<s>[INST] Do I have depression. It seems like everyday is a constant struggle I dont want to even wake up anymore. I keep having feelings of guilt after I do anything. I always feel like I just want to cry and little tasks are becoming increasing overwhelming. It feels like I have no motivation and Ive lost all my interest towards things I use to love. Sometimes I go for a period of time feeling extremley happy but then i go back to feeling worthless and sad. I have people trying to minimize the way that Im feeling and I dont know what to do. [/INST] Hi, Thanks for using Chat Doctor. I have gone through your available history. Your symptoms are suggestive of depression. But Bipolar mood disorder has to be ruled out. You should consult psychiatrist for detailed evaluation. Doctor may rule out physical causes like thyroid dysfunction or vitamin B12 deficiency. You may get benefit by Anti depressants like Escitalopram or sertraline. You should also do stress management and relaxation techniques like breathing exercise and yoga. Thanks. </s>