What could cause anger and irritability?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a question regarding my friend. She is a very difficult person to understand. Most of the time she gets annoyed with basically anything and goes through moods. For example, if her bedroom door was locked and getting in her room when I was at her house, she would get extremely mad for not asking her. This simply goes with just about anything I ask her. She gets so mad and annoyed with me asking anything. She says my question is dumb or irrelevant. Sometimes too if I share a story I am proud of or just want to tell, she will respond with "Do I care?" And is trying to teach me not to tell her things at all. I want to share because it is human nature and she gets mad when I do. She also gets irritated with anything I do, and seconds later she is laughing and we are fine again. I am wondering if she is bipolar. She always is in a mood where she is annoyed, mad, and irritated and then five minutes later she is happy again and laughing. She would never admit that she has a problem, but I see it firsthand and know she does. Please suggest.

Hello,

Welcome to the icliniq.com.

I completely understand that you feel concerned about your girlfriend's behavior and want to know if it needs clinical attention. The information you shared about her indicates sort of mood swings but it cannot be diagnosed as bipolar disorder without a complete psychological assessment. I hope you find this helpful.

Thank you.

The Probable causes

Mood swings can be due to any situational factors or they may be a part of one's personality if occur frequently.

Investigations to be done

Complete psychological assessment is recommended from a clinical psychologist.

Differential diagnosis

Personality disorders should be ruled out (for professionals).

Treatment plan

You need to guide her about psychological assessment.

Preventive measures

I appreciate that you picked up important factors that could impact your relationship in the long run. It is very crucial to assist her go to a psychologist because it will be the best way to help her solve her problems. Delays in diagnostic assessment and treatment may cause an increase in symptoms.

Regarding follow up

I hope this information is help for you. Do take a follow-up if you feel the need. Best Regards.

Medically reviewed byiCliniq medical review team

Published At February 14, 2025
Reviewed AtFebruary 14, 2025

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