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yes it sure can, it can cause you to do alot of things that you normally don't do.

I've had it for over 20 years and I think it can make a person act differently than they normally would act in certain situations. If you are in the midst of an episode it can make you seem strange, because anyone in panic mode acts in whatever kind of way they think will calm them down or get them out of a situation that they aren't comfortable in. If you are on meds, they can have side effects too. As far as alternating between mean and nice, I never felt like that because of the disorder itself. I think this is most likely a side effect of the meds.

Negative emotions (like sadness, stress, anger, etc.) causes your Serotonin production to be low; when your Serotonin level is low, you are more prone to getting Anxiety, Panic Attacks, Depression, etc.Medication like Antidepressants (SSRI - Selective Serotonin Reuptake Inhibitor) helps to boost Serotonin level.But there are natural ways to do it without medication. There's this strange herb called "St John's Wort" - it is said to be more effective than Prozac. No, it is not for mild depression only and ignore those sayings. In fact, it does help anxiety and panic-attacks as St John's Wort works like prozac. Other natural ways will be exercise, diet, more exposure to light, etc.The problem is that, even if your Serotonin is balanced... you have that "learned behavior" in your mind. You need to break that initial cycle to destroy that learned behavior - Cognitive Behavior Therapy (CBT) does this. A technique that you can use without CBT will be Distraction... There are several other techniques to help cope them!Ok, to use Distraction: Firstly, try to....Extracted from Source.