That&#x27;s interesting, and almost seem related to what you see in the first weeks of anti-depressant therapy (especially in teens). The depression and distorted thinking haven&#x27;t changed, but they get a huge blast of energy. It&#x27;s one of the possible explanations for why the first few weeks on an anti-depressant are particularly risky in terms of suicide.<p>It does take that odd combination of pain and energy to drive people to end their lives, not just despair and enervation.