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What Can Cause Sudden Personality Changes in Adults?

  • Jul 29, 2021
  • 9 min read

Updated: 11 hours ago

What Can Cause Sudden Personality Changes in Adults?

Witnessing a loved one undergo a rapid personality transformation can be disorienting and deeply concerning. You might see a sudden change in husband or a friend. While personality evolves over time, abrupt shifts in interests, language, and mood can signal underlying issues. We can shed light on the significant medical, psychological, and external factors that cause a sudden change in a person, providing clarity and guidance for those affected.


What causes personality changes in adults?

They are often caused by traumatic experiences, the development of mental health disorders like anxiety, depression, bipolar disorder, or PTSD, and addiction to substances. These factors can all alter brain chemistry and priorities.


We have compiled a comprehensive overview of the signs, symptoms, and profound effects of these rapid personality shifts. This includes how addiction specifically impacts identity and behavioral changes. Keep reading to fully understand your personality, what to look for, and the vital first steps toward addressing this challenging time with grace and clarity.


Table of Contents

  • What Causes a Loved One's Personality to Change So Rapidly?

    • What Are Causes of Sudden Personality Changes in Adults?

    • What Can Cause a Sudden Personality Change?

  • Signs and Symptoms of Sudden Personality Change

  • The Impact of Addiction on Personality

  • Medical Causes of Personality Shifts

    • Brain Conditions and Injuries

    • Hormonal and Other Diseases

    • Medications and Substances

  • Psychological Causes: Mental Health and Trauma

    • The Role of Mental Illnesses

    • Trauma and Childhood Trauma

  • Addressing Rapid Personality Changes: Taking the First Step

    • Adjust Your Thoughts and Behaviors

    • Use Therapeutic Techniques

  • Frequently Asked Questions


What Causes a Loved One's Personality to Change So Rapidly?

Going through sudden personality changes is a jarring experience. This is true both for the individual and for their friends, family, and loved ones. These rapid shifts in personality can make it seem like an individual is becoming an entirely new person.


While personality changes are normal when happening over prolonged periods of time, noticing a sudden shift in new interests, language, and moods can be a sign of external factors. These factors may be affecting an individual in unexpected and dangerous ways.


Various medical or psychological conditions can cause a sudden change in personality in adults. Being able to identify rapid personality changes can prompt a person to find the necessary help they need. This allows them to begin addressing this sudden change in a healthy manner.


What Are Causes of Sudden Personality Changes in Adults?

Personality change refers to a shift in the way you think, act, or feel. It may be noticeable to you. It may also be evident to people close to you. Sudden personality changes can include a number of different aspects. Exactly how long it takes for an individual to transition into a seemingly entirely new personality can vary from case to case. Individuals who have experienced trauma may begin to exhibit entirely new personality traits immediately after the event transpired.


Events such as the death of a childhood caretaker can fundamentally impact one’s worldview. Others may experience personality changes over time. This is often due to a rapid onset of mental illness. It can take anywhere from a few weeks to a few months before the new personality sets in.


These changes can also include a fundamental change in the way someone views the world. Those who experience these changes may move from a cautiously optimistic mindset to one that is wholly pessimistic, ambivalent, or fearful of their environment.


They may also harbor resentments that can change their frame of view. This affects how they interact with previous interests. Suddenly adopting new hobbies or dismissing old hobbies can also be indicative of a change in one’s priorities, interests, and values. These shifts work to portray what can feel like an entirely new person.


What Can Cause a Sudden Personality Change?

There can be many different reasons why an individual may experience a sudden change in personality. Traumatic experiences can reframe a person’s worldview. The development of mental health disorders can also affect every aspect of one’s life, from their interests to their mood and personality.

Anxiety, panic, depression, post-traumatic stress disorder (PTSD), bipolar disorder, schizophrenia, and others can all fundamentally change how a person perceives and interacts with the world around them.


Lastly, addiction can play a large role in these sudden personality changes. The introduction of addictive substances, especially if they are being used while coping with mental health disorders or traumatic events, can accentuate these changes. They can introduce new hurdles and even greater feelings of anxiety and depression.


