Posted by loosmrbls on March 27, 2001, at 11:19:18
In reply to Dysthymia problems at university, posted by Simon Peak on March 27, 2001, at 2:27:09
It sounds like you may have cyclothymic disorder. Mania (especially hypomania) does not always have euphoria. Do you have agitation, irritability, or insomnia with your "good periods." The way you described them also makes them sound cyclical (every 6 weeks or so).
Just a thought. If you continue to have poor responses to antidepressants, I would consider a mood stabilizer. Lithium is used to augment antidepressants in treatment-resistant unipolar depression anyway, so the "label" (bipolar verus depression)doesn't matter.
Perhaps a trial of another antidepressant, and if that doesn't work maybe lithium or another mood stabilizer. That's my advice.
Hope this helps.
poster:loosmrbls
thread:57650
URL: http://www.dr-bob.org/babble/20010327/msgs/57671.html