness can be.  


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How Emotions and Organs Are Connected in Chinese Medicine

Key Takeaways

  • Traditional Chinese Medicine (TCM) links emotions to specific organs, affecting both mental and physical health.
  • TCM treatments focus on balancing body and mind with techniques like acupuncture and herbal remedies. 

Have you ever wondered why you feel flutters in your stomach when you’re anxious or tightness in your chest when stressed? In traditional Chinese medicine (TCM), emotions and physical health are intimately connected. This integrated mind-body approach to health and healing operates in a dynamic loop where emotions impact the health of the body and vice versa.

For example, according to TCM theory, excessive irritability and anger can affect the liver and result in multiple ailments, including menstrual pain, headache, redness of the face and eyes, dizziness, and dry mouth. Alternatively, imbalance in the liver can result in stormy moods.

Diagnosis in traditional Chinese medicine is highly individualized. Once an impaired organ system and/or emotional imbalance is identified, the unique symptoms of the patient determine the practitioner’s treatment approach.

At a Glance

If you are looking for a mind-body approach to understanding your mental and physical health, consider what you might learn from traditional Chinese medicine. According to this approach, the mind and body are inextricably intertwined. That means that imbalances in your emotions can lead to problems with your physical health—and vice versa. If you want to incorporate some of these practices into your health routine, remember to use caution (and have a word with your doc) before using it to treat specific mental or physical health issues. While it has been practiced for thousands of years, there’s still plenty we need to learn to understand better how it may help.

How Traditional Chinese Medicine Works

Traditional Chinese medicine has been practiced for over 2,000 years, and its use in the United States as part of complementary healthcare has grown dramatically over the last few decades. According to the National Center for Complementary and Integrative Health, around 1% of U.S. adults used acupuncture in 2002. By 2022, this number had grown to 2.2%.

TCM is based on the principle that mental and physical well-being are intricately entwined. In turn, practitioners believe that optimal health is governed by balancing a person’s qi (vital life force) with the complementary forces of yin (passive) and yang (active) and the five elements of fire, water, earth, wood, and metal.

In TCM, it is believed that emotional imbalances can act as both symptoms and causes for physical issues. Additionally, mental health conditions are linked to specific physical ailments of key organs.

According to traditional Chinese medicine, emotions are narrowed down to five basic feelings that are each associated with a corresponding element and organ in the body:

  • Anger with the liver
  • Fear with the kidney
  • Joy with the heart
  • Sadness and grief with the lung
  • Worry with the spleen

For example, under the TCM theory, breast distension, menstrual pain, and irritability during menses are treated with certain herbs and acupuncture points that target the liver. Headaches, dizziness, excessive anger, and redness of the face point to an alternative type of liver pattern and are treated in a different way.

The TCM Approach

What does the liver have to do with migraines or PMS? Organ systems in TCM may include the Western medical-physiological functions, but they are also part of the integrated, holistic body system. So, the entire mind and body may be evaluated and treated to improve a specific health concern.

The liver, for example, ensures that energy and blood flow smoothly throughout the body. It also regulates bile secretion, stores blood, and is connected with the tendons, nails, and eyes.

By understanding these connections, TCM practitioners explain how an eye disorder such as conjunctivitis might be due to an imbalance in the liver. Or, excess menstrual flow may be due to dysfunction in the liver’s blood-storing ability.

On the emotional side, the liver is connected to anger, which when out of balance, can be expressed in the extremes of excess wrath and irritation or as a lack of feeling, as in depression or post-traumatic stress disorder (PTSD). These mental health imbalances can be both symptoms and/or contributing causes of liver dysfunction.

So, when a person is experiencing ailments, TCM practitioners focus on untangling the mind-body imbalances. To improve a person’s physical and mental health, they use a variety of treatments, including acupuncture, herbal medicines, moxibustion (heat therapy), cupping (a suction procedure that cultivates blood flow), tui na massage (therapeutic massage and bodywork), and nutrition.

In addition to emotions, TCM philosophy believes that other elements, such as dietary, environmental, lifestyle, and hereditary factors, also contribute to the development of imbalances and the body’s ability to heal itself.

Understanding the interplay of each of the five organ-emotion pairings is key to unlocking the healing potential of TCM. Below, we summarize traditional Chinese medicine’s beliefs on how the connections and imbalances between these organs and emotions contribute to basic mental and physical health concerns.

Spleen

The spleen plays an important part in the body’s immune system and acts as a blood filter, removing old blood cells, bacteria, and impurities from the body. In TCM, the spleen is linked to the following emotions and ailments:

  • Emotions: Excessive mental work such as worry, dwelling, or focusing too much on a particular topic
  • Spleen function: Food digestion and nutrient absorption, helping in the formation of blood and energy and keeping blood in the blood vessels; connected with the muscles, mouth, and lips; also involved in thinking, studying, and memory
  • Symptoms of spleen imbalance: Tiredness, loss of appetite, mucus discharge, poor digestion, abdominal distension, loose stools, diarrhea, weak muscles, pale lips, bruising, excess menstrual blood flow, and other bleeding disorders
  • Spleen conditions: Spleen qi deficiency, spleen qi descending, spleen yang deficiency

Lung

The lungs bring oxygen into the body and remove carbon dioxide. In TCM, this organ is believed to be connected to grief and the following conditions:

