Confused about My Intense Mood Swings, Rage and Paranoia




> Hi. I wanted to know if there could be something wrong with me, and if so, what could be causing it. For quite a while now I have been experiencing extremely intense mood swings and identity shifts that only last for a very short period of time. One minute I can feel suicidal, the next I feel euphoric, the next I am bursting with energy, the next I am rage full, and the next I feel like a rational human being. However, I have found that when I’m in these euphoric, energetic moods I can become extremely paranoid if triggered. The other night I slept over at my friend’s house in one of these moods, and the voices inside of my head said that if I didn’t throw my phone at the wall, something horrible would happen. So I struggled with it for a while, and then finally threw my phone at the wall. All my friends who were trying to go to [sleep](https://psychcentral.com/disorders/sleep/) woke up. These voices are not audible they are just two voices that seem to be there and tell me to do things, but they contradict one another all the time, and often I can’t figure out who to trust. I’ve felt pretty stable for a little over a week now, except for last night when I thought that my mother was trying to poison me (lately I’ve been feeling more and more that my parents are trying to kill me). I had a small [panic](https://psychcentral.com/disorders/anxiety/panic-disorder-symptoms/) attack and then I got over it. I also started planning out how to kill my friend, but then changed my mind. I become very angry and murderous at times but still seem to have a capacity for intense empathy for others. The confusing thing is, whenever I switch back into my rational mode I view my past actions as ridiculous and try to forget about them. Rational mode can last for a week or so, maybe longer, and then I go back headlong into a tailspin and let everything fall apart. I know that I am not schizophrenic because these voices are not audible and I still have a pretty good grip on reality. I also know that it is not [bipolar](https://psychcentral.com/disorders/bipolar/) disorder because the moods change far too quickly. I am very confused, and would appreciate a little guidance. Thank you in advance!
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> Confused about My Intense Mood Swings, Rage and Paranoia
A. I am so sorry that you were struggling with these symptoms, and very glad you took the time to write us here at Psych Central.

The intensity of your reactions and the volatility of your thoughts suggest evaluation by a psychiatrist or a psychiatric mental health nurse-practitioner. The forceful and rapid mood swings combined with the internal voices and commands indicates you should make this appointment sooner rather than later. A psychiatrist or a psychiatric mental health nurse practitioner would be in a better position to know if there is a medical concern underlying the symptoms. He or she would also be able to prescribe medicine if it is needed.

Wishing you patience and peace,  
 *Dr. Dan*  
 [*Proof Positive Blog @ PsychCentral*](https://psychcentral.com/blog/archives/author/danielt/)

