Please tell me what it is and how to fix it? Please be detailed.

[Miirageknig1]

Im 23 male and i smoke half a pack of cigarettes a day. No drugs no sex no nothing. These symptoms have acumulated since i was 16. But now lifes just unbarable. I sweat at a persistent rate (not like drenched but a simi thick oily sweat) it makes me smell awful even if I'm in cool environments (2-6 times a week). Maybe twice a week i have a tingling sensation thru out my entire body especially in my chest, but most of the time its in my hands (4-5 times a week). U have a fast heart rate. heart palptations. Insomnia (writing this i havent slept in 3 days,in a week i may sleep 3 days often only a few hours). Extream isolation. I sometimes use a razor blade and cut myself ( monthly). A lot of time feeling really sad and feeling like I'm worthless and will never be anything. Cant sit still (when trying to sleep my feet flail and my arms do it sometimes). I cant remember simple things even if important. My thoughts like run together and cant form a simple thought line. Offteb forgetting what im doing or thinking, slow thoughts. Unable to process information. Always see the worst possible in things. I see bugs crawling around my room. Hearing voices telling me to hurt myself, how I'm worthless, how i should kill myself, to do things. ect.. when i drive i feel like im being followed, or somethings going to kill me if it catches me. Seeing figures watching me, evil demonic morphing shadows taunting me on walls (mostly in the dark). Iv push all of my friends away, no relationship with family, I block any attempt anyone makes. My day to day life consist of watching tv and laying in bed all day 24/7, no human contact. Believing things like i once said i used to be a bat so i can screech really loud or that i was born in the 1800s and fathered adolf hitler. Conpulsive behaviors like whipping my face. I talk to myself and never remember what i talk about. Large fear of social interactions and scarred to go in stores (feel like everyone stares at me). Excessive masturbation(4-8 times a day sometimes more). I often feel like i got something in my chest and cant cough it up. Feeling like somethings crawling all over me. Suicidal thoughts (like twice monthly) iv also attemptted suicde 2 times. Fatigue. Self dbout. Alwasy tierd. Fast heart pace. Extreamly low self-esteem. I also sometimes cant concentrate or focus. Times of intense happiness or sadness. Cough from feeling like somethings in my chest. These are all the symptoms I have written down over the years. My question is what could all this mean? Am I slowly dieing? This has made my life absolute hell. If something don't happen really soon. I'll activate my escape plan. Should I seek help at emergency room?this is no quality of life and I wouldn't wish it on anyone ever. Please be detailed in your answer to these problems, in what it could be caused by ect. Please help me! much appreciated and thank you.

[Red_Star]

Serotonin is a neurotransmitter in the brain involved in the regulation of several processes including mood, emotions, sleep, appetite, memory and perceptions.  

Symptoms of low serotonin levels include:

Anxiety
Fatigue
Depression
Pre menstrual syndrome
Problems in thinking, concentrating and decision making
Scatterbrained and poorly organized
Needless feelings of unworthiness and/or guilt
Loss of interest and pleasure in usual activities
Loss of sexual interest
Social withdrawal
Emotional sadness and frequent crying spells
Low self esteem and self confidence
Sleep disturbances
Chronic depressive disorder
Obsessive compulsive disorder
Fantasies of escaping
Developing a need to change your life panic eg: midlife crisis, divorce
Preoccupied with experiences that may have happened years ago
Bulimia
Alcoholism
Loss of appetite/weight loss or a craving for sweets and carbohydrates
Headaches/migranes
Violent temper
Anger and aggression
Poor impulse control
Panic/agoraphobia syndrome
Thoughts of harming or killing others
Self harm
Suicidal thoughts
Suicide

The following factors can cause low serotonin levels:

* Artificial sweeteners (aspartame)
* Caffeine
* Cigarette smoking
* Diabetes
* Ecstasy, diet pills, and certain medications
* Chronic opioid, alcohol, amphetamine & marijuana use
* Hormone imbalances (thyroid, adrenal, estrogen)
* Hypoglycemia
* Insulin resistance
* Inflammation
* Infections
* Poor diet
* Lack of exercise
* Stress and anger
* Lack of sunlight (lack of vitamin D)
* Problems converting tryptophan to serotonin
* Problems with digestion (low stomach acid is a major issue)
* High cortisol levels (stress hormone)
* PCB’s, pesticides and plastic chemicals exposure
* Under-methylation - folate, vitamin B6, vitamin B12 deficiency
* Iron, calcium, magnesium, zinc, B3, B6, folate & vitamin C deficiency
* A lack of omega oils
* Glutathione deficiency
* Genetic serotonin receptor abnormalities
* Human growth hormone deficiency
* Progesterone deficiency
* Impaired blood flow to brain

[GirlsNeedsHelp]

This sounds like severe depression. I do have suicidal thoughts, so I pretty much have an idea of what your thoughts might be. You should go to the emergency room.

Nicotine is a drug, for your information. Also, it doesn't seem like those cigarettes are doing anything to help this. You should also probably get your chest checked because cigarettes can cause cancer.