<s>[INST] I have renal hypertension and CKD for about 4 years, I am 21 now. My creatinine level normally stays at 2.1-2.3. I a, having severe mood swings, I get frustrated, annoyed easily. Sometimes I want to cry without any reason. I feel pleasure but at the same time, I get upset easily. Could it all be happening because of creatinine? [/INST] HelloThanks for query. You are known patient of Chronic Kidney Disease (CKD) with your creatinine levels stable at the level of 2.1 -2.3.as your creatinine levels are marginally high and stable the symptoms like frustration, swing in mood etc. can not be due to CKD but are due to psychosis. You need to consult qualified Psychiatrist for clinical assessment and further treatment. Do not worry this will get resolved with counselling and medicine prescribed by Psychiatrist. Chat Doctor.  </s>