<s>[INST] I burst into tears and feel helpless between the hours of 3 and 6 almost every single day.  I am on hormone replacement therapy and am a type 2 diabetic.  I am taking effexor also.  I just feel that everything is out of control in my life and I can't get a handle on this.  I feel anxious and am worried that something bad is going to happen and I can't deal with everyday situations.  Can anyone help please? [/INST] hiiiiu seem to have GAD with mild depressive featuresgenerelised anxiety can affect all urs routine activityhave unconcerned fear etc u have to start medication in low dose for ex escitalopram 10 mg along with etizolam .5 mg in morning not only medication can helpbut u have to stick on ur routinestake proper sleepstress free activitiesregular exercise and healthy dietdo meditation get well soonthank ustill u have consult psychiatrist for further assistant </s>