  • Emotions: Grief, sadness, and detachment
  • Lung function: Respiration brings energy from the air and helps to distribute it throughout the body; they work with the kidney to regulate water metabolism; they are important in the immune system and for resistance to viruses and bacteria; they regulate sweat glands and body hair and provide moisture to the skin
  • Symptoms of lung imbalance: Shortness of breath and shallow breathing, sweating, fatigue, cough, frequent cold and flu, allergies, asthma, and other lung conditions, dry skin, depression, and excessive crying
  • Lung conditions: Lung qi deficiency, lung yin deficiency, and cold damp obstructing the lungs

Liver

Digestion and the processing of nutrients are primary functions of this vital organ. In TCM, the liver is associated with anger, depression, and the below physical symptoms:

  • Emotions: Anger, resentment, frustration, irritability, bitterness, and “flying off the handle”
  • Liver function: Involved in the smooth flow of energy and blood throughout the body; regulates bile secretion and stores blood; is connected with the tendons, nails, and eyes
  • Symptoms of liver imbalance: Breast distension, menstrual pain, headache, irritability, inappropriate anger, dizziness, dry, red eyes, and other eye conditions, and tendonitis
  • Liver conditions: Liver qi stagnation, liver fire

Heart

The heart pumps blood throughout the body. In TCM, this organ is linked with joy but the imbalance of joy is expressed as either too much (agitation or restlessness) or too little (depression). Below, are the mental and physical ailments linked with the heart:

  • Emotions: Lack of enthusiasm and vitality, mental restlessness, depression, insomnia, and despair
  • Heart function: Regulates the blood circulation and blood vessels; responsible for even and regular pulse and influences vitality and spirit; connected with the tongue, complexion, and arteries
  • Symptoms of heart imbalance: Insomnia, heart palpitations, irregular heartbeat, excessive dreaming, poor long-term memory, and psychological disorders
  • Heart conditions: Heart yin and heart fire

Kidney

The kidneys remove waste and excess fluid to make urine. In TCM, the kidney is related to fear, which can manifest as chronic fear or anxiety when qi out of balance, as well as result in:

  • Emotions: Fearful, weak willpower, insecure, aloof, and isolated
  • Kidney function: Key organs for sustaining life; responsible for reproduction, growth and development, and maturation; involved with the lungs in water metabolism and respiration; connected with bones, teeth, ears, and head hair
  • Symptoms of kidney imbalance: Frequent urination, urinary incontinence, night sweats, dry mouth, poor short-term memory, low back pain, ringing in the ears, hearing loss, other ear conditions, premature gray hair, hair loss, and osteoporosis
  • Kidney conditions: Kidney yin deficiency, kidney yang deficiency

Other TCM Conditions

Below are a few more conditions related to emotional and organ imbalances that traditional Chinese medicine practitioners may diagnose:

  • Blood stagnation: Chronic and acute pain
  • Blood deficiency: Headaches, dizziness, and fatigue
  • Stomach heat: Digestion issues

How Effective Is Traditional Chinese Medicine?

Despite the growing popularity and anecdotal evidence, it’s important to note that many TCM treatments and philosophies have not been vetted in the same way as conventional Western medical care. While TCM has been practiced for centuries and has been shown to be effective for treating some conditions—particularly those related to pain and stress—much research is mixed or unclear.

More research needs to be done to determine the efficacy and safety of TCM treatments for specific health issues.

Interestingly, in some cases, the benefits of TCM treatments are correlated to the placebo effect. However, rather than simply dismissing the efficacy of those TCM practices, these findings reinforce the powerful (and, in many ways, still mysterious) link between mind and body in the healing process, which is the underpinning theory of TCM itself.

Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. National Center for Complementary and Integrative Health. Acupuncture: Effectiveness and safety.

  2. Lee YS, Ryu Y, Jung WM, Kim J, Lee T, Chae Y. Understanding mind-body interaction from the perspective of East Asian medicine. Evid Based Complement Alternat Med. 2017;2017:7618419. doi:10.1155/2017/7618419

  3. Scheid V. Depression, constraint, and the liver: (Dis)assembling the treatment of emotion-related disorders in Chinese medicine. Cult Med Psychiatry. 2013;37(1):30-58. doi:10.1007/s11013-012-9290-y

  4. National Institutes of Health. How the spleen keeps blood healthy.

  5. National Institute of Diabetes and Digestive and Kidney Diseases. Liver Disease.

  6. Ye J, Cai S, Cheung WM, Tsang HWH. An East meets West approach to the understanding of emotion dysregulation in depression: From perspective to scientific evidence. Front Psychol. 2019;10:574. doi:10.3389/fpsyg.2019.00574

  7. National Center for Complementary and Integrative Health. Traditional Chinese medicine: What you need to know.

  8. National Center for Complementary and Integrative Health. Acupuncture: In depth.

Sarah Vanbuskirk

By Sarah Vanbuskirk

Sarah Vanbuskirk has over 20 years of experience as a writer and editor, covering a range of health, wellness, lifestyle, and family-related topics. Her work has been published in numerous magazines, newspapers, and websites, including The Spruce, Activity Connection, Glamour, PDX Parent, Self, Verywell Fit, TripSavvy, Marie Claire, and TimeOut New York.


