a state of great commotion, confusion, or disturbance; tumult; agitation; disquiet: mental turmoil caused by difficult decisions.

What turmoil means?

: a state or condition of extreme confusion, agitation, or commotion.

What means the same thing as commotion?

1 disorder, turmoil, tumult, riot, turbulence, bustle. See synonyms for commotion on Thesaurus.com.