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Experiencing frequent mood changes, mostly low and feel uncomfortable in crowd

Last Updated - Fri, Mar 16 2018

Detailed Question:

Hello doctor,
My mood changes very rapidly and mostly it is low. It is at times energetic but one small thing can totally change it. I do not feel shy while speaking in front of people or in group of 4 to 5 people but cannot function well in a crowd or big groups like I work and undergoing training. I talk to everyone but when every one is together I find it uncomfortable or feel uneasy around them. One small thing or may be mistake makes me feel shit about myself. Many times it feels end of life is better than anything but cannot do it on my own. I guess I will have to wait for it :(
I am constantly worried about people going away from me and cannot stay alone need some one to talk or spend time with. Also I am very selective about with whom I want to spend time with. I have very few friends and nobody currently stays with me. To be precise, I have only two friends, others were just classmates and lost contact with them and many more. Please help.

Category: Psychology


Dr. Vinaya Prabha

Counselling Psychologist, PhD

You require a consultation with the Psycholgist to help you deal with the social life issues you are facing. Also before beginning therapy sessions, check with a Psychiatrist for the symptoms you display maybe a sign of bipolar disorder as well or could be just normal. There are many problems one faces in life and should not feel that this is the end of it, since others are already dealing with bigger problems and happily living life like a gift, so don't take it for granted. I am sure with time and treatment all your issues will be solved.

Bipolar Disorder

Bipolar disorder is a brain disorder that causes unusual shifts in mood, energy, activity levels and the ability to carry out day-to-day tasks.

There are four basic types of bipolar disorder. All of them involve clear changes in mood, energy, and activity levels. These moods range from periods of extremely “up,” elated, and energized behavior  to very sad, “down,” or hopeless periods. Less severe manic periods are known as hypomanic episodes.



Signs and Symptoms of Bipolar Disorder


People with bipolar disorder experience the following:
  • Periods of unusually intense emotion 
  • Changes in sleep patterns and activity levels
  • Unusual behaviours

These distinct periods are called “mood episodes.” Mood episodes are drastically different from the moods and behaviours that are typical for the person. Extreme changes in energy, activity, and sleep go along with mood episodes.



Diagnosis of Bipolar Disorder


Proper diagnosis and treatment can help people with bipolar disorder lead healthy and productive lives. Talking with a doctor or other licensed mental health professional can help a lot to someone who thinks he or she may have bipolar disorder. The doctor can do a physical exam to rule out other conditions. If the problems are not caused by other illnesses, the doctor may conduct a mental health evaluation or provide a referral to a trained mental health professional, such as a psychiatrist, who is experienced in diagnosing and treating bipolar disorder.



Treatments and Therapies

Generally used medications for the treatment of bipolar disorder are:

  • Atypical antipsychotics
  • Mood stabilizers
  • Antidepressants

Anyone taking a medication should:

  • Talk with a doctor or a pharmacist to understand the risks and benefits of the medication
  • Report any concerns about side effects to a doctor  to change the dose or try a different medication.
  • Avoid stopping a medication without talking to a doctor first because it may may lead to “rebound” or worsening of bipolar disorder symptoms along with other uncomfortable or potentially dangerous withdrawal effects are also possible.


Dr. Vinaya Prabha

Counselling Psychologist, PhD

Dr. Vinaya Prabha has great experience in handling cases related to relationship problems, parenting concerns, pre-marital counselling, emotional & psychological abuse, building self-awareness, self-confidence, marital problems, study-related issues, career planning, handling emotions, finding the meaning of life, etc.

About Author

The above medicine data is written by Dr. Vinaya Prabha. It is edited, updated and maintained by JustDoc Quality Team. If you have any queries regarding the data, please email us at doctors@justdoc.com. Read about our Medical Team here.



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Dr. Vinaya Prabha

Counselling Psychologist, PhD

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Frequent mood changes, mostly low and uncomfortable in crowd

I experience frequent mood changes, mostly low. I feel uncomfortable in crowd and have only couple of friends. I think of committing suicide. Please help.
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