There are just an overwhelming number of posts under both the cyclothymia and quetiapine tags which bring me down. They’re sad and hard, about medication not working, uncontrollable mood swings, depression, side effects, social deprivation.
So I thought I’d tell my story, for a little bit of hope.
To start - I am a 32 year old woman from Aotearoa New Zealand. The psych who diagnosed me with cyclothymia six months ago suggests that I’ve been experiencing symptoms for about 20 years - since puberty. I’ve been diagnosed with depression, anxiety, chronic fatigue and ADHD. None of these were correct.
Cyclothymia is a mood disorder in the same family as bi-polar. It means I experience depression and hypomania. My highs aren’t as high and my lows aren’t as low as bi-polar 1 or 2, and I’m on a shorter cycle - generally my depressive episodes last 2-4 weeks, and mania 2-5 days. There is nothing else, just the rollercoaster.
I take 250mg of quetiapine each evening for two reasons. First to even out those mood swings. My depression becomes closer to even keel, and on top of the medication can be managed by actions - fresh food, fresh air, time with people I love, routines to make it easier to get out of bed and maintain a hygiene routine. My mania is less effected, but the most important thing for me is that I’m aware that I’m manic - it makes it much easier to ensure I don’t over-commit myself (which screws me over when the fog descends).
The second reason I medicate is the long term impact of unmanaged cyclothymia. In this sense, it can be thought of like pre-diabetes. Not a guarantee you’ll develop the disease - in my case the much more harmful bi-polar 2 - but if you are careful you can squash that possibility. The more I actively manage my condition, the less likely disorder evolution is.
Sure, I experience some side effects. Orgasm is a little more difficult. I have such a dry mouth some morning it sounds like I’m slurring. Getting up in the morning is hard, but let’s be honest, getting up in the morning when you’re depressed isn’t exactly a picnic.
Over all, after 6 months of medicating? My life is measurably better. I’m better able to spend time maintaining relationships. My overall sex drive is more consistent. I don’t feel like I’m racing ahead and everyone round me are idiots who can’t keep up with my train of thought. I don’t over-commit one day, to under deliver the next. In 6 months, I haven’t once thought I don’t actively want to die, but wouldn’t it be easier for everyone if I never existed?
I’m a better friend, partner, colleague. I’m more me. I play piano and sew dresses I’ll never wear and read absolute trash romance novels. I collect vinyl - I order an album and anticipate it’s arrival, not forget in a fog. I can budget, because I can find happiness in more than just consumerism and an endless cycle of couriers.
It’s not for everyone, and it’s not everything. I still need to take a walk, plan my week, make more of an effort than neurotypical folk. On recommendation, because 2023 is going to be a landmark year for me, I’m starting cognitive behavioral therapy so I have more tools when life gets more intense.
But I wouldn’t go back.














