Hii I am nazeed 17 years old commerce student I have been suffering cyclothymia rapid cycling of thoughts and its severe from past two years I did not know till a few months back that there is such a medical term& it is a illness but i got to know its manic depression I have been using lamotrigine for few months I am living 85% approximately in a depressive episode .my thyroid test is clear & I want you to answer a remedies in the general answer, I have developed rapid fatigue since 2 years due to some medicines for chest congestion infection and allergy I developed 10 kgs weight in a month I think the use of steroids is the root cause please help me give me a full remedies in a general answer.

Dr. Sajeev KumarGeneral Physician32yrs exp

90% (21577 ratings)

Ask Free Question

Cyclothymia -- or cyclothymic disorder -- is a relatively mild mood disorder. In cyclothymic disorder, moods swing between short periods of mild depression and hypomania, an elevated mood. The low and high mood swings never reach the severity or duration of major depressive or full mania episo.In cyclothymia, moods fluctuate from mild depression to hypomania and back again. In most people, the pattern is irregular and unpredictable. Hypomania or depression can last for days or weeks. In between up and down moods, a person might have normal moods for more than a month -- or may cycle continuously from hypomanic to depressed, with no normal period in between. Compared with more serious mood disorders, the mood symptoms of cyclothymia are mild. Depressive symptoms in cyclothymic disorder never reach the criteria for major depression. Elevated mood never reaches the definition for mania. No medicines are specifically approved for the treatment of cyclothymia, although mood stabilizers such as lithium or lamotrigine are sometimes recommended as a possible strategy to reduce mood fluctuations. Antidepressants such Prozac, Paxil, or Zoloft are generally not recommended unless someone develops a full major depression, which, by definition, does not occur in cyclothymic disorder. There is also a small risk that antidepressants could trigger or worsen mania symptoms in a subgroup of vulnerable people. Antidepressants alone also are not known to improve fluctuations in mood, which are hallmark characteristics of cyclothymic disorder. Technically speaking, when elevated or depressed moods become severe, a person no longer has cyclothymia, but rather has bipolar disorder. This progression to more severe symptoms can happen, and this is when many people first receive treatment. 

0 person found this helpful

Dr. Sushil Kumar S VPsychiatrist13yrs exp

90% (1861 ratings)

Ask Free Question

Good Morning ~ One of the side effect of Lamotrigene is that it can cause your immunity to reduce and this happens in a handful of many people that get started on the medication. This is usually dose based and an increase in the dose of Lamotrigene may also result in decreased immunity. I believe that you need to have this illness treated by another medication and have your blood levels checked. I also believe that you will do well with medications that are clearly helpful even in the depressive phase and not just the manic phase of cyclothymia or manic depression. Although I cannot make medication suggestions on this forum, kindly book an appointment with me so that I can review your condition and suggest appropriate medication changes.  

0 person found this helpful

Dr. Saranya DevanathanPsychiatrist46yrs exp

92% (1295 ratings)

Ask Free Question

Der Nazeed, Do you want general answer for treatment of Cyclothymia? If it a only a personality trait, it needs counselling. If it a personality disorder it needs therapy, either cognitive or interpersonal. If it has already gone into a bipolar affective disorder (BPAD) it needs Lamotrigine in adequate dose for many years. Steroids can cause mood changes. It needs to be assessed along with your chest allergy and infection 

0 person found this helpful