I would need more information to know what might be wrong but you could be describing anxiety/panic attacks. You mention them being triggered by “extreme confrontation” but it is not clear what you mean by that phrase. Sadness is also a trigger. I know what those words and phrases mean generally. What is missing is what they mean to you, in the context of your life.
Meeting with a mental health professional (in person) should be your next step. They would be in the best position to assess what might be wrong. You might also consider consulting a primary care physician to rule out a physical health problem. Ideally, you should consult both a mental health professional and a primary care physician. Having a thorough assessment will help to determine what’s wrong.
You should also document these attacks. Include the following information: how often they occur; what precisely happens prior to them occurring; how you are feeling as they happen; how long they last; and describe the nature of the aftermath (i.e., how long did it take you to calm down, etc.). Having a detailed record of these attacks might help you to better understand them. It would also be useful information for professionals attempting to diagnose the problem. Thank you for your question. Please take care.
Dr. Kristina Randle