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Uses, Side Effects, Dosage and Interactions


Key Takeaways

  • BuSpar is used to treat generalized anxiety disorder and affects neurotransmitters in the brain.
  • BuSpar is slow-acting and may take a few weeks to show effects.

BuSpar (buspirone) is a medication used to treat anxiety, particularly generalized anxiety disorder (GAD). Its effectiveness has been well established for this purpose. BuSpar works by affecting neurotransmitters in the brain to help control symptoms of anxiety, such as a racing heartbeat, sweating, jitters, and trouble sleeping.

This anti-anxiety drug was originally approved by the Food and Drug Administration (FDA) in 1986. The name-brand BuSpar has since been discontinued. It is important to note that BuSpar was discontinued because the generic form became widely available and not due to safety or effectiveness reasons.

The medication is still available in its generic form (buspirone). Since many people still use the brand name BuSpar and the generic name buspirone interchangeably, this article will use both terms to refer to the medication.

At a Glance

If you have an anxiety disorder such as generalized anxiety disorder, your doctor may recommend BuSpar as a treatment option. Buspirone has been shown to be effective for relieving anxiety, but it is important to know that it may take a few weeks before you start to notice these benefits. There are also side effects and potential interactions you should be aware of before you begin taking this medication. Keep reading to learn more about how BuSpar is used, how it works, and what you can expect when taking it to treat anxiety.

Verywell / Kelly Miller

BuSpar Uses

Buspirone is used for the short-term treatment of anxiety symptoms and the longer-term treatment of anxiety disorders.

Buspirone is typically used to help treat generalized anxiety disorder (GAD). Some researchers have set out to see if it can help people with other types of anxiety, such as social anxiety disorder (SAD). So far, however, it appears to have minimal effects.

For instance, one review of studies involving medication-based anxiety treatments noted that buspirone had not demonstrated effectiveness for social anxiety disorder. Plus, the doses needed to possibly make it more effective would also increase the drug’s side effects, limiting its use.

BuSpar is often less effective for disorders that involve episodes of severe anxiety, such as obsessive-compulsive disorder (OCD) and panic disorder.

How BuSpar Works (Method of Action)

Buspirone is from the azapirone class of medications, which includes other anxiolytic (anti-anxiety) and antipsychotic medications. It is most often prescribed for generalized anxiety disorder.

BuSpar impacts neurotransmitters in the brain, such as serotonin and dopamine. Specifically, it is a serotonin receptor agonist, which means that it increases action at serotonin receptors in your brain. This, in turn, helps to alleviate anxiety.

Buspirone is commonly used as an add-on to other medications—such as selective serotonin reuptake inhibitors (SSIRs)—for the treatment of depression or anxiety, rather than a first-line treatment. BuSpar may also be prescribed if other medications have been ineffective or resulted in too many side effects.

Click Play to Learn How Buspar Works

How to Take BuSpar

Before you start taking BuSpar, it is important to understand how to take your medication, including how much to take, when to take it, and what to do if you miss a dose. Buspirone can be taken with food or without, but it must be taken consistently—usually two or three times daily.

Dosage

Buspirone tablets come in a variety of doses, ranging from 5 mg to 30 mg each. Additionally, both the 5 mg and 10 mg tablets are scored so they can easily be split in half, dropping the lowest available dose per tablet to 2.5 mg.

The maximum daily dose is 60 mg. However, most patients respond to a dose in the range of 15 mg to 30 mg. This dose can also be increased by 5 mg every 2 to 3 days if needed. Your prescribing doctor will determine the appropriate dosage for you.

BuSpar is slow-acting, so it may take a few weeks to feel the effects. Your prescribing doctor will evaluate your situation regularly, including how you respond to the medication, to determine the optimal length of time you should take BuSpar.

Typically, the medication is taken for several months up to a year. When your doctor decides that you should stop taking BuSpar, the dose will gradually be reduced to help avoid the potential effects of withdrawal.

If You Miss a Dose of BuSpar

If you miss a dose of buspirone, take it as soon as you remember. The one exception is if it’s almost time to take the next dose. In that case, skip the missed dose (don’t try to double up), and resume your normal schedule beginning with the upcoming dose.

Things to Avoid While Taking BuSpar

When taking buspirone, you want to avoid drinking a lot of grapefruit juice. The reason for this is that grapefruit juice can change the way the drug moves through the body, potentially increasing the amount of buspirone absorbed.

In addition, it is best to avoid using alcohol while taking BuSpar. Mixing alcohol and BuSpar can lead to increased drowsiness and feeling lightheaded. More severe implications of this combination include problems with muscle control, memory, and breathing.

Who Shouldn’t Take BuSpar

You should not take BuSpar (buspirone hydrochloride) if you have a hypersensitivity to the drug. In cases of hypersensitivity, your prescribing doctor will discontinue the medication treatment. 

Drug hypersensitivity refers to immune-mediated reactions to drugs, with symptoms ranging from mild to severe.

Buspar should also be used cautiously by people with compromised liver function or pre-existing medical conditions. Liver enzymes play an important role in removing buspirone from the body. If the liver is not functioning normally, there may be increased concentrations of buspirone in the blood. Buspirone can also affect blood glucose levels, which may be a problem if you have diabetes.

