... terrible mood swings before, and now I think they're worse. I haven't been crying as much, but I've been much angrier, agitated, and anxious. I am wide awake during the day but I can't direct my energy anywhere. I still don't feel like leaving the house, and I've been avoiding doing things with my children for fear of yelling at them.Yesterday I started having bad chest pain and tightness. My vitals were ok so I didn't go to the hospital, but I called my doc. She said to start taking the second pill in the evening (which with her ok, I had been avoiding because I was having marked difficulty sleeping). I took the pill tonight and felt very angry and agressive. I then promptly started crying. I've calmed down a little but I'm still wide awake and anxious. I don't know how much longer I can handle this. I have a follow up tomorrow, what should I discuss with the doctor?