instruction: hello doctor I have these big changes in my mood and activity levels I will swing from feelings of euphoria and lots of energy during this time I am extremely aggitated my thoughts race and I feel as if I do not need much sleep but I will then crash to an extremely depressive state where I will binge eat I loose all my motivation I cannot think or make decisions I also am often very anxious and I have bursts of extreme anger
output: hello in order to make an accurate diagnosis some more detailed information is required about your symptoms such as when did it begin how long do they last what exactly you feel in depression have you taken any medicines for it previously is there any family history of similar symptoms what situations trigger these episodes