Buspar is not recommended for people who are breastfeeding as there is evidence to suggest it may be secreted into breast milk. Its safety during pregnancy has also not been adequately studied.

BuSpar Medication Interactions

BuSpar can potentially interact with numerous medications. For example, if you take buspirone along with amonoamine oxidase inhibitors (MAOIs), you may experience increased blood pressure.

There are also medications that can affect how BuSpar is metabolized in the body, which can impact the effectiveness of your medication. Medications that affect liver enzymes may increase or decrease concentrations of buspirone in the blood, which can lead to more side effects or decreased effectiveness. For example, erythromycin can increase concentrations of BuSpar.

For these reasons, it is important that your prescribing doctor is aware of all medications that you are taking before being prescribed BuSpar. This includes vitamins, nutritional supplements, and herbal products.

Side Effects of BuSpar

Side effects experienced with buspirone can be split into two categories: those that are common and those that are less common but very serious.

Common Side Effects

A range of adverse effects is possible when taking BuSpar—especially within the first few weeks of taking the drug. Some of the most common side effects of buspirone include:

  • Dizziness or lightheadedness
  • Nausea
  • Headache
  • Excitement
  • Confusion
  • Fatigue or weakness
  • Trouble sleeping
  • Increased sweating

Dizziness is perhaps the most common, appearing in more than 10% of people taking buspirone. However, this effect may lessen after a few weeks.

Serious Side Effects

Other more rare but potentially serious adverse effects of buspirone include:

  • Cardiovascular events, such as heart attack or congestive heart failure
  • Eye pain or pressure
  • Hallucinations
  • Pelvic inflammatory disease (PID)
  • Suicidal ideation
  • Thyroid abnormalities

If you experience any of these effects after taking buspirone, seek medical attention immediately and alert your prescribing doctor.

Associated Risks

BuSpar tends to be less sedating than many other anxiety medications, but you should use caution if driving, operating machinery, or participating in hazardous activities while taking buspirone. There is little risk of physical or psychological dependence on BuSpar, and the risk of overdose is low.

Alternatives to BuSpar

BuSpar is not the only option for treating anxiety. If BuSpar does not alleviate your anxiety or you are not able to take it due to a medical condition or medication interaction, your doctor can determine the best alternative medication or form of treatment for your situation.

Other medications can also be effective in the treatment of anxiety disorders. Other medications used to treat anxiety include beta blockers (such as propranolol), antidepressants (such as Lexapro), and benzodiazepines (such as Xanax).

While these medications also treat anxiety, their mechanism of action differs. For example, where buspirone acts on serotonin receptors in the brain, Xanax affects GABA receptors.

Frequently Asked Questions

  • How does BuSpar work?

    Buspirone’s mechanism of action is somewhat unclear, though it is thought to work by the way it impacts serotonin receptors in the brain. It also appears to have a small impact on dopamine receptors as well.

  • How fast does BuSpar work for anxiety?

    Unlike benzodiazepines like Valium (diazepam) and Xanax (alprazolam), which take effect almost immediately, it generally takes between 2 and 4 weeks to notice buspirone’s effects. Because it doesn’t start working immediately, some people may question its efficacy when they first start taking it. If you have these concerns, speak to your prescribing doctor.

  • How much BuSpar should you take for anxiety?

    Your prescribing doctor will recommend the proper buspirone dosage for you based on the severity of your generalized anxiety disorder. Doses can range from 5 mg to 60 mg. If you’re in the lower end of this range and don’t notice any positive effects, your doctor may slowly increase your dosage over time to see if it improves your results.

  • What other medications can you take for anxiety instead of BuSpar?

    There are several medication options for dealing with anxiety, some of which include selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines. Talk to a healthcare provider about which medications may be best for you.



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Signs and Coping With an Immature Husband


Key Takeaways

  • Emotional immaturity can include irresponsible behavior and blaming others.
  • Setting boundaries can help you manage a relationship with an immature partner.
  • Working with a therapist can also help both partners address underlying issues. 

A man who lacks emotionally mature responses and behaviors is sometimes referred to as a man child. People married to these individuals might complain about having an immature husband who does not behave like an adult in their relationship.

Read on to learn more about the term ‘man child,’ including how its history, what it means, and why this label is harmful. We also share signs of an immature partner and how to cope when in a relationship with someone who is acting this way.

History of the Term ‘Man Child’

This term first appeared in the 14th century simply to refer to a male child. In the 1700s, the phrase ‘man child’ began to morph into what it means today, a regression to child-like behaviors.

During the 1980s, this phenomenon was dubbed “Peter Pan syndrome.” The term was popularized by psychologist Dan Kiley, who published a book in 1983 titled, “The Peter Pan Syndrome: Men Who Have Never Grown Up.”

While it provides a way to organize and discuss the characteristics and behaviors of people who are emotionally immature, Peter Pan syndrome is not an official psychiatric diagnosis. It does not appear in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and is not recognized by the World Health Organization (WHO).

Like the character of Peter Pan, you might know a person who refuses to grow up. It could be a friend, a co-worker, or even your spouse. While the term is often applied to men, women are capable of exhibiting the same patterns of behavior.

