[36F] With chronic mood swings and anxiety

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Borderline Personality Disorder (BPD)

• Rationale: BPD is characterized by intense mood swings, fear of abandonment, unstable relationships, chronic feelings of emptiness, and difficulty controlling anger. Your symptoms align closely with these criteria.
• Typical Treatments: Treatment often includes psychotherapy, such as Dialectical Behavior Therapy (DBT), which is specifically designed for BPD. Medications may also be prescribed to manage specific symptoms like mood swings, anxiety, and depression.

Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD)

• Rationale: Your high anxiety, chronic feelings of guilt and shame, and depression are consistent with GAD and MDD. These conditions often coexist with BPD.
• Typical Treatments: Cognitive Behavioral Therapy (CBT) is commonly used to treat both GAD and MDD. Medications like SSRIs (e.g., Zoloft) are also frequently prescribed.

Skin Picking Disorder (Excoriation)

• Rationale: Severe skin picking can be a symptom of a specific disorder known as Excoriation Disorder, which is often associated with anxiety and stress.
• Typical Treatments: Behavioral therapy, particularly Habit Reversal Training (HRT), is effective. Medications may also be used to manage underlying anxiety.

What you can do

Borderline Personality Disorder (BPD)

• Seek Professional Help: Consult a mental health professional for a formal diagnosis and treatment plan. DBT is highly recommended for BPD.
• Self-Care: Practice mindfulness and stress-reduction techniques. Journaling your emotions and triggers can also be helpful.
• Medication Management: Continue taking your prescribed medications and discuss their effectiveness with your healthcare provider.

Generalized Anxiety Disorder (GAD) and Major Depressive Disorder (MDD)

• Therapy: Engage in CBT to help manage anxiety and depression.
• Lifestyle Changes: Regular exercise, a balanced diet, and adequate sleep can significantly improve symptoms.
• Support System: Lean on friends and family for emotional support. Consider joining a support group.

Skin Picking Disorder (Excoriation)

• Behavioral Techniques: Try Habit Reversal Training (HRT) to manage skin picking.
• Stress Management: Identify and manage stressors that trigger skin picking. Mindfulness and relaxation techniques can be beneficial.
• Professional Help: Consult a dermatologist for skin care and a mental health professional for behavioral therapy.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Suicidal Thoughts: If you experience any thoughts of self-harm or suicide, seek immediate help from a healthcare provider or call emergency services.
• Severe Mood Swings: If your mood swings become more intense or frequent, consult your healthcare provider.
• Unmanageable Anxiety or Depression: If your anxiety or depression worsens or becomes unmanageable, seek professional help.

Remember, while I can provide information and guidance, it's crucial to consult with a healthcare professional for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.