instruction: hello doctor I would like to discuss about one of my family members he is a teenager and he is 14 years old I want to discuss his up and down moods is it just because he is a teen his mood is very strange I think so when he is really happy or high I call it he does stuff like he has enough energy to last forever and he has these ambitious plans and ideas he wants to do when he is like I say he is losing touch of reality cause he says he sees stuff that are not there and sometimes he feels like a religious person like god and sometimes there are voices in his head to tell him to jump off the bridge for fun or something like that and I know off these episodes only last about a day or two or even a week but I know he has depression but anyways when he is depressed he tends to have no energy at all to do anything at all and he is always tired and he becomes suicidal what in your opinion he has please tell me the cause I know he is depressed but why does he tend to be high
output: hi as per your history I find that the patient sometimes is high and sometimes depressed though some more details about the symptoms are required however I may say that the patient is suffering from bipolar affective disorder as the name suggests it has two poles the first pole is depression which is very common where the patient feels sad has decreased energy and pleasure and can have suicidal ideas the second pole being mania where the patient appears high they talk continuously talk high things about themselves highly energetic sometimes they have psychosis associated when they hear some unusual voices in their ears called hallucinations this condition requires urgent psychiatric intervention