HomeAnswersPsychiatrystressHow to deal with my extreme mood swings and stressed feel about my life?

I am under a great stress about my life and feel unworthy with extreme mood changes. Please help.

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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. Parth Nagda

Medically reviewed by

Dr. Vinodhini J.

Published At June 11, 2020
Reviewed AtJune 27, 2020

Patient's Query

Hello doctor,

I am 18 years old. I am under great stress about many areas of life like family, career, and personal satisfaction. I think I am not worthy enough and I do not like the way I look. I think I am ugly and at times I hate myself for who I am. I feel unworthy and do not deserve for what I have been given (good school, facilities, luxury). Also, I have an imaginary friend whom I talk to many times during the day and share my problems with him. I do not feel fine. I experience extreme mood changes from happy to sad.

Answered by Dr. Parth Nagda

Hello,

Welcome to icliniq.com.

What are your symptoms exactly? If they are of depression, then the treatment with an SSRI (selective serotonin reuptake inhibitor) is ideally given for six months or so.

Basically, if you are depressed, you will feel irritable, low, feel like crying, sad, do not wish to eat, have difficulty sleep, there can be anxiety, tiredness, headaches, etc.

In bipolar illness, there will be a period of these depressive symptoms and then after a period of normalcy, the reverse happens. That is, you feel unusually happy for no reason, there are episodes of spending money excessively on things which you do not need, or maybe excessive use of alcohol, other illicit drugs, sex, irritable behavior, decreased need for sleep and still feeling fresh, grandiose talks and ideas, many non-goal directed activities, etc. So if you have not had the manic/hypomanic phase, then you probably suffered from major depressive disorder or generalized anxiety disorder.

You will need to consult with a psychiatrist and take medicines for the same. It will surely help with your symptoms.

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

Dr. Parth Nagda
Dr. Parth Nagda

Psychiatry

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