 [ Symptoms ] i have varicoceles a low sperm count reluctant to get in a relationship with this problem [ Disease ] what your boyfriend seems to be having is bipolar disorder sometimes there are mixed episodes in which features of both mania and depression are present at the same time and in some people depression and mania may rapidly alternate which is known as rapid cycling he needs to start with the treatment as early as possible treatment usually consists of the mood stabilizing drug lithium anticonvulsants antipsychotic drugs and benzodiazepines my sincere advice would be to get it evaluated from a psychiatrist it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided for exact diagnosis you are requested to consult your doctor i sincerely hope that helps take care