Feel mentally tortured

I m feeling depressed, tensed nd frustrated nw a days. I evn feel tht I might hv split personality disorder. I wl bcome suddenly all ok ,happy nd calm. Nd then suddenly I will be silent just lyk a depressed person. I hv suicidal thoughts more often. I hv tried it too. I will hurt myself to any extent if m frustrated.
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Doctor Answers (1) on Feel mentally tortured

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Dr. Hithysh BM Bangalore | General Physician
hello symptoms suggestive of Bipolar disorder, also characterized by periods of elevated mood and periods of depression.The elevated mood is significant and is known as mania or hypomania depending on the severity or whether there is psychosis. During mania an individual feels or acts abnormally happy, energetic, or irritable.They often make poorly thought out decisions with little regard to the consequences. The need for sleep is usually reduced.During periods of depression there may be crying, poor eye contact with others, and a negative outlook on life.The risk of suicide among those with the disorder is high.Other mental health issues such as anxiety disorder and substance use disorder are associated. .. both genetic and environmental factors play a role Environmental factors include long term stress and a history of childhood abuse.It is divided into bipolar I disorder if there is at least one manic episode and bipolar II disorder if there are at least one hypomanic episode and one major depressive episode. In those with less severe symptoms of a prolonged duration the condition cyclothymic disorder may be present. If due to drugs or medical problems it is classified separately.Other conditions that may present in a similar manner include substance use disorder, personality disorders, attention deficit hyperactivity disorder, and schizophrenia as well as a number of medical conditions.

Treatment commonly includes psychotherapy and medications such as mood stabilizers or antipsychotics. Examples of mood stabilizers that are commonly used include lithium and anticonvulsants.  Severe behavioural problems may be managed with short term benzodiazepines or antipsychotics. In periods of mania it is recommended that antidepressants be stopped. If antidepressants are used for periods of depression they should be used with a mood stabilizer. Electroconvulsive therapy may be used consult psychiatrist.

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