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If you are experiencing adverse effects or changes in your mood while taking antidepressant medication like fluvoxamine, it's essential to consult with your prescribing doctor or mental health professional immediately. They will be able to evaluate your symptoms, assess your diagnosis, and adjust your treatment plan accordingly.

Fluvoxamine is primarily used to treat conditions such as obsessive-compulsive disorder (OCD), social anxiety disorder, and other anxiety disorders. While it can be used off-label to treat depression, it might not be the most suitable medication for every individual with depression.

The symptoms you mentioned, including experiencing episodes of hypomania and then crashing down to depression with self-harming thoughts, could indicate a possible misdiagnosis, an adverse reaction to the medication, or other factors affecting your mental health.

It's crucial to be open and honest with your healthcare provider about your experiences so they can make an accurate diagnosis and determine the most appropriate treatment plan for you. They might adjust your medication, prescribe a different one, or suggest alternative therapies depending on your unique situation.

Remember that self-harm and sudden mood changes are serious concerns that require professional help and support. If you're struggling with thoughts of self-harm or suicide, please seek immediate assistance from a mental health professional, helpline, or go to the nearest emergency room.

Never discontinue or adjust medication without consulting your doctor first, as abrupt changes can have adverse effects on your health. They will guide you through the process and ensure your safety.

If you ever need someone to talk to or feel overwhelmed, consider reaching out to a mental health helpline or a trusted friend or family member. Seeking support and help is a vital step in managing your mental health.

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