<s>[INST] Hey. I m 17 years old. I m 6 ft 3 inches and I m currently 120 kg. I look awkward, fat and tall. Whenever I do a hardjob, like just climbing the stairs or just running a bit my heart Starts beating very fast. I feel very tense. I m always low, I get fatigued so much, usually I really don t do anything but if I do so like visit someone I become so low. My brain just stops working. I usually take coffee and tea alot. I also suffer from trichotilomania and I really fear of losing my hair day by day. The pulling starts when I get tensed, excited or Anyother anxiety. I ll be really thanksfuk for your help. [/INST] Hi, I read your query can understand what you would be going through. Going by what you have mentioned, you seem to be suffering from depressive as well as anxiety symptoms in addition to trichotillomania. I would suggest you to consult a psychiatrist for your symptoms. Had I been your psychiatrist, I would have treated you with a combination of medications and cognitive behavior therapy. Medications will include selective serotonin reuptake inhibitors which will help take care of anxiety and depressive symptoms. Cognitive behavior therapy in form of habit reversal therapy would be recommended for trichotillomania. You also need to start exercising daily as it will help you relax as well as lose some weight. Hope this information was helpful. Best wishes. </s>