I have a patient 32,male who constantly complains of having bad moods in evening since 7-8 years. He says that he feels normal in the morning and sad or depressed or sometimes even angry in the evening. He keeps on referring to internet for his symptoms. His wife complaints of having too many fights in the evening and she finds him very anxious towards evening. Its been 2 years since his marriage but he does not have any desire for sex and complaints of being constantly tired throughout the day.His relations with his parents/sibilings are sometimes good and sometimes bad.
His thyroid profile, sugars, routine blood tests like cbc,rft,lft,etc are all normal. He was obese (116 kg) 6-8 months back but has managed to lose weight and become 94 kg now. I even did a sleep study to rule out obst.sleep apnea..but the study was normal. He has also done his ct/mri brain when he was consulting…
