Cyclothymia

Mark cyclothymia are some days lasting hypomanic and depressive phases minimal with an irregular course and lesser severity than with bipolar disorder. These symptomatic periods must occur during a period of ? 2 years for more than half of the day. The diagnosis is clinical and medical history. Treatment consists primarily of psycho-education; in patients with severe impairment, however, drug therapy is indicated.

Cyclothymia often precedes a bipolar II disorder. However, it can also be manifested as extreme mood lability, not allowing it to develop a severe mood disorder.

Mark cyclothymia are some days lasting hypomanic and depressive phases minimal with an irregular course and lesser severity than with bipolar disorder. These symptomatic periods must occur during a period of ? 2 years for more than half of the day. The diagnosis is clinical and medical history. Treatment consists primarily of psycho-education; in patients with severe impairment, however, drug therapy is indicated. Cyclothymia often precedes a bipolar II disorder. However, it can also be manifested as extreme mood lability, not allowing it to develop a severe mood disorder. In chronic hypomania clinically rarely observed variation rule episodes before serving fine sentiment and a habit of reduced sleep duration of <6 h. Sufferers are constantly exaggerated cheerful, confident, energetic, full of plans, reckless, overly committed and pushy; they rush with restless impulses thereof, and may be distanzlos another human being. In some people, a cyclothymic and chronic hypomanic disposition to success in business and in management positions contribute to the performance and artistic creativity; However, it has often serious negative impact on interpersonal and social relations. The consequences can be seen often as instability with irregular professional and educational history, impulsive and frequent change of residence, repeated failure of legitimate and illegitimate relationships and episodic alcohol or drug abuse. The diagnosis of cyclothymic disorder is clinical and based on the medical history. Treatment Supportive care Sometimes a mood stabilizer Patients should be trained on how they can best live with their extreme temperament; However, living with cyclothymia is not easy because interpersonal relationships often run stormy. Recommended are professionals with flexible hours. Patients with artistic inclinations should be encouraged to pursue an appropriate career because the excesses and mood swings of cyclothymia may be better tolerated there. When deciding a mood stabilizer (eg lithium;. Certain anticonvulsants, particularly valproate, carbamazepine and lamotrigine) use, should be weighed between the interference with the functioning and social benefits or creative spurts that may experience the patient. Divalproex (n. D. Übers .: not available in Germany) 500-1000 mg po once a day is often better tolerated than equivalent doses of lithium. Antidepressants should be prescribed because of their switch-risk and the risk of rapid cycling exclusively with severe and persistent depressive symptoms. Support groups can help patients by providing them with a forum for sharing common experiences and feelings.

Health Life Media Team

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