A 28-year-old woman with a history of unstable interpersonal relationships, self-harm, suicide attempts, mood lability, substance abuse, and extreme irritability presents to the psychiatric nurse practitioner for an evaluation. She states, “I just want to know what’s wrong with me. I feel like I spend 95% of my time either angry or on the floor crying in the fetal position.” The PMHNP suspects this client has borderline personality disorder. In this scenario, how would the discomfort the client experiences as a result of her behaviors best be described?