Q. Last night I had another blow up with my fiancee. If he doesn't make sexual advances towards me, I start to feel that he doesn't love me, or want me. Then I get intensely angry and jealous and afraid all at the same time. But just one affectionate touch from him entirely changes my mood for ... for a while.

I constantly have these kind of mood swings, daily I can go from high to low within minutes- and it is very noticeable in my appearance and even effects my speaking tone - I can go from angrily sarcastic to so soft that I cannot be heard.

Here are other symptoms:

• -between the ages of 13-23 I have had over 70 sex partners including a short period of prostitution
• -hints and memories of sexual abuse by my father and grandfather
• -fear of rejection that causes anger, confusion and paranoia
• -brief intense periods of sexual binges and addiction followed by shame and guilt just as strong
• -the constant feeling that I haven’t been present during periods of my life I can look back on it as if I were outside myself watching
• -constantly feeling like I don't know myself, my career and lifestyle goals change on a daily basis
• -angry emotional outburst
• -nonsense arguments that I orchestrate with my fiancee to gain attention, sympathy, or affection
• -severe PMS that causes a deep depression for about 2 weeks before my period
• -strong thoughts of ways I could kill myself, speeding and closing my eyes while driving
• -often not knowing what I feel or am supposed to feel, looking for another to tell me
• - I think my mother has BDP, she and my grandmother have angry outburst and my grandmother physically abused my aunts.

Please tell me if you think I have BDP? There has to be something wrong with me, I cant imagine normal people spending their life like this.

My fiancee has been very supportive, I 'm afraid that if I don’t get help I will drive him away because I will become emotionally abusive.

A. While I'm obviously not your physician, you describe many, many traits and risk factors that warrant your physician or therapist to go over the diagnosis with you. Most of the symptoms you described are dramatically improved with the right combination of medications.

The 2 weeks before your period being bad are clearly not due to PMS. If the cycle of 2 weeks good and 2 weeks bad is consistently present, "cyclothymia" (or "cyclothymia disorder") may also be present. This is usually relatively easily controlled with non-addicting medication.

I strongly advise you get a full evaluation of all your diagnoses and a treatment plan to treat them all. Your life can be much, much better.

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