Cyclothymia is a condition marked by many of the symptoms of bipolar disorders, namely manic highs and depressive lows. Yet unlike bipolar symptoms, which are often extreme and thus more easily diagnosable and treatable, symptoms of cyclothymia can be readily attributable to mood swings.
Unfortunately, these mood swings aren't benign. They can have lasting consequences for jobs, relationships and one's health. Recognizing the signs and practicing self-care will help you manage your cyclothymia without relying on medication.
The most common sign of this condition is mood instability. Cyclothymics easily swing from a joyous, elated, overly talkative temperament to a gloomy, sluggish and dark one. Unlike bipolar moods, which tend to last weeks or months, cyclothymics can shift their emotional states from day to day. When manic, they may sleep little; when depressed, they may express the wish to sleep forever. Manic states tend to lead to excessive alcohol use, drug taking or sexual experimentation.
During depression, cyclothymics become hermit-like, resisting work routines and social functions. They may gain and lose enthusiasm rapidly, whether it be for projects, jobs or relationships. A calm, normal state of functioning is never present for more than two months at a time.
The medications that have been found to work with the more severe mood disorders often have no effect on cyclothymia or can worsen manic periods. If medication is required, lithium and its varients are generally prescribed. Although in a relatively high percentage of cases, cyclothymia has been known to eventually become a bipolar disorder, a condition more likely to require medication, in its milder form, other options are available.
Creating a structure for your day surrounding regular times for work, meals, exercise and social activity is very important. Your mood swings can be anchored by these predictable schedules.
Keep a journal and note down how your mood shifts on a daily basis. List how the mania or depression affected your ability to function effectively. Pay special attention to how your swings negatively affected your job, relationship or health.
Along with eating healthy food, taking vitamins and exercising every day, take caution to avoid the triggers of dangerous practices and environments. Try not to drink or take drugs. If you're manic, don't place yourself in a situation that may lead to risky sexual behavior. If you're depressed, avoid locations that lead to suicidal ideation. Surround yourself by comforting, familiar people and environments if possible.
Use positive affirmation. Resist blame, guilt or acts of revenge against yourself or others. Cyclothymia is manageable without medication, especially with the support of loved ones.