HomeAnswersPsychiatryemotional instabilityI have not been feeling well due to random mental breakdowns and mood changes. Kindly help.

How can someone overcome random mental breakdowns, mood changes, and sleep problems?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Punya Mulky

Medically reviewed by

iCliniq medical review team

Published At February 15, 2023
Reviewed AtSeptember 26, 2023

Patient's Query

Hello doctor,

I am a 20-year-old woman. I have not been feeling well for over a year. Recently I kept having random mental breakdowns. Sometimes I feel fine, and then the next thing I know, I am just sad, anxious, and crying. I had suicidal thoughts around the age of 18. I want to understand what is going on exactly. I do not want to get back to where I used to be. I cannot sleep much and had to start taking pills for that.

Please help.

Thank you.

Answered by Dr. Punya Mulky


Welcome back to icliniq.com.

I understand that what you are going through must be very difficult because you do not understand what is happening. However, you have adequately expressed your problems. Coming to your problem, what you are currently facing is depression. These random mental breakdowns and crying spells that you speak of are all part of the illness. You will need both medications as well as therapy to recover. You can start with the tablet Escitalopram 5 mg in the morning. You can consult your specialist doctor, talk with them, and take medications with their consent. Along with medicines, try to maintain a balanced diet, regular sleep hours, and exercise regularly. Also, it will be supportive if you explain what you are going through to a family member or a friend. Please get your thyroid levels checked once. Also, does anyone in your family have a similar problem? Are these symptoms associated with your menstrual cycles?

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Punya Mulky
Dr. Punya Mulky


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