Cyclothymia (cyclothymic disorder) is considerable fluctuations of mood from raised to low-spirited. It is an easy form of manic-depressive psychosis. Phases (depressive and hypomanic) of cyclothymia are less expressed. The main feature of flow of this manic-depressive psychosis is its periodicity. During life only the depressive phase or hypomanic phase may be repeated. In addition, phases can alternate. It is known so-called dual type of flow: phases change one other in succession, and then improvement comes.
Cyclothymic disorder usually begins in spring or autumn. The duration of the individual phases of the disease reaches six months. Women suffer more frequent than men, because more prone to melancholy. Only one phase of the disease is seen in 25% all patients.
- Motive and psychical dormancy.
- Internal anxiety.
- Feelings of guilt.
- Increased activity.
- Grandiose plans.
To date organic reasons of origin of cyclothymic disorder have not yet established. Predisposition to this disease is inherited. Stress situations can provoke beginning of disease. Cyclothymia often occurs even in the absence of stimulating factors.
At deep depression it is necessary to conduct hospitalization of patient in the psychiatric hospital (especially at propensity to suicide). If the condition of patient does not suggest fears, doctors conduct ambulatory treatment and appoint antidepressants. At the rapid changing of phases of disease preparations of lithium are used.
Course of the disease depends on the phase of disease. The first and longest symptom of the depressive phase – sleep disturbances. Insomnia persists even when all other symptoms disappeared. The depressive phase is characterized by depression of mood, causeless sadness, gloomy ideas, decline of capacity. Patient has unmotivated fears.
An internal anxiety does not match the motive dormancy, and sudden twitching motions can sometimes show up.
Most often, there are signs of oppression of psychical activity. Patients have depression and a bad mood. Feeling of sadness and anxiety dominates. Often patients have delusions of self-effacement and self-accusation. Some patients grumble about that they lost family senses to near one, but unlike patients by schizophrenia, it is very difficult to survive.
Quite often there are intrusive thoughts at the depressive phase. Patients often think about impermanence of all earthly and meaninglessness of life. Therefore often there are ideas about suicide and attempts of suicide.
During the melancholy or depressive phase of cyclothymia pain behind the breastbone or in the abdomen can appear in patient. However, data from clinical researches, as a rule, does not confirm the presence of some somatic disease.
Manic phase is usually manifested by a triad of symptoms: acceleration of thought processes, psychomotor excitement, euphoria. A patient feels the wave of forces and cheerfulness, vital adversities stop to fluster them, disappointment or resentment are short-lived. There is predisposition to the aggressive conduct.
Speech of patients abounds the rapid and littlesuccessive passing from one idea to other, patients are easily distracted. A patient cannot be concentrated, frequently he begins to do several things at once, but none of them brings to the end. At cyclothymia patients have no, they talk for hours, walk continuously, sometimes dance, rearrange furniture. Patients do not quite realize that they are suffering from a serious disease.