The ‘Man Child’ Label

It’s important to understand what you really mean when you describe someone as being a man child, accuse them of being an immature husband, or describe them as having Peter Pan syndrome:

  • Are you frustrated by what you perceive as his apparent lack of emotional, social, and mental development?
  • Do you feel that certain attributes that initially attracted you to your partner and that you used to love (such as a laid-back and fun-loving personality) are now causing difficulties in your relationship?
  • Do you sometimes feel like you are talking to a teenager rather than a grown-up when you attempt to engage them in a discussion?
  • Is their behavior immature, irresponsible, and unreliable?
  • In response to their behavior, do you feel that you have to work extra hard to compensate or even cover up for them?

Why the Label Is Harmful

No one should be reduced to labels—especially hurtful name-calling. When you feel frustrated by your spouse’s behavior, hurtful phrases might slip out when expressing your exasperation to a confidant.

When you confront your spouse, you might be tempted to use this term as you try to explain behavior you don’t understand, appreciate, or find problematic. But using this term is not likely to help you have a productive conversation.

For one, it’s vague and might be interpreted by your partner in a way other than what you intend. It could also make your partner feel angry or hurt. They might get defensive or shut down the conversation completely.

If you want to talk with your partner about their immature behavior and how you feel it is affecting your relationship, be direct. Give concrete examples rather than vague generalizations.

Signs of an Immature Partner

There are a variety of signs associated with a person who is described as a man child or an immature husband. You might recognize some common immature behaviors in your male partner, but these behaviors are not specific to men. These signs can appear in any adult who has not reached a certain level of emotional maturity.

They Lack Boundaries With Their Parents

People who are emotionally immature sometimes have intense and dysfunctional relationships with their parents. For men, this can include how they relate to their mothers.

The unhealthy dynamic usually starts in childhood and is sometimes referred to as enmeshment. When a man is enmeshed with his mother, he might continue to rely on her to meet his emotional, social, practical, and financial needs (even when he is in a partnered adult relationship).

They Have Not Had Mature Relationships

If you have discussed prior relationships with your partner, you might have noticed that they tend to speak poorly of people they have been in relationships with (be it friendships or romantic and sexual partners).

Instead of taking responsibility for their actions or behaviors that might have caused problems or ended a previous relationship, a person who is immature is more likely to blame others.

People who lack emotional maturity tend to see and present themselves as always being an innocent victim.

Their Friends Are Immature

An immature person might prefer to spend time with others who also lack emotional maturity. These types of individuals are less likely to question, criticize, or challenge their behavior.

You might find that you dislike many of your partner’s friends because of how they behave. You might even consider these friends a “bad influence” or worry that they are stoking your partner’s immature behavior.

When you and your partner are socializing with other adults (such as going out with friends, having a family gathering, or attending a work function), their behavior might embarrass you or even anger you. You might feel the need to explain or apologize for their misbehavior.

They Can’t Keep a Job

It’s not uncommon for people who are immature emotionally to struggle with getting or holding down a job. They might have been fired from a string of jobs because of poor work performance, absenteeism, interpersonal problems with their co-workers or boss, substance use, or even behaviors like stealing.

If a person has enabling parents, family, or friends who support them financially well into adulthood, they might be able to continue to avoid work.

They Lack Healthy Ways to Cope With Stress

People who are immature often don’t have healthy ways to cope with stress. They might use certain activities to avoid their feelings, responsibilities, or anything else that causes them stress.

An emotionally mature adult might take up a stress-relieving hobby, confide in a friend over coffee, work with a therapist, or use exercise to relieve stress. Someone who is immature might develop an addiction to an activity that promotes avoidance and escapism, such as becoming addicted to video games.

Their Relationship With Substances Is Unhealthy

Anyone can develop an unhealthy relationship with alcohol or other substances. However, emotional immaturity might play a role in substance misuse and addiction for some people.

Someone who is using drugs or alcohol irresponsibly may not know or care about the potential dangers. They might not be aware of (or fail to consider) the consequences of their actions on themselves and those around them.

An immature husband or “man child” might even try to justify their irresponsible behavior (for example, by emailing you a questionable research study on the safety or benefits of taking an illicit drug after you express concern).

When they are unable to justify or back up their behavior after you call them out on it, an immature person might attack you. For example, if you express concern about your partner’s binge drinking, they might accuse you of being “uptight” and unable to relax and have fun.

They Don’t (or Won’t) Help Around the House

Someone who is immature might lack a sense of responsibility for some of the more mundane aspects of adult life, like paying the bills or household tasks. They might also refuse to help with any of the cooking, cleaning, or laundry.

If asked to help with chores, an immature person might respond petulantly. They might need to be bribed or demand compensation for performing tasks that are simply a routine part of keeping a home and functioning as a responsible adult.

Someone who is emotionally immature may also lack an awareness of the need for self-care. Their partner might need to remind them to brush their teeth, shave, or shower.

They might need to be made aware of what constitutes appropriate attire for social occasions or events. Their partner might need to tell them what to wear or even put out clothes for them.

They Don’t Express Emotions Appropriately

People who lack emotional maturity often do not have good insight into themselves or their behavior. They might not believe or will refuse to see that their behavior is dysfunctional or unhealthy.

A person who lacks maturity might have a hard time explaining how they feel. They might struggle to problem-solve when faced with challenges.

An emotionally immature person may frequently complain, whine, and insist that they are being treated unfairly. They can be petty and may “keep score” when it comes to arguments.

