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severe anxiety, mild depression and on a rampage!

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i have been diagnosed with severe anxiety and mild depression. this year has currently been the worst by far for my my parents broke up my fiancees parents broke up i had a bad car accident in which i am still receiving theropy. I have realised that latly i am getting more edgy then usual and have mental blackouts i start getting angry and loose my cool screaming as loud as i can and going completly on a rampage, 3 days ago it happend again and i ended up causing damage to my fiancees car i dont remember doing it i only remember bits and peices but its mostly vage. Why does this happen i do not like it and want it to stop because it makes me a unlikeable person

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replied March 17th, 2011
Mental Conditions Answer A20996

Sorry to hear about your accident and the parental break-ups on both the sides. I hope you are able to deal with these issues effectively soon.

There are two aspects of your questions that I would like to highlight.

1) Why do the anger episodes happen?

2) You don't like this happening as you think it makes you an unlikeable person.

Let's consider the first question. Fro you past history, the first thing that comes to me is that you may get an EEG done to rule out a possibility of seizure episodes manifesting as behavioral problems. This can happen with temporal lobe epilepsy. You can consult a Neurologist, or even you GP for the same. Once this possibility is ruled out, we can focus on psychological issues as the reasons behind your behavioral outbursts. And the psychological issues do seem to be associated with the turmoil in the family and the accident and its consequences.

About the second aspect, which can be discussed in more details in psychotherapy, you may need to explore you thoughts and find out if you have certain demands from yourself. An example would be ... "I must always be a likable person". And then further down, there could be meaning attached to "being unlikable" such as "I am not a worthy person if I am unlikable". The point behind writing this aspect here is that you may have to explore these beliefs and make yourself immune to all external influences as far as your own feelings are concerned.

You may also have to discuss with your doctor about the current dosages of Zoloft. The current dosage may not be adequate. There may be a need for an additional medicine such as a mood stabilizer.

Best Regards

Abhijeet Deshmukh, MD

(This post is for the purpose of providing medical information and is not a substitute for a face-to-face consultation with a doctor. This post is not intended to give or rule out a diagnosis, create a doctor-patient relationship or replace an existing one. I am not able to diagnose medical conditions online. Please consult with your doctor or a qualified healthcare provider for diagnosis and treatment options)

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