Conversation: The conversation between human and AI assistant.
[|Human|] I am a female of 48 years age . At times my hands start trembling and I get the feeling as if my heart is running very fast. This happens only for a few moments and I become alright in a couple of minutes. I have normal BP and Thyroid. However blood sugar fasting remains around 110 to 117 since last 10 years and PP sugar is always in normal range.  My mind gets triggered to a depressive stage very fast to a level wher I try to commit suicide. Have tried atleast 20 times in the last 20 years but was counselled and saved by husband. My friends consider me very sweet and humble but I start getting extremely negative thoughts as soon as I hear someone even routinely commenting adverse remarks regarding me. These thoughts keep building up leading to a stage where I want to commit suicide. So I have 2 problems - 1. My hands tremble at times (2-3 times a year) with feeling of my heart running like a vehicle engine.  2. Getting emotional triggers leading to suicidal tendencies. - from India
[|AI|]  Hello and welcome to Chat Doctor. Thanks for your query. The symptoms of trembling of the hands, rapid beating of the heart, etc. appear to be anxiety-related. You also seem to be having a problem with controlling your emotions and have engaged in self harming behavior multiple times. Such emotional instabilities and self-harming behavior could be indicative of a personality disorder, probably a borderline personality disorder. I would recommend that you see a psychiatrist for a detailed psychological assessment and further treatment. There are good psychological therapies which can help you control your emotions and your dysfunctional thoughts, and teach you better coping and stress-management skills. Sometimes, medication may also be beneficial in such cases. Wish you all the best.