instruction: hello doctor an 18 year old female lying in bed with no stimulus like to and has a laughing fit she cannot stop laughing then could not breathe so she had a panic attack and began crying she has had similar situations about once per year for the last four to five years can this be a elastic seizure she is underinsured and would like to do nothing but if it is likely something dangerous causing it she will have to see someone medications depo shot three months for birth control vyvanse lisdexamfetamine for add taken in the past sometimes prescribed as high as 90 my per day she is not taking now as she has graduated high school and does not think she needs it when not in school
output: hello I would like to know if she has strange behavior during all the time fluctuations in her mood sometimes cries and sometimes feels euphoric if she stays alone time after time feeling depressive and other times trying to attract the other attention being euphoric and impulsive in such a case I would think about a psychiatric disorder otherwise I would recommend performing an eg electroencephalogram in order to exclude possible elastic seizures a brain mri magnetic resonance imaging would be necessary too I hope this helps