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This happened to me just yesterday. I went from perfectly okay to supreme agitation and anxiety, lashing out, *****y, full of fire.
I explained to a personal friend of mine that when this happens to me, things really do feel as though they're going smoothly, and then suddenly my brain is just like BOX OF SLAPS. I'm, as the Pink Floyd song "One of My Turns" goes, "Cold as a razor blade, tight as a torniquette.."
I still can't figure out how to prevent myself from at least reacting to those feelings, let alone anticipate when they'll ignite.
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"Every person, on the foundation of his or her own sufferings and joys, builds for all." ~Albert Camus
Cymbalta, 60mg -- for the depression.
Latuda, 40mg -- for the paranoia (delusional type).
Adderall, 40mg XR & 5 mg reg -- for the ADD.
Xanax, .5 mg as needed -- for the anxiety.
Topamax, 50mg -- still figuring this one out.
MDD, but possibly have some form of Bipolar Disorder. Then again, I could be paranoid . . .
Well, at least I still have my sense of humor. 
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