My fiance is having major mood swings. It has progressively been getting worse over the last 6 months. He ranges from seemingly stable and happy to gargantuan and ugly outbursts of rage. He says that his brain is a constant buzz of activity.. like a tv that keeps changing channels and his thoughts get muddled and confused which causes frustration and eventually the cycling depression and rage. Anti-depressants just make it worse. He has smoked high quality marijuana for at least 20 years. He seems to self medicate with it. He says it helps keep him calm. The down side to that being that when he runs out, within 24 hours he immediately cycles to feeling completely overwhelmed by life and he starts getting angry. He has sought help from our local government mental health services, but they turned him down. He then started self medicating (he is insistant he is add) with vyvanse that he apparently was given by a coworker. It did seem to help him think clearer. Im not sure if he is truly add, or if there is a larger underlying problem. He is frustrated and genuinely wants help. Ive made him an appointment with an outpatient psychiatrist, but the earliest available i could find is still a month away. The rages have gotten to the point that i have left our home and am staying with a friend. I am deeply concerned for him though. When unmedicated by anything, he lacks judgement, takes dangerous risks with no care for possible consequences, talks about giving up, and blows up at me for percieved (and often totally false) infractions. Any insight u can give me into what might be going on with him would be great. I am trying to understand so that i might be better able to help him. He is suffering.