FAQ - Cyclothymic Disorder
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Cyclothymic disorder?


Does anyone here have it? and if so, can you tell me how you get diagnosed?
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I know someone with cyclothymia. You must get an appointment with a psychologist or psychiatrist to be diagnosed.

From the Mayo Clinic site:

To help pinpoint a diagnosis for your symptoms, you'll likely have several exams and tests. Your doctor or other health care provider must determine if you have cyclothymia, bipolar disorder, depression or another condition that may be causing your symptoms.

These exams and tests generally include:

* Physical exam. This may include measuring height and weight; checking vital signs, such as heart rate, blood pressure and temperature; listening to your heart and lungs; and examining your abdomen.
* Laboratory tests. These may include a complete blood count (CBC) as well as thyroid tests and other blood tests. You may also have a urinalysis or tests for drug and alcohol use.
* Psychological evaluation. A doctor or mental health provider will talk to you about your thoughts, feelings and behavior patterns. You may also fill out psychological self-assessments and questionnaires. You may be asked about substance or alcohol abuse. And with your permission, family members or close friends may be asked to provide information about your symptoms and possible episodes of mania or depression.

Diagnostic criteria for cyclothymic disorder

To be diagnosed with cyclothymic disorder, you must meet the criteria spelled out in the Diagnostic and Statistical Manual of Mental Disorders (DSM). This manual is published by the American Psychiatric Association and is used by mental health providers to diagnose mental conditions and by insurance companies to reimburse for treatment.

Diagnostic criteria for cyclothymia include:

* You've had numerous periods of elevated mood (hypomania) and numerous periods of depressive symptoms for at least two years
* Your periods of stable moods usually last less than two months
* You don't have manic episodes, major depression or schizoaffective disorder
* Your symptoms aren't caused by substance abuse or a medical condition
* Your symptoms significantly affect you socially, at work, at school or in other important functions


Good luck xx  (+ info)

What is the best medication for Cyclothymic disorder ?


Cyclothymic disorder is like a mild form of Bipolar. Is Prozac really bad to take for this ?
Thank you Sarah so very much, you have been VERY helpful. If you see this what do you think about taking Inositol with Choline ? I have a bottle of it here now. 500 mg of each in each capsule.
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Yes. Prozac is bad - it can trigger mania and make the person worse instead of better.

The first link below is a blog that has a recent entry on new research that shows these sort of anti-depressants do not work for bipolar people and can be dangerous. Just scroll down until you get the entry "Aug 30, 2007, STEP-BD reseach shows antidepressants of little value in bipolar".

Even for very mild, soft forms of bipolar, the best thing is a mood stabilizer such as lithium. It can be taken at a very low dose so there will be no side effects. This is exactly what I do - it works wonders and I have had no side effects - unlike with all the other meds I tried. Lithium has a bad name because docs used to prescribe overly high doses - today they know better, so please don't be put off by old wives tales and stigma and stereotypes spread by the self-styled internet experts who do not have any real experience with it.

I would also read the info this site has on the 3 natural dietary supplements wthat have been clinically proven to help with bipolar - inositol, folic acid and fish oil.

Good luck - things will be a lot better once you find the right right treatment :)  (+ info)

How to treat cyclothymic disorder without therapy and med?


? To the other answerer, depression can be treated with medication and other therapies. Outside of meds routine and low-stress is essential.  (+ info)

How do you find out if you have Cyclothymic Personality Disorder?


Do you mean cyclothymic depression? I don't know of any cyclothymic personality disorder.

do you get dpression in cycles? On and off? throught days or weeks, maybe months?  (+ info)

Is Cyclothymic Personality Disorder the same thing as Cyclothymia?


Yeah they're exactly the same thing.  (+ info)

Treatments for mixed bipolar disorder/ Cyclothymic disorder ?


What are some of the types of treatments for Cyclothymic disorder / mixed bipolar disorder ?
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Mixed moods is notoriously difficult to treat. I have never found any help for it. The drug that appears to be most effective for mixed moods is lamictal. Often what is done is an antidepressant is added to a mood stabilizer. Many docs who specialize in bipolar disorder believe that antidepressants are destabilizing for bipolar, however, and avoid using them in most patients.

So here are some mood stabilizers: lithium (not very good for mixed moods) depakote (better) lamictal (better), tegretol (dunno), risperdal (dunno) abilify (dunno).

also ECT can be used, but it only lasts a couple of weeks, then you need drugs to maintain the progress, or maintenance ECT every few weeks. ECT didn't help me at all.  (+ info)

anyone out there have cyclothymic disorder?


if so would really like to hear your experiences, would be appreciated.
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I was officially cyclothymic from age 27 to age 34. Before I was cyclothymic, I had depressions, starting as a teenager. I don't remember if they ever lasted two weeks straight. In terms of being unhappy I'm sure they lasted months at a time, but the more unnatural part of it, like having profound trouble getting out of bed, would last a few days and clear up. I noticed in college that I could get up for classes on time Monday through Friday, but on some Saturdays or Sundays there was this profound lack of energy that kept me in bed all morning, much more than laziness, more like being dead. That was so unnatural that it sent me to student health where I coaxed the doctor into doing a thyroid test, which was normal.

