A twenty year old male has been mentioned in the question above,however in the last line the question has been to identify the disorder 'She ' is suffering from?
From abovementioned symptoms,only different diagnosis can be considered as more details are required to make a definite diagnosis.Moreover,substance abuse/addiction is mentioned.Nowehree substance is named.So difficult to conclude anything from it.
Possible differential diagnosis are-
1)Severe depression with psychosis with dissociative disorder
2)Substance induced mood disorder (depression)
Furthermore,any similar past episode may lead to consider another differential of 3)recurrent depression disorder current episode severe depression with psychotic symptoms
Next Steps
requires detailed evaluation in terms of more details of substance abuse.
scheduling an appointment will help to assess the condition better
Health Tips
maintain abstinence from substance
deep breathing exercise and Jpmr will help with panic attacks
keep sharp instruments or any other dangerous items away from person's reach
24*7 one person shall stay with the person