Hello! Thank you for asking on HCM! I read carefully your question and understand your concern. These symptoms may be caused by different disorders like : 1. depression 2. a hormonal imbalance ( thyroid dysfunction or sexual hormone imbalance) 3. A brain lesion if the frontal area I would recommend you to perform a routine blood test for anemia , thyroid hormone levels, an abdominal ultrasound for ovarian cysts. I would also advise you to consult with a neurologist, and perform a brain CT scan, to exclude a possible intracranial lesion. If all the above mentioned tests result normal, the most probable cause of your problems would be depression. An antidepressant like sertraline would be helpful in this situation. Hope to have been helpful! Greetings! Dr. Aida