At times, a person who is immature may go so far as to throw tantrums—particularly when they feel that they are being slighted, blamed, or “called out” in some way.

Men who expect to be or feel entitled to be treated a certain way by their partner might “act out” if they feel that their needs have not been met or have been ignored.

Emotionally immature men who are parents might even feel threatened by their own children. For example, a man might be upset if his partner prioritizes the kids’ needs before his (a behavior that is also common in narcissistic parents).

Coping With a ‘Man Child’

If your partner is Peter Pan, you might be Wendy. In other words, if your male spouse is acting like a man child, you might be unconsciously encouraging the behavior by taking on the role of a parent.

At first, his behavior might have been fun and entertaining. Perhaps you were drawn to him because you felt that he was a “challenge” or someone that you could “fix” or change. His childlike behavior might have made you feel like you needed to take care of him, dote on him, or guide him. This type of behavior has been dubbed “Wendy syndrome.”

Initially, you might have felt attracted to and enjoyed these aspects of your partner’s personality. As your relationship progressed (perhaps even to marriage), however, you might have become exhausted by, or even resentful of, your partner’s immature behavior.

Once you have identified that your partner’s immature behavior is causing problems in your relationship, there are steps that you can take to challenge the dysfunctional dynamic.

Observe Your Own Behavior

The first step is to ask yourself how you might be enabling your partner’s behavior. It might be that there are certain aspects of your personality and life experiences that have influenced how you relate to your partner.

Think back to your childhood. Do you feel that you had to “grow up fast?” Were you overly responsible because you had to care for siblings or a parent? Is it possible that you are continuing to perform the caretaker role in your adult relationships?

The caretaking behaviors you felt stuck with as a child do not have to define how you relate to others as a grown-up. You will need to learn to create (and enforce) healthy boundaries in your adult relationships.

Set and Enforce Boundaries

While it is important and necessary for you to establish these boundaries, it will not necessarily “cure” your partner of their immature behavior. These boundaries are for your health and well-being. You are not responsible for changing your partner’s behavior, but you can support them as they work on making changes.

You can also work on changing yourself. If you have been enabling your partner’s behavior, the changes you make (such as letting go of or shedding the caretaker role) will help both you and your partner move forward.

Be honest with yourself about whether your needs are being met in the relationship. If your partner is unwilling to do the work they need to do to become a more mature and emotionally available partner, you might find that the relationship is no longer healthy or satisfying for you.

Get Support

Throughout this process, your partner might benefit from working with a professional to understand their behavior and work on changing it. A therapist can help someone identify the underlying reason for their behavior.

Emotional immaturity can sometimes be a sign that a person has a mental health condition such as depression, anxiety, or borderline personality disorder (BPD).

You might also find it helpful to work with a counselor on your own. A professional can help you do the work that you need to do, support your partner as they work on making changes, and honestly assess whether the relationship is healthy for both of you.

Once you have each started doing your own work, you might find it helpful to come together and work with a marriage counselor.


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Definition and Signs You’ve Met Yours


Key Takeaways

  • Twin flames are thought to be your “mirror soul,” and many people find an intense, passionate connection with them.
  • There is no definitive proof that twin flames exist, but some people believe in this unique bond.

Your twin flame is purported to be everything you’re not and everything you need—they’re truly your other half. It comes from the notion or myth that a soul can be split into two bodies, or that one can have a “mirror soul”. This explains why twin-flame relationships are regarded as one of the most passionate relationships people can experience.

Since you’re likely wondering if you’ve already met or will meet your twin flame (not to be confused with your soulmate), you’re in the right place. We spoke to a relationship therapist and a certified hypnotherapist/NLP Practitioner to get more insight into the possible phenomenon behind twin-flame bonds, the eight signs of a twin-flame relationship, where the concept originated, and more.

Keep in mind that whether your potential lover is your twin flame or not, twin flame bonds only represent one idea of a happy relationship—you’re free to choose what a successful relationship looks like for yourself.

Do Twin Flames Really Exist?

It’s important to get this question out of the way—do twin flames really exist? It depends on who you ask.

Lastenia Francis, PhD, LMFT, a marriage and family therapist, and founder of Meaningful Emotion Therapy, who notes the possible existence of twin flames. Dr. Francis says, “It’s very common for people to have an instant connection. In fact, it can often build and blossom into more than that connection and lead to a self-discovery process.”

Based on what the general public and spiritual teachers say about twin flames, a possible explanation for deeply passionate relationships involves what scientists call ‘limerence.’

Limerence

Limerence describes a state of obsession and desire for another person. The infatuation held for the other person can cause people to build up an idealized version of the object of their affection, also referred to as the limerent object or LO.

Psychologist Dorothy Tennov coined the term limerence after conducting numerous research studies on romantic love. Her work is based on the subjective experiences of those she interviewed, and the compiled observations are the basis of Tennov’s Limerence Theory.

Many of the people Tennov interviewed reported a deep yearning for another person. While some people’s love was unrequited, others noted their love was reciprocated.

So, while some people may not believe that twin flames are real, limerence suggests that it is certainly possible to feel a nearly unexplainable attachment to another person.

Signs You’ve Met Your Twin Flame

Now that you know a twin-flame relationship is possible, you probably have someone in mind. Maybe this person is someone you’ve known for most of your life. Or perhaps you came across a random person on social media and just had a hunch that there’s something special about them.