I didn't associate that with feeling unhappy, for which I saw my first psychologist when I was 20. My therapy was mostly about how I tended to be happy when I had a girlfriend and unhappy when I didn't. I got better at that.

The diagnosis of cyclothymia came when I first noticed something on the manic side of normal, which was I started going days at a time needing only 3 hours of sleep a night, feeling fully refreshed just from that. I also knew there were other times when I could sleep 9 hours at night, and it wasn't enough. It was subtle whether I had other periods where my productivity was increased. The decreased need for sleep was quantifiable. I had had times of increased productivity that were harder to measure going back to high school, when one teacher expressed amazement at how much I had done for one project.

I started on lithium once I became cyclothymic. It seemed to diminish my moods. Not everyone was convinced of that. I saw my first psychiatrist because of further unhappiness. He didn't think I was bipolar at all. He had a theory about "people pleasers" doing well on an MAOI, so he started me on Nardil. It was great. One pill and I felt the best I had ever, seriously, one pill.

I kept taking the Nardil. After some months, the psychiatrist said I didn't need to keep taking lithium. A few months after that I had a full-blown mania, enough to put me in the hospital after a few hours of it. That would have gotten me called bipolar 3 if anyone was calling antidepressant-induced mania that then. Later that year I had another mania on lithium without an antidepressant, so I've been officially bipolar 1 since then. Eventually I did OK on lithium and sometimes other meds.

The existence of bipolar 1, bipolar 2, and cyclothymic as concepts is necessitated by the definition of bipolar 1. There are people who don't reach the severity of mania to be called bipolar 1, so they are bipolar 2. There are people who don't have the duration of symptoms to be called bipolar, so they are cyclothymic. Researchers have tried to find more distinctions among these labels than just those. Some say Lamictal is a better drug than lithium for bipolar 2. Time will tell how any of this holds up. It certainly could be that these are all artificial distinctions between those with mild disease and those with more severe disease.

It's also likely that bipolar disorder is a broad phenotype with many different genotypes within it. When people understand all the genes that go into this later this century, they may be able to separate phenotypes better between someone like me who has very typical bipolar disorder and does well on lithium to those who are more atypical to those who are schizoaffective.

Once a genetic basis is known, classifications focus on the genes rather than arbitrary levels of symptoms, as has already happened for some neurological diseases. Then it probably will be clear that the range of expression of some combination of genes will range from people whose moodiness is never bad enough to send them to a doctor to cyclothymia to bipolar 2 to bipolar 1. Maybe some combinations of genes won't produce that full range of symptoms.

http://www.nimh.nih.gov/publicat/bipolar.cfm  (+ info)

Question about Cyclothymia/Cyclothymic Disorder?


"Cyclothymic disorder is characterized by hypomanic and mini-depressive periods that last a few days, follow an irregular course, and are less severe than in bipolar disorder."

Is it possible for someone with Cyclothymia to have mood change that ARE regular and last every two to four days?
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yes but it requires medication and theapy  (+ info)

I got diagnosed with "Cyclothymic Personality Disorder" can you tell me a bit about it?


Yes, it's medical-ese for a type of mild bipolar disorder. It means that you have periods where you are depressed and unhappy (the thymic word refers to mood) along with periods when you are hypomanic (an elevated or irritable mood). It's not as bad as bipolar where you swing between mania (abnormal high feeling with psychotic thoughts and hyperactivity) and severe depression.
Many people are extremely creative with this disorder, as you don't have the abnormal thoughts that some people with bipolar disorder experience during a manic episode. Instead it can results in bursts of creativity and thought experiments.
It can be well controlled with medication and counseling.
It's important to structure your life more simply, to avoid stress, exercise and to maintain clear goals.
Good luck.  (+ info)

What is Cyclothymic Disorder?


Cyclothymic disorder is a form of clinical depression characterized by frequent, mild mood swings. The person with cyclothymic disorder, like the person with bipolar disorder, has alternating periods of low mood and high mood.
When in the low mood the person experiences common symptoms of depression...sadness, emptiness, loss of interest and pleasure, irritability, anger, changes in appetite, sleep problems, restlessness, slow movement and thinking, fatigue, worthlessness and guilt, poor concentration, thoughts about death and suicide.

During the high mood, the person with cyclothymic disorder experiences symptoms similar to those of a manic episode...elation, confidence, delusional thinking, high level of energy, increased activity, productivity, loud and rapid speech, racing thoughts, risky behavior, impulsive behavior, increased sexual behavior, over spending, fast reckless driving, wild business schemes, overeating, drinking too much, irritability, anger, and aggitation.  (+ info)

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