Cyclothymia is a mood disorder characterized by mood fluctuations that are less severe than those seen in bipolar disorder. Individuals with cyclothymia may experience periods of mild depression and hypomania (a mild version of mania that typically lasts for a shorter period), lasting for at least two years.
During hypomanic episodes, they may feel unusually positive, energetic, and productive, while feelings of sadness, hopelessness, and low energy mark depressive episodes. In contrast to bipolar disorder, mood swings in cyclothymia are not as extreme and do not typically interfere significantly with daily functioning. However, these mood fluctuations can still affect a person’s life, affecting relationships, work, and overall well-being.
The exact cause of cyclothymia is not understood, but it is believed to involve genetic, biological, and environmental factors. Some studies suggest that abnormalities in brain chemistry and structure may contribute to the development of the disorder. Diagnosis of cyclothymia is based on a thorough evaluation of a person’s symptoms and medical history.
Although cyclothymia is a chronic condition that often persists for many years, effective treatment can enable individuals to lead fulfilling and productive lives. Early detection and intervention in cyclothymia are crucial in managing symptoms and preventing complications. Regular monitoring and support from mental health professionals are essential for the long-term management of cyclothymia.
Role of homeopathy in cyclothymia
Homeopathic medicines for cyclothymia help manage the mental symptoms like mood changes and swinging between the two states – hypomania and depression.
Five effective homeopathic medicines for cyclothymia
Platina
Common name: Platinum
Platina is prescribed for individuals suffering from cyclothymia who are going through severe mood swings alternating between manic and depressive states. In the manic phase, individuals might display heightened energy levels, euphoria, and increased activity. They often have grandiose thoughts, feel superior to others, and may exhibit arrogance or condescension. There may also be a tendency towards impulsivity, reckless behavior, and poor judgment. During depressive episodes, individuals may feel overwhelming sadness, hopelessness, and worthlessness.
They may isolate themselves from social interactions, struggle with concentration, and lose interest in activities they once enjoyed and decision-making. Platina is particularly effective when there is a strong sense of pride, egotism, and contempt for others during both manic and depressive phases. It may also be recommended when individuals experience delusions of persecution, feeling as if they are being unfairly targeted or punished. They may also have auditory hallucinations or paranoia, believing that others are conspiring against them.
Anacardium orientale
Common name: Marking nut
Anacardium is used to treat cyclothymia when there is an evident duality in the individual’s personality. These individuals may display traits of cruelty, irritability, and impulsiveness, which alternate with feelings of remorse, guilt, and self-condemnation during depressive episodes. They may experience a sense of mental and emotional emptiness and a lack of self-confidence and motivation.
Patients may suffer from symptoms such as headaches, digestive disturbances, and weakness in the limbs. They may also feel a constriction or tightness in the chest. There is a history of suppressed emotions, particularly anger and resentment, as these emotions may contribute to the development of bipolar symptoms.
Belladonna
Common name: Deadly nightshade
Belladonna is indicated in individuals who exhibit intense manic episodes characterized by heightened energy, excitement, and impulsivity. Symptoms include sudden and violent outbursts of anger or irritability and an increased sense of vitality and restlessness. These individuals may also show heightened sensitivity to stimuli, such as light, noise, or touch, and may experience hallucinations or delusions during acute manic episodes. Other symptoms include rapid heartbeat, flushed face, dilated pupils, and dryness of the mouth and throat. The person complains of a throbbing headache and is more susceptible to fever or inflammatory conditions.
Stramonium
Common name: Common salt
Stramonium is indicated for severe emotional and mental distress, characterized by intense mood swings alternating between manic and depressive states. During manic episodes, they may exhibit heightened agitation, restlessness, and impulsivity, as well as delusions of grandeur or paranoia. Conversely, during depressive episodes, they may experience deep despair, hopelessness, and feelings of isolation. Patients treated with stramonium may also show signs of anxiety, phobias, and hallucinations, particularly visual or auditory hallucinations that induce feelings of fear or persecution.
They may harbor irrational fears of darkness, animals, or death and may display violent or aggressive behavior interspersed with periods of withdrawal or catatonia. From a physical standpoint, individuals taking stramonium may present symptoms such as insomnia, palpitations, tremors, and gastrointestinal disturbances. They may also exhibit heightened sensitivity to sensory stimuli, with exaggerated reactions to noise, light, or touch.
Ignatia amara
Common name: St. Ignatius bean
Ignatia is indicated for profound sadness, grief, or emotional turmoil. There are sudden and intense mood swings, oscillating between deep despair and tearfulness and moments of apparent tranquility or apathy. There is a background of emotional trauma or loss, like the passing of a loved one or the termination of a relationship, which triggers depressive episodes. Symptoms include headaches, sleep disturbances, digestive issues, and heightened sensitivity to sensory stimuli. They may tend to suppress their feelings or engage in escapist behaviors as a coping mechanism.
