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I think it could be a combination of hormones and ADHD, and the low self esteem could be a biproduct of the ADHD. There is a chance you have had depressions, but your extreme happinesses don't sound like mania to me.
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Diagnoses: Bipolar I, GAD, binge eating disorder (or something), substance abuse, and ADHD.
“No great mind has ever existed without a touch of madness.” ― Aristotle
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