### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Im not been well for years iv had many diagnoses iv been thru a lot of trauma, abuse neglect, molestation, I don t live in the past but I know these things have effected my brain. I am a believer therefore Christ has been my strength Iv been on disability for over 10 yrs because my conditions , anxiety, bipolar , ADD and I have a lot of health problem fibromyalgia arthritis . my meds have changed so much that I have often just stopped because nothing has ever helped me. Iv gained 20 pounds in two months, im 42 years old and im so fatigued I have to drag my self to do anything , my meds have changed once more and today I feel plum crazy. im also coming cold turkey off lyrica and brentellix. and I have been put on Adderall 20mg 2 x daily. I do fill more alert but I feel like im on a roller coaster. my main complaint is the fatigue, depression and my mind will not shut down till im plum exhausted and finally go to sleep , I wake up all thru the night, I don t have the energy to even maintain personal grooming , which makes me more depressed.

### output:

Hi I am Chat Doctor. .  You may use some other painkillers like tramadol and acetaminophen but after asking your physician for proper dosing and visit the pharmacy and buy some OTC sleeping pills if fail visit a psychiatrist for evaluation of your old underlying condition and stay a believer. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.