<s>[INST] I have been diagnosed with bacterial vaginosis I believe it was caused by a tampon that was inside me for about a week since that event at the beginning of January I have been tired, run down, depressed , overly emotional feeling shivery and weak as well as tired and have no motivation could this be from just having an infection? [/INST] HI, thanks for using Chat Doctor The infection would cause fatigue and possibly contribute to the weakness, but it would not cause the other symptoms - depression, lack of motivation, overly emotional. It is possible that you may be suffering from depression. This is a common and serious condition that needs treatment like any physical illness. Your GP can assess you and determine if this is the case and initiate treatment or may refer you to a psychiatrist for assessment. Medication and counselling would be helpful. You would not necessarily need to be on medication for a prolonged period of time. I hope this helps </s>