I dnt knw wats going on with me. All time I feel like tense. What I look I never gets thts except tears. Dnt nw y.but all time I feels to cry a lot nd lot nd I do tht. I feels like to kill my self for nothing. Something wich is very strange. My brain starts fighting wit my heart without a reason. I can feel each an everything. I can not see others in trouble .i personally helps them. I works with a recognized company. But nothing successful. Sometimes I feels like tht I am the king of the world. Nd sometime being a small kid. Can not find the ri8 solution. Got done up wit thz life. Completely out. Day to day my confidence level is getting down to dowm. Feels angry a lot .i cries alone a lot. Feels alone completely got frustrated. Being a human I can not take yhz all any more. All time I feels like irritated. No sleeping time 4m past 2 years. No sleep. I losses a weight of around 20kilo in 4m past 6 months. Its all un confidential. Do not knw my expectations a very high. Please help me out.

Dr. Saul PereiraPsychologist46yrs exp

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You could be looking down the barrel of a serious problem and you must meet with a counselor and a doctor immediately. These appear like mood swings, vacillating between anger and sadness. It can be a crippling condition if not treated and if treated early the prognosis is good. So quickly visit a psychiatrist and seek his/her opinion and you must then follow the prescription completely. Comply with all the medical prescriptions and work in tandem with a counselor for a long time and learn coping skills and techniques to handle the daily challenges you will face. 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 appropriate manner. I suspect that much of this anger and sadness 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 are 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. You can ask the doctor for the symptoms he noticed in you for a personal understanding of this condition. Please do not delay and do not get alarmed either. 

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