HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

How To Manage Mood Swings, Depression And Poor Communication With Family Members?

default
Posted on Wed, 8 Apr 2015
Question: Sir, I am a 21 year old male writing about several serious problems that I am facing. My life is almost at a chaotic end and I feel that nothing is right with me. Primarily, Sir, I have to confess that I am a pathological liar and lying somehow makes me happy. I simply lie for no reason at all about things that do not matter. This leads to conflicts. In addition, I sometimes forget the truth and am unaware that I am lying. During those times, the lie appears to me as the truth.

Next, I have frequent mood swings and very often, without warning, I feel depressed without any apparent reason and this goes on for days. During these periods, I find it difficult to communicate with my family and relations(I am closest to my girlfried.) The same way, when I am happy, there seems no one as happy as me.

Whenever anything is told to me in a serious tone, I have a feeling that I am being blamed. I become frightened and this makes me appear suspicious before my close ones. During these episodes, I do realize that am behaving in an uncanny manner but that is what naturally comes off me. Following, these episodes I turn violent causing others to quarrel with me. At those times, nothing can soothe me, and my aggression continues for days and I calm down only to feel terribly sad.

Also, Sir, I have social conflicts due to another of my problems that I seek an explanation for. Oftentimes, I stare at things but in a few seconds I can recall nothing about them. Like, I am found looking at a poster by my girlfriend and I deny having seen it. She swears she saw me looking at it, and I could swear not having looked at it. Infact, I remember nothing, absolutely nothing, of its features. This indeed has led to trust issues. On my part, Sir, I believe that this happens because I am busy thinking and that my mind is attending a different area than my eyes. I would like to know how far this is true. Sir, I may see a hundred things on my way to somewhere and swear not remembering any of them.

Sir, I am in a grave danger and am having suicidal thoughts. I desperately need your help and need to know what is wrong with me, and what I should do. No one believes my problem. I am working on my lying habits but no one believes my other conditions. Please help me. Please tell me what am I suffering from.
doctor
Answered by Dr. Seikhoo Bishnoi (31 minutes later)
Brief Answer:
Such symptoms can occur due to compulsive lying aggravating depression

Detailed Answer:
Hello thanks for asking from HCM for your health related queries

I can understand your concern. From your history I can found three main issues-

- Symptoms of pathological lying. Such symptoms can be related to impulse control disorder. A lot of individuals with pathological lying show compulsive lying due to underlying severe anxiety.

- Mood symptoms especially mood swings, depression, poor communication with family members etc.

- The social conflicts you have mentioned. Like staring at things and then inability to recall on them. These symptoms are probably related to compulsive lying. These symptoms are also worsening your mood and are aggravating the depression


One thing I would like to know if you feel urge to deny that you were not staring on things or you are not aware of these denying episodes? I would like like to know if you have such symptoms in other domains of like like during talking to someone? Any symptoms like compulsive hand washing, checking things again and again, or keeping things in a particular order etc? These things can rule out obsessive compulsive symptoms.

For pathological compulsive lying usually treatment in form of both medicines and psychological methods is used. In medicines SSRIs like Fluoxetine, Paroxetine etc are used. These medicines will help to decrease the episodes of lying and will lift the mood also. These medicines will reduce the negative suicidal thought and you will feel better. Behaviour therapy to reduce the unwanted undesired behaviour can also supplement the actions of medicines. As per my opinion homeopathic or herbal treatment cant help you much in such symptoms. Please visit a psychiatrist for detailed help and evaluation. No need to feel depressed because all such symptoms are occurring as part of poor impulse control and anxiety disorders. A lot of individuals presenting with such symptoms respond to medicines.