Causative factors of cyclothymia
- First-degree relative living with bipolar disorder.
- Genetic variants.
- Prenatal viral infections.
- Substance abuse such as marijuana and opium..
- Environmental triggers like certain toxins.
- Presence of certain comorbid conditions like irritable bowel syndrome (IBS).
Symptoms of cyclothymia
Cyclothymia is characterized by alternating symptoms of emotional highs and lows. The highs, known as hypomanic symptoms, involve an elevated mood. While on the other hand, the lows consist of mild to moderate depressive symptoms. While cyclothymia shares similarities with bipolar I or II disorder, the symptoms are generally less severe. Individuals with cyclothymia can typically manage their daily lives, although not always effectively. The unpredictable nature of mood shifts can significantly disrupt one’s life, as it is impossible to anticipate how one will feel.
Hypomanic symptoms
- An exaggerated feeling of happiness (euphoria)
- Extreme optimism
- Inflated self-esteem
- Talking more than usual
- Poor judgment can result in risky behaviors
- Overcrowding of thoughts
- Irritable behavior
- Excessive physical activities
- Decreased need for sleep
- Tendency to be easily distracted
- Inability to concentrate
- Increased drive to perform or achieve goals such as sexual, work-related, or social
Depressive symptoms
- Feeling sad or hopeless
- Tearfulness
- Irritability
- Lose interest in activities once considered enjoyable
- Fluctuations in weight
- Feelings of worthlessness or guilt
- Sleep problems
- Restlessness
- Fatigue or feeling slowed down
- Problems concentrating
- Thinking of death or suicide
Treatment of cyclothymia
Medications for cyclothymia include mood stabilizers, anticonvulsants, and atypical antipsychotic medicines. These medications can be beneficial for those patients who do not respond well to anti-seizure drugs, anti-anxiety medications, and antidepressants. Psychotherapy for cyclothymia plays a significant role, with cognitive behavior therapy and well-being therapy being the primary types used. Cognitive behavior therapy focuses on replacing negative beliefs and behaviors with positive ones, while well-being therapy aims to enhance overall quality of life.
Diet and lifestyle modifications for cyclothymia
Diet
A well-balanced and nutritious diet can alleviate common symptoms and complications of cyclothymia. Include fiber-rich foods like fruits, vegetables, and whole grains. Incorporate food rich in omega-3 fatty acids, such as fish, flaxseeds, and walnuts. It is advisable to avoid processed foods and high-fat dairy products.
Exercise
Despite the lack of interest caused by cyclothymia, regular exercise can be beneficial. Exercise stimulates the release of endorphins, which can help maintain a positive hormonal balance. Focusing on low-impact cardiovascular exercises such as walking, moderate jogging, swimming, or cycling is recommended.
Limiting alcohol and caffeine
Limiting your consumption of alcohol and caffeine is essential in reducing the risk of developing cyclothymia.
Manage stress
Chronic stress can exacerbate the symptoms of cyclothymia. Incorporate stress-reducing activities into your self-care routine, such as yoga, meditation, deep breathing, and mindfulness.
Social support
Foster supportive relationships with friends, family, or support groups. Social connections offer emotional support, reduce feelings of isolation, and provide practical assistance in cyclothymia.
Sleep schedule
Cyclothymia symptoms can be debilitating and disrupt various aspects of your daily life, including your sleep schedule. Insufficient sleep places significant stress on your body. A good night’s sleep is essential for a good mood.
Conclusion
Although cyclothymia cannot be prevented, by seeking treatment the moment you observe the initial signs of a mental health disorder may aid in improving the prognosis and preventing further worsening. Long-term preventive treatment can be beneficial in preventing minor symptoms from escalating into severe episodes of hypomania, mania, or major depression. Homeopathy presents an alternative method for preventing and treating cyclothymia, yielding positive outcomes without the formation of dependency or adverse effects.
References
- Cyclothymia [Internet]. nhs.uk. [cited 2024 Mar 20]. Available from: https://www.nhs.uk/mental-health/conditions/cyclothymia/
- Oskin, Jamie & Langland, Jeffrey & Wheeler, Miriam. (2015). Alternating Symptoms in the Homoeopathic Treatment of Bipolar Disorder. Platinum Metallicum: A Case Report. American Journal of Homeopathic Medicine. 108. 145-153. Researchgate.net. [cited 2024 Mar 20]. Available from: https://www.researchgate.net/publication/303838213_Alternating_Symptoms_in_the_Homoeopathic_Treatment_of_Bipolar_Disorder_Platinum_Metallicum_A_Case_Report
- Siddesha G, Dr. Girish Navada UK and Dr. Justina M Steefan: The efficacy of homoeopathic medicine anacardium Orientale as an adjuvant medicine in the treatment of bipolar affective disorder: A randomized controlled trail. Ijrh.org. [cited 2024 Mar 19]. Available from: https://www.homoeopathicjournal.com/articles/838/7-2-45-660.pdf
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