Hello doctor. Good morning. I'm a 22 year old female. I was working in an MNC. But I quit my job because of my mood swing. Sometimes I achieve unexpected target and sometimes I would literally complete nothing. Even when I achieve big numbers I don't feel happy and at times I don't bother about not achieving my target. Sometimes I don't care about what others say no matter how bad or hurting it is whereas sometimes I burst out badly even for silly issues. At times I become unusually silent and sad for no reason at all. At times I'm very calm and composed and act very mature. Also I have the tendency of hurting myself. Sometimes I get too angry and tensed for lame issues. At such situations I rush to restroom and poke myself with a pen or scratch myself hard with my nails or slam my head over the wall or knock myself. By doing so I feel relaxed but still it doesn't hurt me. I'm scared of my behavior. Colleagues, family members and friends started noticing my behavior and they are all worried and scared about me. I always feel like a voice constantly telling me suicide is the only solution for everything. Is this any serious issue ? Please help me recover from this.

Dr. Saul PereiraPsychologist46yrs exp

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Yes, it is and you need immediate help from a professional. I recommend that you meet a counselor and that person will surely advise you to meet a doctor too. Now you must cooperate with both therapies for maximum results. These extreme moods swings are indicative of a serious condition.There are certain adaptations that will suit you during the elation phase and there are certain behaviors that are required during the depressed phases. In the meantime, you can do certain things that will give you benefits anyway. Emotional therapy will alleviate a lot of the problems faced in this condition because it is a mood disorder. You need to particularly look at your levels of anger both for its reasonableness and to express it in an appropriate manner. I suspect that much of this anger may have origins in early childhood that you may never be aware of now. Talk to your parents and explore that angle. This information will help the counselor too. Also, you will need to check whether there is any genetic factor involved. You must exercise regularly, eat healthily and sleep normally too. If your motivation and cooperation is good much can be achieved. You must have a time-structured schedule filled with interesting and reasonable activities and it must be monitored for compliance and delivery. The reason I say this is that many times you will be inclined to have grandiose notions and confidently believe that you can do without the medication. This will set you back many months in the treatment and delay and sabotage the recovery: forewarned you are forearmed. If this combination of medication with therapy is maintained for at least three years without any episodes or breakdowns, it is possible to taper the medication in consonance with the doctor. When your anger is turned inwards you will want to hurt yourself. You are harmful to yourself​ and need help soon. 

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