Welcome to Just answer !
I am sorry to learn about your situation and I empathize with you.
Well from your narration of your mood fluctuating from a phase where you are overly confident and grandiose in thinking with inflated self esteem and lack of sleep but still highly energetic to a phase which is completely in contrast to the former where in you are low in confidence , self esteem , lethargic , low mood and poor concentration and lack energy and have excessive sleepiness.
Well if the above description is what you are going through then I must inform you that you may perhaps be suffering from Bipolar disorder with the high phase being best defined as manic or hypomanic episode which then shifts abruptly to depressive phase ( low phase). This needs to be thoroughly evaluated preferably by a psychiatrist and once this is confirmed you will need to get your drug regime revised which will entail addition of a mood stabilizer drug like valproate at dose of 300-500 mg twice a day or Depakote at dose of 750 mg / day in divided doses.
Other than this you may also be required to get one anti psychotic drug to be added to your drug regime such as zyprexa at dose of 10-20 mg / day or abilify ( aripiprazole ) at dose of 10-30 mg / day.
So I will summarize this ..
-- Please get yourself evaluated by Bipolar disorder preferably by a psychiatrist. You shall request the psychiatrist to use Young mania scale for your diagnosis which shall help in getting a more Accurate diagnosis.
-- If Bipolar disorder is confirmed then citalopram alone cannot be able to control your mood swings so your psychiatrist will more likely add two drugs -- 1 mood stabilizer like valproate or Depakote and 1 anti psychotic drug like abilify or zyprexa.
You shall discuss these drug names to provide him more options to choose from. With this 3 drug regime comprising of citalopram + 1 mood stabilizer + 1 antipsychotic drug your all complaints of mood swings/ bipolar disorder , depression , anxiety will be taken care of.
-- If Bipolar disorder is ruled out , so in that case you ask your doctor to add klonopin ( clonazepam ) at dose of 0.5 mg twice a day to get your anxiety and other complaints under control.
Kindly do the needful.
I hope this helps.
Wish you all the best and I pray for faster and effective control of your symptoms.
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