Thanks, hope this helps you. Please ask again for more doubts.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Seikhoo Bishnoi (56 minutes later)
Sir, I do deny straing at things but that is entirely due to my failure to remember them. And also, I am not aware of staing. Like if I am staring at a book, I am not aware of staring at it. So, when asked, "Why were you staring at the book?" or "What were you seeing?", I deny seeing it. Actually, I have almost no memory of staring. To me it is like looking without seeing. Since I see nothing, I cannot remember anything. Recently, I was holding a catalogue in my hand for more than like 5 minutes and looking at it, but I could remember nothing of it when asked. I just denied it as I could remember no face or feature. This led to a long quarrel when ended with me in tears and wanting to die. This is an instance when I was aware of staring. However, other times, I dont even remember looking. Sir, I travel from home to college almost everyday, but I remember seeing nothing on the way. Absolutely nothing.

Also, I have consiously denied at times due to the fear that If I am found out staring at something, I might be involved into a quarrel.

I donot have any symptom like compulsive hand washing, or arrangement, but I can recall looking at the clock continuously.

Sir, like I told you, I feel I am being blamed. To relate an incident, once I am asked whether I saw something, or if I am accused of lying, I begin to panic. One minute I cry, and the next minute I show verbal aggression. Tears follow aggression and aggression follows tears. Those times, I just want to be left alone and if I am not let to go, I feel victimized and tortured. I feel like a mad person. I am told, "Tell me the truth." Once I tell the truth, it is not accepted. Then, I begin doubting which is the truth, the one I know to be true or the one I am expected to tell. I fall into a dilemma. Day after day, Night after Night, my inner turmoil begins. The only pleasure I used to have was reading and music. I have lost all those. I wanted to write, all I want now is to die. I feel I am torturing others and the lives of my loved ones are ending because of me.

Sir, I need to know if I am crazy or have any mental disorder or something. I am beginning to feel that I am not fit for society.
doctor
Answered by Dr. Seikhoo Bishnoi (6 hours later)
Brief Answer:
Most likely the symptoms are due to anxiety

Detailed Answer:
Hello again

First of all just to reassure you I would like to tell you that you are absolutely fit for society. Most probably these symptoms are occurring due to some psychiatric disorder and will improve with proper treatment. There is no need to feel blamed or inferior due to these symptoms. Please don't loose your confidence, instead fight with these symptoms with confidence.

Sudden staring the things with no memory of all this could occur due to some seizure also especially Absence seizures, but in these seizures symptoms are not so persistent and common. Sudden blinking in eyes can be seen and it is usually observed by others. Still if you have doubt then you can visit a Neuropsychiatrist to rule out these symptoms.

Absence of memory of these staring episodes can be occurring probably due to severe distraction because of anxiety. Because of that anxiety you are probably not able to recall these episodes. It is possibility that during start of these episodes you had some awareness of your symptoms but it has lost with progression of the time.

Please don't feel bad about being blamed. Sudden staring is probably because of some underlying anxiety. One more thing I would like to know, if before the staring episodes you have some bad thinking like if you would not see a particular thing something bad will happen, or similar to that? or similar thinkings in other domains of your functioning?

Visit a psychiatrist as soon as you can for evaluation. The medicines I have mentioned will result in early improvement.


Thanks, hope this helps you. Please don't hesitate to ask again, and if you have some more history of your complaints like how they started, how they progressed, duration of complaints etc then please provide in follow up.

TAKE CARE
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Seikhoo Bishnoi (37 hours later)
Thank you Sir for your advice.

I would like to add up some information. I am told that I lack patience while listening and I react too impulsively even if I am not being blamed or being told something bad. However, Sir, I do not do this on intention and I feel not loved and unwanted at those times. I am told that during these seizures I dont trust anyone and want them to go away and leave me alone. But at the same time, I feel that I am being unwanted and unloved. Much later, when I recover and I am explained, I realize that this is not true but when these seizures take place I have absolutely no control over myself. Sir, sometimes I want to feel sad and reject all consolations or love that is offered. I want to be left alone and loved at the same time.

My mood swings are getting worse and my loved ones tell me that my emotions are extreme-either extremely sad or extremely happy. My anger too is extreme. I am always unable to be calm and it takes me hours or even days to cool down. During these periods, I fail to understand the emotions of close ones. I even take drastic steps in feat of anger which lead to severe quarrels and misunderstandings..And I do it mostly with the closest person in my life..

