[22F] Experiencing mood swings and lack of motivation

Patient Description

A 22-year-old female reports experiencing constant mood swings since 6th grade, characterized by feelings of calm, depression, hate, sadness, shame, doubt, and anger. These mood changes are particularly affected by school and schoolwork. The patient has also experienced a decreased appetite since 2023, without any significant changes in weight. Additionally, she describes a severe lack of motivation, feeling weighed down, which has persisted for about two years. There is no family history of psychiatric illnesses, no recent injuries, and she is not currently taking any medications. The patient has no known allergies.

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Arora's Assessment

What might be happening

Based on what you've shared, here are some possibilities:

  • Depression: Your symptoms, such as mood swings, feelings of worthlessness, and lack of motivation, could be related to depression. Depression can affect your appetite, energy levels, and interest in activities you once enjoyed.

    • Treatment often involves therapy, medication, or a combination of both. A healthcare provider can help determine the best approach for you.

  • Anxiety or Stress: School-related stress and anxiety can contribute to mood changes and feelings of being overwhelmed.

    • Techniques like mindfulness, therapy, and stress management strategies can be helpful.

  • Mood Disorders: Conditions like bipolar disorder can cause mood swings and changes in energy levels.

    • Treatment typically involves medication and therapy to help manage symptoms.

What you can do

  1. Seek Professional Help: It's important to talk to a healthcare provider or mental health professional. They can provide a proper assessment and support.

  2. Self-Care: Try to establish a routine that includes regular sleep, balanced nutrition, and physical activity, even if it's just a short walk.

  3. Journaling: Use MDandMe to track your symptoms, moods, and any triggers. This can provide insights and help you communicate with your healthcare provider.

  4. Reach Out: Talk to someone you trust about how you're feeling. Support from friends or family can be valuable.

What you should look out for

  • Seek Immediate Help: If you ever feel like harming yourself or have thoughts of not wanting to live, it's crucial to seek help immediately. Contact a mental health professional, call a helpline, or go to the nearest emergency room.

  • Monitor Changes: Keep an eye on any changes in your symptoms or if they worsen. This information will be helpful for your healthcare provider.

Remember, you're not alone, and help is available.

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3 mo ago

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People Also Ask

What are common symptoms of depression in young adults?

Common symptoms of depression in young adults include persistent sadness, loss of interest in activities, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or guilt, difficulty concentrating, and thoughts of self-harm or suicide.

How can school-related stress impact mental health?

School-related stress can lead to anxiety, depression, and mood swings. It can affect sleep, appetite, and overall well-being, making it difficult to concentrate and perform academically. Managing stress through time management, relaxation techniques, and seeking support can help mitigate these effects.

What are the differences between depression and bipolar disorder?

Depression is characterized by persistent low mood and lack of interest, while bipolar disorder involves mood swings that include both depressive and manic or hypomanic episodes. Bipolar disorder requires specific treatment strategies, often involving mood stabilizers, whereas depression may be treated with antidepressants and therapy.

What are some effective self-care strategies for managing mood swings?

Effective self-care strategies for managing mood swings include maintaining a regular sleep schedule, engaging in physical activity, practicing mindfulness or meditation, eating a balanced diet, and keeping a journal to track moods and triggers. Seeking support from friends, family, or mental health professionals is also beneficial.

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