It is nice that you are aware of your mood swings and you are seeking a way to overcome the fatigue associated with frequent mood fluctuations. Mood swings are caused due to disruptive chemical and electrical activity in the human brain. Everyone wants to be happy and energetic, to steal the attention in a gathering, speak aloud and be heard; and have positive thoughts and emotions. However even positive emotions can become unreasonable, disruptive, and uncontrollable and in your case you can see that they are alternating with periods of irritability and depression too. You must be wondering why this is happening to you. Mania or elevated mood is attributable to genetic factors that lead to chemical changes in the brain. It has also been associated with traits of inferiority, which the individual’s depressed psyche tends to overcorrect by grandiosity. In genetically primed individuals, negative life events may bring about depression or mania. The high of mania in 100% of cases alternates with lows of depression, which is then commonly known as bipolar disorder. Bipolar is distressing and upsets the socio-occupational setup of the person. Both phases; depression in which you feel low and in the dumps; as well as mania, wherein you can become unreasonable and disruptive; are tormenting because in both, you cannot function with rationality and reason. Disability associated with bipolar disorder is very high. Management of bipolar disorder is predominantly medical with judicious use of mood stabilizers to prevent swinging of moods. The productivity in the interim period is normal and you can lead an absolutely normal life. We use psychotherapy to deal with mood swings and maintain the tempo of life as normal as possible. You stand a chance of a good prognosis and you must get the treatment you truly deserve. Please feel free to address any further queries here. Regards, Dr. Shefali Batra (MD) Founder MINDFRAMES