Hello Fellow Cyclothymics,
I haven't checked this forum in a while because, like Fireandrain mentioned, this forum doesn't get a whole lot of activity so I find myself hanging out in the BP forum. Being diagnosed as cyclothymic is both a blessing and a curse. The blessing is that we know what condition we're dealing with, the curse is that when we research the disorder we find that it usually gets mentioned as a brief paragraph in BP literature that states that cyclothymia is "mild bipolar"... extremely frustrating!!!
Alec7- Just wanted to say hello and a couple of things to you. First, I am SO happy for you that you received your diagnosis in your 20's. While you may have mixed feelings about that, I, like Fireandrain, was not diagnosed until my 40's. After our diagnoses, we had to wrestle with the thoughts of "oh, why didn't I find this out sooner? my life could have been SO different!" So you're very lucky in the respect that you have a name for the beast at a relatively young age and can move on to acceptance and management without having lost decades to an unmanaged condition. As far as medication goes, it varies from person to person, as we each have different body chemistry. Some can manage homeopathically with vitamins and supplements, exercise and diet; others need medications. I lived for many years with a relatively healthy lifestyle and my condition was wildly out of control. I am one of the individuals that NEEDS the medication.
Also, after having read up on BP, the literature states over and over that individuals with BP notoriously self-medicate (in my case, it was alcohol). In addition to needing the medication, I had to completely delete alcohol consumption from my life. I went through my adult life just believing I was just drinking to relax (not medicate myself from a disorder) and have a long history of binge drinking. What I did not realize is that drinking was actually introducing a poison into my system that made me totally manic when under the influence (I just thought I was a binge-drinker who did a lot of stupid stuff when drunk, usually involving sex). Alcohol (and pot, but I don't use that), in the BP person, literally causes a negative chemical reaction that can induce mania. Don't know if alcohol is part of your life, but just wanted to mention it since it is one of the parts of the equation I had to alter to keep my condition managed.
As far as meds, I am on Prozac 40mg (an SSRI anti-depressant), Trileptal 600mg (a mood stabilizer), Revia 50mg (controls impulse to drink alcohol), and Seroquel 50-100mg as needed (an anti-psychotic/neuroleptic) for racing thoughts at night. I need the prozac to control the depression/anxiety, and the mood stabilizer to keep a balance (I have sustained depression with occurrances of mixed episodes...high and low all at once... basically makes you feel like you're going to explode). So this is the combo that's working for me. I am also taking vitamins and supplements to boost my seratonin and GABA (2 of the 4 brain chemicals).... the psy meds corrected my dopamine deficiency, so I'm trying to manually boost the others. I also try to stay physically active (a challenge at times because I'm fitness-minded, but a bit lazy at times) and eat a balanced diet. I can't attribute my feeling good to one specific thing (tho the mood stabilizer helped immensely), but between the meds, supplements, and lifestyle, I am feeling MUCH better (at least not feeling like I'm spinning out of control).
So you have a lot of options. I would advise not ruling any of them out until you try each. Thus far you're unmedicated. Are you living an otherwise healthy lifestyle? If not, maybe adjust exercise and diet and see if that works (may be able to live without the meds). If that doesn't seem to work, then maybe give meds a go. Everything is worth a try. And if you give meds a try, know that you need to give it time. Each med will need to get into your system and be stepped up to the "treatment dosage" (the dose where you feel maximum benefit) before you give it up and move to the next med. This frustrates many people (me included), but you have to hang in there and try combo after combo until you hit upon a med that brings you enough relief with side effects at a level you can live with them. Every med has side effects. EVERY MED. So keep that in mind. The key is deciding whether the side effects are tolerable or not... and only you can decide if the benefits outweigh the drawbacks.
As far as trusting your psy doc... trust his/her medical and pharmaceutical knowledge. I've been to some good ones, and some that you felt like a head of cattle being run through a medicine mill. While I've trusted all of their medical knowledge (since they have schooling that I do not), the ones I've felt most comfortable with were ones that I could tell were actively listening as I spoke.... and you can tell when someone's listening or just nodding their head at you. For me, if they listen, I open up and tell them everything. Telling them everything is important... they can only give meds that address issues that you're telling them about... if you hide things, they're treating you without the benefit of all that is really going on with you.
Anyhow, that's my 2 cents (err...50...lol). Do try to hang in there. While there's not many of us in this forum chatting back and forth, we ARE here and we DO understand. Talking to one another really does help. Please do come back and keep us updated.... we're pulling for you
-Koshka