Signs and Symptoms of Sudden Personality Change

A personality change may accompany other symptoms. This depends on the underlying disease, disorder, or condition. Symptoms that frequently affect the brain may also affect other body systems. These personality change symptoms include:


  • Anxiety and Depression


  • Detachment


  • Harmful Behaviors and/or Hostility (often seen as a sudden change in personality anger)


  • Recurrent, Unwanted, Suicidal thoughts


  • Repeated, Uncontrollable Actions (compulsions)


  • Social Isolation


  • Unstable and Unpleasant Moods


  • Hallucinations


  • Change in Appetite


  • Changes in Consciousness


  • Confusion


  • Headaches


It is important to look for these behavioral changes when someone's personality changes drastically.


The Impact of Addiction on Personality

The Impact of Addiction on Personality

Addiction is a dangerous disease that can fundamentally alter a person’s attitude, interests, and priorities. Addiction affects an individual’s brain chemistry. It acts on dopamine receptors to reinforce the use of these dangerous substances.


The brain believes that they are not just welcome parts of the day, but that they are necessary for the body’s survival and basic functions. Altering the brain in this manner can cause an inherent restructuring of one’s personality and values. This is a result of addiction. The new personality could be wholly different from what they were before.


Those suffering from addiction can begin to prioritize the use of drugs or alcohol misuse over other aspects of their lives. This includes their education, workplace attendance and performance, or relationships.


An individual can become disinterested in activities they previously enjoyed. This happens as they try to find more time and energy to engage with addictive substances. Furthermore, they can become increasingly defensive or begin to isolate themselves regularly. This is often uncharacteristic of the individual before.


The emotional impact of addiction can further cause this sudden change in personality. Those who suffer from addiction can feel increased levels of anxiety, depression, panic, paranoia, or other complicated mental health issues. These aspects, compounding together, can all give the impression that an individual’s personality has rapidly changed, or that they are unrecognizable compared to the person they once were.


Medical Causes of Personality Shifts

When trying to understand what causes personality changes in adults, it's vital to consider physical health. A sudden personality change is often a medical warning sign.


Brain Conditions and Injuries

The brain controls our personality and behavior. Damage to the brain can cause a sudden change in personality.


  • Traumatic Brain Injury (TBI): A severe blow to the head can alter personality immediately. This is particularly true if the frontal lobe, which governs executive function and personality, is affected.


  • Brain Conditions: Conditions like dementia, brain tumors, or stroke can lead to gradual or sudden personality changes. For example, a sudden change in demeanor in an 87-year-old male could be a sign of a neurological issue.


  • Infection: Brain infections (encephalitis) or even systemic infections like a urinary tract infection (UTI) in the elderly can cause acute confusion and personality shifts.


Hormonal and Other Diseases

The body's chemistry plays a huge role in mood and behavior.


  • Thyroid Disease: An overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid gland can cause extreme changes in mood and energy. This mimics a personality change.


  • Other Medical Conditions: Diseases like Lyme disease and even certain cancers can cause personality changes. This is due to inflammation or effects on brain function.


Medications and Substances

New medications or the misuse of substances can cause a sudden change in a person's temperament and actions.


  • Medications: Some prescription drugs, including steroids, certain antidepressants, or ADHD medication, can affect mood and behavior.


  • Alcohol Misuse: Chronic alcohol use fundamentally changes brain function, leading to irritability, memory loss, and poor judgment. This is a common cause of sudden personality change in husband or loved ones.


Psychological Causes: Mental Health and Trauma

The most commonly understood causes of sudden personality changes are rooted in psychological disorders and significant life events.


The Role of Mental Illnesses

Mental illnesses are chemical and structural conditions in the brain. They directly affect thinking, feeling, and behavior. These can lead to a rapid shift in personality.

Mental Illness

Common Personality/Behavioral Changes

Bipolar Disorder

Shifts between extreme elation (mania) and severe depression.

Schizophrenia

Detachment, hallucinations, and disorganized thoughts and speech.

Anxiety Disorders

Excessive worry, panic, and withdrawal from social interactions.

Major Depression

Loss of interest in hobbies, change in appetite, social isolation, and persistent sadness.

Personality Disorder

Unstable relationships, intense, erratic emotions, and distorted self-image.


Trauma and Childhood Trauma

Significant life experiences and trauma fundamentally reshape a person's understanding of the world.

  • Trauma: Experiencing a traumatic event can lead to PTSD. This causes hypervigilance, anger, avoidance, and emotional numbing. These are major behavioral changes.


