The most common problems I see are depression and anxiety. Depression and anxiety often occur together and the really confusing part is that some depressions manifest as anxiety, irritability, and chronic anger while some anxiety conditions include depression. The first step in treating these conditions is sorting out exactly what you are dealing with. The second step is reducing the severity and intensity of your symptoms. While we are working on symptom reduction we are also looking for causes so we can help you develop ways of preventing recurrence and/or reduce the severity of symptoms should the condition reoccur.
You may or may not want to combine psychotherapy with medication. That is a choice we explore and is completely up to you. Some people welcome the help a medication can offer and others want nothing to do with them. Severe Bipolar disorder requires a hard look at medication as a manic episode can quickly destroy your life and bipolar depression entails the most serious risk of suicide. In any case, a medical checkup is always a good idea to rule out any organic issues that may be contributing to your mood. I can refer you to a prescriber should you want to get medication.