Confused about My Intense Mood Swings, Rage and Paranoia
when it comes to mental health, it can vastly affect how you look and feel about life and others simply because your brains chemistry isn't where it should be, so i'd say yes it can be seen as fairly normal. yeah and that's most of the same time but sometimes their little indeciveness mind gets the better of their mind making them confused if you are or aren't this is absolutely clasic and typical obsessive-compulsive disorder. see a good local psychiatrist for a full assessment and assistance. drugs like nuzak can help, and also cbt style counselling. fortunately this is very successfully treatable, and so you can get it cleared up without extra delay. In my opinion Its not your fault that your friend got mad. You didn't do anything wrong, i think you should just try and talk to her to clear things up and if she won't listen to you thats on her I think many of us have to depend more on observation and self-study than on diagnoses, given the expense of testing and the ugly fact that nothing short of an autopsy can give certainty. Here’s how we are coping with that uncertainty. Before my Mom came to live with us, she had fallen at night going toward the bathroom in her apartment. It was 3 days before anyone found her, and there was severe dehydration and some brain damage due to oxygen starvation. She recovered some functioning in rehab, but we had also noticed before the fall that there were more and more signs of cognitive decline. We were warned by a friend who is a geriatric psychologist to not accept the overall “Alzheimer’s” diagnosis which was bound to occur, but to be aware that there were dozens of dementias, some of which needed very different approaches from what is advised for Alzheimer’s. After she got out of rehab she went through a very bad AL situation and into a very good one. She had a GP who made housecalls but was not that knowledgeable about dementia. She had begun describing what could only be hallucinations and agitation, so her doctor put her on an anti-psychotic, an anti-anxiety and a depression medication. Wow! What a mess! Mom had rarely even taken an aspirin before that so maybe her body was super-responsive to the invaders. Anyway, it did more damage than good, and once we eliminated the meds, she slept all the time. We decided to move her in with us and her new doctor prescribed Namenda. We started with 10 mg, which was too much and increased her agitation. We cut back to 5 mg. once a day at nighttime and it was like a miracle occurred! Now don’t get me wrong, there’s still dementia and it’s still advancing. But my point is that sometimes when you don’t have a diagnosis, it’s useful to read up on the various kinds of dementias, do a checklist of the symptoms to determine which is the best match to the behaviors you are seeing, then become knowledgeable about the various RX’s physicians are likely to try, and get very good at monitoring the response to each and asking about/suggesting others you’ve read about. (I know, you thought that was what doctors did — me, too! Wrong!). I found that as long as I behaved as a fairly well-informed and non-judgmental problem-solving partner (and not as an over-protective, aggressive, critical, and sometimes hysterical relative), I got the same treatment back from the doctors. (Of course, if I did not get that, I did not hesitate to find a doctor with an attitude that worked better for us.). Over time, the troubles with balance, the hallucinations that occur immediately if she misses a dose of Namenda, the depth perception, the amount of activity and conversation that goes on while she’s “sleeping”, the extreme variability from “almost normal” to “almost unable to function”, etc. convinced me it is LBD. It’s not a formal diagnosis because we can’t afford all that testing either. But it’s enough for me to protect her from getting inappropriate medications. While there may come a time to move her to a memory care unit, I will also be able to be proactive with staff about what works with her LBD that is probably vastly different from what works with some of their ALZ patients. Summary: observe, study, and use your best and most loving judgment, with or without a diagnosis. Respect but don’t worship the doctors who are trying to help. And trust your gut. You spend more time with your LO than anyone else and your observations are valuable. hi lg, <br>it&#39;ll be interesting to see ( after the weekend, when most readers will be back ) what other people think of the situation you describe. it sounds as if your parents probably are a bit too strict, but with all they hear and see of the dangers of the world today, one can understand their fears  and its even worse when parents don&#39;t care at all. sometimes they may seem to be hypocritical, when they&#39;re actually trying to get you to avoid mistakes they made. your sister sounds immature and spiteful. what would they think if you said you wanted to see a shrink or counsellor to work on the problems they have identified in your behaviour ? ( that way, it makes it harder for them to object  and indeed these diferent perceptions of what is a "problem") ought to be part of what you&#39;d discuss with a counsellor. be cautious about your overdose idea  apart from the obvious dangers to yourself, it&#39;d surely also give them much sronger grounds for being even stricter, which is the exact opposite of what you want to achieve. Hello Teye123, Teirma for the question.



  

Dizziness is interpreted differently by each person. Dizziness can be interpreted as a sensation of spinning, a sensation of loss of balance, or a sensation of fainting. These complaints can also be accompanied by complaints of cold sweat, numbness in the body, weakness, nausea, excessive production of saliva, and others. The complaints you submit can be caused by:







anemia  

dehydration  

decreased blood sugar levels  

sudden drop in blood pressure  

heart rhythm disorders or other heart disorders  

side effects of certain drugs



If this complaint is often the case, you should see a doctor immediately. To find out the cause of this complaint is not possible without a doctor's examination. In addition to knowing more about your complaints, your doctor needs to examine you and perform other examinations such as blood tests, ECG, and others. The next treatment can only be determined after knowing the medical condition that you experience.



  

Please sit down immediately and rest if this complaint arises. You can immediately consume sweet foods or drinks. Make sure you always consume food regularly and meet your body's fluid needs by consuming water. Avoid sudden changes in body position for example from lying down to sitting or from sitting to standing to prevent sudden changes in blood pressure.



  

Hopefully this information is useful. well this happened to me (a bit younger at first and then a five year break before continuing) and it's made me distrusting of people, especially boys or people i date. it made me feel like they saw me as easy, and even now i feel like i am. i'm mostly normal (with some side effects from the memories) but i really have problems with people flirting and giving me compliments there are a number of possible reasons, but narcolepsy may well be what you have. you need to get a set of sleep tests (it takes about 24 hours in a sleep laboratory). then a proper diagnosis can be made, and all of the conditions can be treated.<br><br>you really need help asap. i'm on those exact same meds. <a href="/treatments/effexor">effexor</a> can give you strange symptoms when you first start taking it. for me i was yawning uncontrollably for first few days, and had difficulty falling asleep for a while.