  • Childhood Trauma: Adverse childhood experiences, such as abuse, can wire the brain differently. This can manifest as behavioral disorders in adults, including sudden outbursts of anger or severe difficulty with emotional regulation. The brain's attempt to cope with past trauma can involve situations, emotions, or sensory experiences that remind the system of past trauma.


Addressing Rapid Personality Changes: Taking the First Step

Addressing these rapid personality changes is a complicated endeavor. It can be difficult to know how to talk to a loved one who may be experiencing this incredibly tumultuous time.


Starting an honest dialogue and providing space for all parties to speak is essential. It is also important to address the potential use of addictive substances that may be further complicating the underlying problems. Treatments can include but are not limited to:


Finding a program that can address the sources of one’s trauma, mental health, and substance use is paramount for creating a holistic approach to one’s recovery. This also addresses the unique personality changes therein.


Detoxing and moving towards specialized, pertinent programs focused on your individual needs and struggles in recovery is the first step towards rediscovering your identity and creating new, sober values going forward.


Adjust Your Thoughts and Behaviors

Change in behavior requires focused, persistent effort. You can change your personality by focusing on actionable steps.


  1. Identify What You Want to Change: Pinpoint specific behaviors, such as sudden change in personality anger or social withdrawal.


  2. Focus on "Acting As If": To change your personality, start by acting differently. If you want to be more social, start initiating a conversation once a day. This builds new habits.


  3. Create Distance from Thoughts: Understand that your thoughts are not always facts. Create distance from thoughts that fuel negative behavioral changes.


Use Therapeutic Techniques

Therapy offers concrete tools to manage and process the causes of personality changes.


  • Cognitive Behavioral Therapy (CBT): This helps you adjust your thoughts and behaviors by challenging negative thought patterns.


  • Dialectical Behavior Therapy (DBT): Excellent for those with unstable moods and erratic behavior, helping with emotional regulation.


  • Be Patient and Persistent: Personality doesn't change overnight. Consistent effort and therapeutic techniques are essential.


Frequently Asked Questions

• How quickly can a sudden personality change manifest?

Exactly how long it takes for an individual to transition into a seemingly entirely new personality can vary. For those who have experienced trauma, it may exhibit immediately. It can also take anywhere from a few weeks to a few months due to the rapid onset of mental illness.


• What types of mental health disorders can fundamentally change a person's personality?

Mental health disorders that can fundamentally change how a person perceives and interacts with the world include anxiety, panic, depression, post-traumatic stress disorder (PTSD), bipolar disorder, and schizophrenia, among others. These are often considered psychological disorders.


• How does addiction cause sudden personality changes?

Addiction fundamentally alters an individual’s brain chemistry, acting on dopamine receptors to reinforce substance use. This makes the brain believe these substances are necessary for survival, which inherently restructures one’s personality and values.


• Besides personality shifts, what are some accompanying symptoms that may indicate an underlying condition?

Accompanying symptoms can include anxiety and depression, social isolation, unstable and unpleasant moods, harmful behaviors and/or hostility, changes in appetite or consciousness, confusion, headaches, and hallucinations. These are key personality change symptoms.


• What are some potential treatments for addressing rapid personality changes?

Treatments for rapid personality changes can include psychotherapy, medications, residential treatment programs, and hospitalization. The goal is to find a program that addresses the sources of trauma, mental health, and/or substance use that can cause a sudden change in a person.

Witnessing sudden personality changes in a loved one is a profoundly difficult experience, but please know that we are here to help you navigate this challenging time. At Chateau Health and Wellness Treatment Center, we understand the complex interplay of trauma, mental health disorders, and addiction that can cause these rapid shifts, making an individual feel unrecognizable. Our commitment is to provide holistic, individualized care that addresses the root causes of these changes, allowing your loved one to embark on the path to rediscovering their identity and establishing new, healthy values. We believe in supporting not just the individual, but the entire family system. Don't face this alone; call us today at (801) 877-1272 so we can begin creating a comprehensive path to recovery and wellness together.

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About The Author

Ben Pearson, LCSW - Clinical Director

With 19 years of experience, Ben Pearson specializes in adolescent and family therapy, de-escalation, and high-risk interventions. As a former Clinical Director of an intensive outpatient program, he played a key role in clinical interventions and group therapy. With 15+ years in wilderness treatment and over a decade as a clinician, Ben has helped countless individuals and families navigate mental health and recovery challenges.


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