[34F] Experiencing mood swings, anxiety, and depression

Question

Anyone else out there thtt can relate?

Patient Description

A 34-year-old female has been experiencing significant mood swings, characterized by rapid changes from happiness to anger or sadness multiple times a day for several months, worsening over time. She also suffers from long-standing anxiety, particularly in large crowds, leading to physical sickness and panic attacks. Additionally, she has been dealing with depression for approximately 25 years, marked by feelings of sadness, hopelessness, and loneliness. She has a history of ADHD, depression, anxiety, and a questionable diagnosis of bipolar disorder, suspecting it might actually be borderline personality disorder (BPD). She is not currently on any medication and has expressed a readiness to seek professional help.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Borderline Personality Disorder (BPD): This is a mental health disorder that impacts the way you think and feel about yourself and others, causing problems functioning in everyday life. It includes self-image issues, difficulty managing emotions and behavior, and a pattern of unstable relationships. The mood swings you described, as well as feelings of emptiness and fear of abandonment, are common in BPD. However, a formal diagnosis can only be made by a mental health professional.

    • Treatment typically involves psychotherapy, such as dialectical behavior therapy (DBT), and sometimes medications.
  • Bipolar Disorder: This is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). You mentioned a previous diagnosis of bipolar disorder, and some of your symptoms, such as periods of elevated mood and increased energy, could be indicative of this condition.

    • Treatment usually involves a combination of medication and psychotherapy.
  • Major Depressive Disorder (MDD): This is a mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. Your feelings of sadness, hopelessness, and changes in sleep and appetite could be signs of MDD.

    • Treatment typically involves psychotherapy, medications, or both.
  • Generalized Anxiety Disorder (GAD): This is a common anxiety disorder that involves constant and chronic worrying, nervousness, and tension. Your feelings of anxiety, particularly in large crowds, could be indicative of GAD.

    • Treatment usually involves a combination of psychotherapy, behavioral therapy, and medication.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. Only a healthcare professional can provide a formal diagnosis.

What you can do

Here are some steps you can take:

  1. Seek professional help: Reach out to a mental health professional such as a psychiatrist or psychologist. They can provide a formal diagnosis and develop a treatment plan tailored to your needs.
  2. Reach out to support networks: This could be trusted friends, family, or support groups. They can provide emotional support and practical help.
  3. Practice self-care: Regular physical activity, a healthy diet, adequate sleep, and avoiding alcohol, caffeine, and illicit substances can help manage symptoms of mood disorders.
  4. Mindfulness and relaxation techniques: Practices such as yoga, meditation, and deep breathing can help reduce symptoms of anxiety and improve mood.

What you should look out for

Please seek immediate help if you:

  • Have thoughts of hurting yourself or others
  • Have symptoms that significantly interfere with your daily life
  • Have symptoms that are causing distress or concern

Remember, it's important to reach out to a healthcare professional who can provide a formal diagnosis and appropriate treatment.

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7 mo ago


People Also Ask


What are the common symptoms of Borderline Personality Disorder (BPD)?

Common symptoms of BPD include intense fear of abandonment, unstable relationships, rapid mood swings, impulsive behaviors, feelings of emptiness, and difficulty managing emotions.


How can I differentiate between Bipolar Disorder and Borderline Personality Disorder?

Bipolar Disorder is characterized by distinct episodes of mania or hypomania and depression, while BPD involves rapid mood changes often triggered by interpersonal stressors and a pattern of unstable relationships. A mental health professional can help differentiate between the two.


What are effective treatments for managing anxiety in large crowds?

Effective treatments for managing anxiety in large crowds include cognitive-behavioral therapy (CBT), exposure therapy, relaxation techniques, and sometimes medications such as SSRIs or benzodiazepines.


How can long-standing depression be effectively treated?

Long-standing depression can be treated with a combination of psychotherapy (such as cognitive-behavioral therapy or interpersonal therapy), medications (like antidepressants), lifestyle changes, and sometimes alternative therapies like mindfulness or exercise.


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1 Comments


Anonymous#23658

7 mo ago

I'm a 26 year old woman and most of my life has been spent trying to figure out what's wrong with me. At various points in my life, I've been diagnosed with different things, mostly relating to depression, anxiety, and anger.

About a year ago, I went to a few sessions with a psychiatrist and read her notes upside down. She wrote down a few things: "Dysthymia, Cluster B, Borderline." I wasn't at a point where I wanted to hear any of that, and stopped going to therapy shortly thereafter, so haven't been formally diagnosed yet.

The July issue of Reader's Digest Canada has an article on Borderline Personality Disorder, and the first time I read it, it terrified me because it was describing me. I started reading peoples' accounts of being Borderline and, although there were minor differences. When I get very frustrated or angry, I've always described it as going into an autistic state. When I read someone who had described her anger as "autistic thinking," I burst into tears and that was the moment I became 100% sure this is what I have.

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