instruction: hello doctor I am 18 years old I am under great stress about many areas of life like family career and personal satisfaction I think I am not worthy enough and I do not like the way I look I think I am ugly and at times I hate myself for who I am I feel unworthy and do not deserve for what I have been given good school facilities luxury also I have an imaginary friend whom I talk to many times during the day and share my problems with him I do not feel fine I experience extreme mood changes from happy to sad
output: hello welcome to icliniq com what are your symptoms exactly if they are of depression then the treatment with an sari selective serotonin reuptake inhibitor is ideally given for six months or so basically if you are depressed you will feel irritable low feel like crying sad do not wish to eat have difficulty sleep there can be anxiety tiredness headaches etc in bipolar illness there will be a period of these depressive symptoms and then after a period of normalcy the reverse happens that is you feel unusually happy for no reason there are episodes of spending money excessively on things which you do not need or maybe excessive use of alcohol other illicit drugs sex irritable behavior decreased need for sleep and still feeling fresh grandiose talks and ideas many non goal directed activities etc so if you have not had the manic hypomanic phase then you probably suffered from major depressive disorder or generalized anxiety disorder you will need to consult with a psychiatrist and take medicines for the same it will surely help with your symptoms