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Cause of mood swings, hyper irritability - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Mental Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Hi My Girlfriend is not feeling very great these days. She picks up a fight with every one and finds faults in every small thing. She's not happy if I hand out with my friends. Its been going on like this for the past one year. But these days its getting worse. She has mood swings most of the times and very unpredictable.
Doctor :   Hi
User :   Hi
Doctor :   May I know her age?
User :   26
Doctor :   Since when is she having these symptoms?
User :   from almost an year
Doctor :   Was she normal before that?
User :   But these days its very often she's having mood swings
User :   Yes
Doctor :   Ok
Doctor :   Does she have any other symptoms such as excessive sweating, palpitations?
User :   Nope
Doctor :   Does she have symptoms like tremors, increased appetite?
User :   If she's yelled at she starts termbling
Doctor :   May I know her weight and height?
User :   If someone speaks at a high pitch she starts trembling
User :   5.1 inch height
User :   52 Kgs weight
Doctor :   Ok
Doctor :   Are her menstrual periods regular?
User :   Not always
Doctor :   Ok
User :   Last month it did not happen on time
User :   and I've heard her saying that a few times now
Doctor :   Ok
Doctor :   Does she have history of any other medical illness such as diabetes/hypertension/thyroid issues/psychological problems in the past?
Doctor :   Is she on any regular medications?
User :   I'm not aware of her having any physical illness such as diabetes/hypertension/thyroid issues
Doctor :   Ok
User :   From what she tells me I think she had some psychological issues because of her dad
Doctor :   Ok
User :   Her dad was not very loving and caring while she was young. thats something I think from what she's told me about her dad
User :   But now she and her dad are like best of friends
User :   They get along really well
Doctor :   Ok
User :   and She talks about his very highly and they talk almost every day
User :   And she's not on any medication
Doctor :   Does she have episodes of depressive symptoms such as persistent episodes of sadness, loss of interest, easy fatiguability?
User :   Yes I can say she's sad most of the times
Doctor :   Does she consume alcohol?
User :   and some times she has loss of interest
User :   Yes she has beer once or twice a week
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   Though a precise diagnosis can only be possible after a face to face physical examination and counselling, I shall provide you with basic information, which will help you in taking the necessary steps in helping her.
User :   ok
Doctor :   Hyperirritability are features of
Doctor :   1. Organic medical conditions such as hyperthyroidism
Doctor :   2. Psychological conditions such as mania or bipolar illness
User :   ok
Doctor :   These are the two common conditions where in symptoms described by you may be found.
User :   ok
Doctor :   However, these conditions can only be diagnosed after physical examination, evaluation and few counselling sessions.
User :   ok
Doctor :   The precise treatment can only be suggested after these evaluations.
User :   ok
User :   So Can I make an appointment to meet?
Doctor :   Treatment in the form of medications or psychological counselling( therapies, yoga, meditations) or both may be needed.
User :   ok
Doctor :   Hence I would suggest you to consult a doctor a physician for evaluation or a psychiatrist for these evaluations, if you find the symptoms are severe for the therapies.
Doctor :   Have you followed what I have suggested?
User :   Yes
User :   Why a physician?
Doctor :   Since its necessary that you have your friend along with you when you consult and hence its equally important you to have her consent.
User :   ok
User :   Any names you can suggest in Psychiatry whom I can consult?
Doctor :   A psychiatrist would be better, but if your friend doesn't consent for it alternatively you may meed a physician who after the examination would recommend you the further steps of approaching the treatment.
Doctor :   May I know your location?
User :   XXX
Doctor :   Give me a minute.
User :   ok
Doctor :   WWW.WWWW.WW
Doctor :   This link gives you the details of Psychiatrist practising in Bangalore.
User :   ok
Doctor :   You may counsult any of them according to the proximity to your location.
User :   I'll check there
User :   Anything else doctor?
Doctor :   Since psychological factors play a major role in such conditions, a
Doctor :   a good sleep, adequate stress management, regular food habits are very essential.
Doctor :   Do you have any other query?
User :   ok
User :   No. I think I'll consult a psychiatrist in person
User :   Thanks for your suggestions!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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