<s>[INST] Hi, I m 21 years old. I have in the past 3years been experiencing extreme fatigue , being unable to sleep nor wake up, not wanting to be around people, struggling to get through the day, low levels of energy, just feeling really down. This is not quite out of character for me, its how I ve always been but in the last three years its become worse to the point that I can t function and I ve gained a lot of weight. I recently peed in the bed and I itch all over my body so much so that I have to take several showers a day. I don t know what s happening to me. I have a history of eczma. [/INST] Dear Nadia, Hi. By the complaints you have mentioned and that too since 3 years, there could be plenty of reasons. First one has to rule out anemia which is very common among the young girls. The other common reason could be a low thyroid level and will have to be investigated. There is an entity called chronic depression, but then it can be labelled only after a detailed interview with a psychiatrist.  It would be good if you can get hold of a psychiatrist (specialist) to get yourself assessed and investigated. The eczema part needs to be treated by a dermatologist with various creams and oral Chat Doctor. Get well soon! </s>