Could you please explain this in medical terms?
doctor
Answered by Dr. Seikhoo Bishnoi (7 minutes later)
Brief Answer:
Anxiety is most likely possibility of your symptoms

Detailed Answer:
Hello again

If we consider all of your symptoms then most probable reason for your symptoms is Anxiety with Obsessive spectrum disorder and some symptoms also points to Intermittent explosive disorder. Sudden anger outbursts and rage like episodes can be explained by Intermittent explosive disorder. Though evaluation by a psychiatrist is needed to confirm diagnosis. Sudden staring could occur due to underlying anxiety and this results in compulsive staring. This results in significant stress and ultimately individual start behaving abnormally in other domains of life. Sudden anger outburst occur in IED.

Do you accept that you got angry on family members? or just others are saying that you got angry and you cant recall any anger episode?

Second possibility is some seizure episode but such episodes don't occur so frequently and classically these symptoms don't fit into diagnosis of Seizures.

Thanks, hope this helps.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Seikhoo Bishnoi (2 days later)
Hello sir
Thanks for helping me this far.
I accept that I often get angry on family members and can clearly recall these episodes. I would like to add up something more. I am told that I get very easily excited and loose control over my words and actions. And it happens mostly after reading somethig or watching a film. It infuses in me either a sense of anger or a feeling of irritation.

And Sir we don't have a Neuropsychiatrist in our town..so I wont be able to see a neuropsychiatrist. So I wanted to know how can I get the medicines that u have recomended without a prescription?

I have explained everything as elaborately as possible in these follow-up sessions.Sir if you could you give me a final advice regarding the medications and my problem as well.
doctor
Answered by Dr. Seikhoo Bishnoi (7 hours later)
Brief Answer:
Anxiety disorder or Intermittent explosive disorder are possibilities

Detailed Answer:
Hello again and thanks for asking a follow up

I am sorry but you cant get prescription online because the chemists wouldn't accept the prescription. As mentioned earlier also that your main issue is most likely some anxiety disorder and that need evaluation. If psychiatrist is not available then visit a physician for prescription and then when ever you get a chance meet a psychiatrist for get proper evaluation and treatment done.

Final advise I would like to tell you that provisional diagnosis for your complaints is either IED or intermittent explosive disorder or Anxiety disorder.

Thanks, I hope this helps you. Take care
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5193 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
How To Manage Mood Swings, Depression And Poor Communication With Family Members?

Brief Answer: Such symptoms can occur due to compulsive lying aggravating depression Detailed Answer: Hello thanks for asking from HCM for your health related queries I can understand your concern. From your history I can found three main issues- - Symptoms of pathological lying. Such symptoms can be related to impulse control disorder. A lot of individuals with pathological lying show compulsive lying due to underlying severe anxiety. - Mood symptoms especially mood swings, depression, poor communication with family members etc. - The social conflicts you have mentioned. Like staring at things and then inability to recall on them. These symptoms are probably related to compulsive lying. These symptoms are also worsening your mood and are aggravating the depression One thing I would like to know if you feel urge to deny that you were not staring on things or you are not aware of these denying episodes? I would like like to know if you have such symptoms in other domains of like like during talking to someone? Any symptoms like compulsive hand washing, checking things again and again, or keeping things in a particular order etc? These things can rule out obsessive compulsive symptoms. For pathological compulsive lying usually treatment in form of both medicines and psychological methods is used. In medicines SSRIs like Fluoxetine, Paroxetine etc are used. These medicines will help to decrease the episodes of lying and will lift the mood also. These medicines will reduce the negative suicidal thought and you will feel better. Behaviour therapy to reduce the unwanted undesired behaviour can also supplement the actions of medicines. As per my opinion homeopathic or herbal treatment cant help you much in such symptoms. Please visit a psychiatrist for detailed help and evaluation. No need to feel depressed because all such symptoms are occurring as part of poor impulse control and anxiety disorders. A lot of individuals presenting with such symptoms respond to medicines. Thanks, hope this helps you. Please ask again for more doubts.