Regardless of the meet-cute, you just know that you’re really into them.

Kailani Raye, Certified hypnotherapist, NLP practitioner

They [our twin flames] are mirrors being held up to us. That mirror will allow you to grow, develop yourself, and pull out traumas and triggers.

— Kailani Raye, Certified hypnotherapist, NLP practitioner

Though it can be tough to know for sure if the person in question is your twin flame, here are some signs that could indicate a twin-flame relationship:

  • You feel connected to them: Twin flames are tethered by mind, body, and soul. It’s the ‘spark,’ or the magnetic pull you feel toward the other person. You may even feel like you need or crave this person.
  • You feel like you know them: Considering your twin flame is your missing piece, you’ll likely feel a deep sense of familiarity and safety in their presence.
  • You share an intense romantic passion: Romantic love and lust are intoxicating, and you will likely feel elation and ecstasy in a twin-flame union.
  • You feel despair if you think your feelings are not reciprocated: If you’re unsure of how your twin flame feels about you, you might feel despair or even physical pain until their feelings for you are confirmed.
  • You experience physical sensations: Limerence may produce bodily reactions such as sweating, a racing heartbeat, or trembling.
  • You cannot control your feelings for them: Limerence theory suggests that limerent feelings are uncontrollable and involuntary. So, even if you try to repress your feelings, you likely won’t be able to when it comes to your twin flame, and it’ll be very hard not to think about them. You might even meet a twin flame even if you’re already in a relationship with someone else.
  • You don’t feel this kind of intensity for someone else: It’s believed that you can only experience limerent feelings for one person at a time.
  • Upon meeting, you fulfill a sense of longing: Twin flames spend the better part of their lives searching for each other. Upon meeting, you’ll likely find that a void in your life has been filled, and you’ll feel whole.

Where Did the Concept of Twin Flames Come From?

Although love is explored in numerous texts, movies, poems, and love songs, our general understanding of it and why it happens remains elusive and mysterious. But, Greek philosophy accounts for a lot of beliefs on love.

Twin Flames in Greek Mythology

The ancient Greek philosopher Plato sought to determine the meaning of love and did so in his seminal work—”Symposium.”

The “Symposium” is a dialogue consisting of varying speeches that explore the meaning of love. Each speech is an ode to the Greek god of love—Eros.

One of the speeches in the dialogue, given by Greek comedic playwright Aristophanes, introduces the concept of twin flames.

Aristophanes’ Speech

In his speech, Aristophanes says that humans used to be round and had four arms, four legs, two pairs of genitals, and two faces on one head. He said that one day, however, the gods believed these humans had far too much power and cut them in half, creating the human form we know today.

Thus, humans spent the remainder of their lives desperately searching for their other half—their twin.

The Stages of a Twin-Flame Relationship

If we use the concept of limerence to explain twin flame bonds, the Limerence Theory suggests that there are distinct stages of a limerent union:

  1. Initial meeting: A relationship begins when you meet someone you are attracted to.
  2. Feelings of uncertainty creep in: After this person catches your eye, you wonder if they might reciprocate your feelings.
  3. Obsession: This uncertainty may lead you to ruminate about this person.
  4. Passionate feelings increase: Whether the person reciprocates your feelings or not, passion will be high at this stage.
  5. A decline in feelings: Limerence Theory suggests that once a person’s love is reciprocated or denied, the uncertainty (which fueled the romantic feelings) dissipates. Thus, the feelings begin to lessen in intensity or decline altogether.

While these intense relationships often run out of steam, Tennov’s research does indicate that the passionate stage can last for a lifetime.

Are Twin Flames Different Than Soulmates?

Yes! Since limerence can be a possible explanation for twin-flame relationships, we can use Tennov’s observations and compare them to various soulmate definitions.

Kailani Raye, certified hypnotherapist and NLP practitioner who’s worked as a life and mindset coach for two years and founded The Four-Letter Project says, “When I think about soulmates—they’re the person we’re supposed to do life with. In the spiritual realm, I feel like people are tied to us. We have multiple soulmates. However, we don’t always end up with twin flames.”

Raye says that twin-flame relationships are often meant to teach us something about ourselves. “They [our twin flames] are mirrors being held up to us. That mirror will allow you to grow, develop yourself, and pull out traumas and triggers.”

According to Raye, our twin flames relationships will lead us closer to our soulmates.

Twin Flames vs. Soulmates

A twin flame is your other half, and a soulmate is defined as “a person who is perfectly suited to another in temperament.” Another definition of a soulmate is “someone who you have a special relationship with because you share the same feelings, attitudes, and beliefs.”

Based on the definition of a soulmate, it’s implied that your soulmate is someone you’re compatible with—this can be a romantic partner or platonic friend.

Twin Flames

  • Based on intense romantic passion

  • Typically romantic/sexual in nature, may be platonic

  • Usually short-term but can be lifelong

  • Both partners are opposites

Soulmates

  • Based on compatibility

  • Can be romantic/sexual or platonic

  • Can be any length of time

  • Both partners share similar qualities

So, you might share similarities in character and personality with a soulmate. On the other hand, your twin flame is more than likely your opposite.

Can Twin Flames Break Up? 

