Dear Doctors, I am asking this question for a friend, because he is not allowed to research medical conditions. He has been diagnosed with OCD, bipolar disorder and anxiety disorder (hence the ban from looking up medical conditions), and is taking Propranonol, Geodon (ziprasidone) and Lamicitil (lamotrigine) to deal with those. He is a Caucasian, nineteen year-old male. He is around six feet, three inches tall, two hundred and some pounds (although in the past five months he has lost twenty pounds through positive diet changes and exercise). Recently, he has been experiencing severe chest pains, numbness and cold feelings in the legs, phonophobic migranes, exhaustion, shortness of breath, clouded thoughts and general tiredness and lack of energy. He also has been having extremely loud stomach gurgles, accompanied by gastrointestinal pain. He feels that some of these symptoms may be side-effects of his medicines, particularly Lamictal. We (his friends) are also concerned that he might be on the verge of a breakdown. He hasn t had one for a couple years, but his behavior has been stranger than usual recently. He is more snappy, more perfectionistic (or OCD), and has more trouble focusing than normal, some of the signs that preceded his last breakdown. We feel that he should go to the doctor, but he is concerned about the cost, as his insurance is terrible. We were just wondering what these symptoms might indicate, and how urgent it is that he go to a doctor (it is a given that he should go). Thank you very much for your advice.