instruction: hi doctor I get in a depressive phase for a while and I cannot seem to get out of it and then I feel completely fine like nothing happened so I did not tend to take any actions but it is recently been affecting my personal and work life I tend to not feel like myself currently I am on lame 25 zapil and zotral my doctor just prescribed these medications when I told him about my anxiety issues and extreme mood swings I am still unaware of the diagnosis as it is still affecting my day to day life
output: hello what are your symptoms exactly if they are of depression then the treatment with sari selective serotonin reuptake inhibitors is ideally given for six months or so the lame 25 lamotrigine is just a mood stabilizer if the psychiatrist is suspecting bipolar disorder zapiz is a benzodiazepine and I would not advise you to take it for longer periods basically if you are depressed you will feel irritable low feel like crying sad do not wish to eat have difficulty sleep 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 episodes of 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 probably you might suffer from a major depressive disorder or generalized anxiety disorder