Sadly, yes. Not all twin-flame relationships will stand the test of time. Dr. Francis says that “twin flames, like anything [any other relationship], have the potential to not be the greatest [union] because it paints an unrealistic expectation of such an instant connection.”

Additionally, based on Tennov’s observations, twin-flame relationships are likely to result in a breakup. Tennov found that limerent relationships last an average of two years. Lifetime limerent bonds, according to Tennov’s observations, are rare.

Remember, though, that any relationship (twin flames or not) that’s strained by unhealthy patterns, incompatibility, distance, or even bad timing can lead to a breakup.

Can My Twin Flame and I Get Back Together?

Reconciliation in general, is always possible, and it really just depends on the people involved and whether or not they’ve made changes and can create a healthier relationship the second (or even third) time around.

Kailani Raye, Certified hypnotherapist, NLP practitioner

Anything that is for you will never pass you by.

— Kailani Raye, Certified hypnotherapist, NLP practitioner

Raye says, “People, in general, have the ability to change. Sometimes, you need to experience people, and, at the moment, they serve as a twin flame where you’ll experience all of your triggers and lead to many breakthroughs.”

She notes that following this period, you and your twin flame may need space from one another because patterns are hard to break when you’re still in the relationship. Raye also believes that “Anything that is for you will never pass you by.”

Raye notes that she has also witnessed reconciliation before. She says that some people found their way back to each other after having space and time to grow. After the healing period, she believes that “twin flames have the ability to step into a ‘soulmate-ship.'”

Are Twin-Flame Relationships Toxic?

There isn’t any conclusive evidence that says twin-flame relationships are inherently toxic. But Raye notes that the toxicity of a relationship really depends on the people involved in the relationship and their levels of emotional intelligence during their time together.

Obsessing About Love

If you find that you’re thinking about your twin flame a lot, it could become an issue. For instance, it is possible, to become addicted to love.

Love addiction (also known as pathological love) describes an obsessive form of love. A person with love addiction might become so interested in another person that they neglect other aspects of their life.

When a Belief In Twin Flames Becomes Unhealthy

Raye cautions people not to place too much of their relationships on the concept of twin flames. She states, “If we’re relying so heavily on this one thing [the concept of twin flames]” this belief can become unhealthy as we’ll begin to “disconnect from our own intuitive power.”

Raye suggests we still need to “be in control of our judgment, our thoughts, [and] actions.”

When to Seek Help

If you find that thoughts of your love interest are taking over your life, it’s recommended that you reach out to a mental health professional.

Also, if you’re experiencing any form of abuse in your relationship or feel unsafe, seek help immediately.

What If My Partner Isn’t My Twin Flame? 

It’s totally OK if you don’t know or are unsure your partner is your twin flame. Because most evidence suggesting the existence of twin flames has been gathered from personal anecdotes, it is difficult to know that twin-flame relationships are 100% real.

Dr. Francis says that it’s important to consider the commitment level in any relationship. “Most relationships can work if you are committed to the work.”

It’s worth mentioning that how you view your partner can also impact your relationship quality.

For example, one study noted that people who believed their partner was their ideal mate reported greater relationship satisfaction than those who did not believe they were in a relationship with their soulmate.

Given this, how you view your partner may have more weight than how you’ve decided to label your relationship.

Lastenia Francis, PhD, LMFT

If we drop this notion that someone is ‘the one,’ we make space for meeting our partner where they are at and doing the work necessary to build a thriving partnership.

— Lastenia Francis, PhD, LMFT

Keep in Mind

Remember that the idea of twin flames (and soulmates) is highly subjective, and people develop romantic feelings for various reasons.

Also, love feels and means something different to everyone. What one person views as a soulmate relationship, another might view as a twin-flame relationship. Additionally, some people may not believe in either of these concepts.

So, before you start side-eyeing your partner and taking relationship compatibility quizzes online, understand that the goal of any relationship is to create a bond in which you feel safe, secure, and respected. With that said, if you’re happy in your relationship—embrace that!

What Makes People Fall in Love?

If you’re still worried about whether your special someone is a twin flame, other factors are said to play a role in what makes people fall in love (hint: none of them are twin flame- or soulmate-related).

Research shows that biological and personal preferences influence your attraction to another person. For instance, natural body odor, sex drive, and qualities such as kindness, intelligence, body shape, and commitment level are important factors.

Frequently Asked Questions


  • How can I find my twin flame?

    There doesn’t appear to be any definitive way to find a twin flame. Most evidence is anecdotal. Basically, if you feel as though you’ve met a twin flame, it’s quite possible that you have. You’re free to define your love in any way that feels most accurate to you and your partner.


  • How many twin flames can you have?

    Based on Tennov’s Limerence Theory, you can have more than one twin flame in your lifetime. However, because of the intensity of the connection, it’s unlikely you’ll meet two at once.


  • Are twin flames destined/meant to be together?

    No. Any relationship can come to an end. Aside from feelings of intensity and passion, several other factors determine the success of a relationship (e.g., shared values, goals, friendship, and good communication). So, rather than figuring out if your partner is your twin flame, it’s best to assess how happy you are in your relationship and if you genuinely see them as someone you want to spend your life with. If you’re experiencing any roadblocks or rough patches, a couple’s therapist can help you navigate any challenges you may be experiencing in your relationship.





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