You have a somewhat reserved personality and generally you may not open up completely with anyone around including your near and dear ones.
This aspect of yours would effect causing bouts of indifference and kind of depressive periods for you always. As per your chart, you need to be more communicative with everyone around you, which would lift your spirits and alleviate your anxiousness.
Practice meditation and yoga in the early mornings which has tremendous potential for relieving any kind of stress and rejuvenate your daily life.
Makar lagna with the lagna lord Saturn debilitated and posited in the fourth house; Ketu posited in the lagna; Ketu conjunct Moon in Karka Navamsha; Ketu under Shravana Nakashtra ruled by Moon.