[30M] Experiencing severe mood swings and sensory-related symptoms

Patient Description

A 30-year-old male reports experiencing extreme mood swings, with unpredictable highs and lows lasting weeks at a time, for over 10 years. The patient also suffers from suicidal thoughts and tendencies, sensory overwhelm, and noise sensitivity that triggers panic attacks. These panic attacks are described as feeling like being crushed, with intense sensory overload. Additionally, the patient experiences paranoia, battles with a negative belief system, feels unlovable, and has difficulty saying no. Physical symptoms include skin crawling, involuntary repetitive movements, sleep apnea, and sleep terrors occurring 1-3 times a week. The patient has a history of recurrent ear infections but no recent head or ear injuries. The severity of noise sensitivity is rated 6 or 7 out of 10, which also exacerbates tinnitus. These symptoms have been present for more than 6 years and have worsened significantly in the last 4 years.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions that could explain your symptoms:

  • Bipolar Disorder: This is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). These mood swings can last for weeks at a time, as you've described.

    • Treatment typically involves a combination of medication and psychotherapy.
  • Anxiety Disorders: This group of mental health disorders is characterized by significant feelings of anxiety and fear. Panic disorder, a type of anxiety disorder, involves recurrent panic attacks.

    • Treatment often involves a combination of psychotherapy, behavioral therapy, and medication.
  • Sensory Processing Disorder: This condition affects how the brain processes sensory information. It can cause a person to have inappropriate responses to sensory information, such as noise, leading to sensory overload.

    • Treatment typically involves occupational therapy.
  • Sleep Apnea: This is a potentially serious sleep disorder in which breathing repeatedly stops and starts. It can cause sleep disturbances and daytime fatigue.

    • Treatment can involve lifestyle changes, use of a breathing assistance device at night, or sometimes surgery.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Seek immediate help if you're feeling suicidal. Reach out to a trusted friend or family member, or contact a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use the Crisis Text Line by texting HOME to 741741.

  2. Schedule an appointment with a healthcare provider as soon as possible to discuss your symptoms. They can provide a diagnosis and appropriate treatment.

  3. Try to maintain a regular sleep schedule and practice good sleep hygiene.

  4. Consider seeking support from mental health professionals, such as a psychiatrist or psychologist. They can provide therapies that may help manage your symptoms.

What you should look out for

  • Any increase in the severity or frequency of your symptoms.
  • Any new symptoms.
  • Any thoughts of harming yourself or others. If you have these thoughts, seek help immediately.

Remember, it's important to consult with a healthcare provider for a definitive diagnosis and treatment.

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11 mo ago

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People Also Ask


What are the common symptoms of bipolar disorder?

Common symptoms of bipolar disorder include extreme mood swings with periods of mania or hypomania (highs) and depression (lows). During manic phases, individuals may feel euphoric, have increased energy, and engage in risky behaviors. During depressive phases, they may feel sad, hopeless, and lose interest in activities.


How can sensory processing disorder affect daily life?

Sensory processing disorder can affect daily life by causing individuals to have heightened or reduced responses to sensory stimuli, such as noise, light, or touch. This can lead to difficulties in concentrating, anxiety, and challenges in social situations or environments with overwhelming sensory input.


What are the treatment options for sleep apnea?

Treatment options for sleep apnea include lifestyle changes such as weight loss and avoiding alcohol, using a CPAP (Continuous Positive Airway Pressure) machine to keep airways open during sleep, and in some cases, surgery to remove tissue or reposition the jaw.


How can anxiety disorders manifest in physical symptoms?

Anxiety disorders can manifest in physical symptoms such as increased heart rate, sweating, trembling, dizziness, and gastrointestinal issues. These physical symptoms often accompany feelings of intense fear or worry and can occur during panic attacks or in response to anxiety-provoking situations.


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