How to manage mood swings in a female?

Question

Hello doctor,

I am a 36-year-old woman struggling with mood swings. Some days, I feel low and hopeless, while on other days, I am full of energy. My psychiatrist mentioned that it could be bipolar depression.

I am afraid of taking mood stabilizers because I have heard that they can cause weight gain. I would like to know:

Are there newer medications that have fewer side effects?
Can therapy be effective when used in conjunction with medication?
Can hormonal changes during my menstrual cycle make the symptoms worse?

Please explain how women can manage this condition while still leading a balanced, everyday life.

Thank you in advance.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand that it must have been difficult for you to manage the depressive symptoms. Your therapist has diagnosed you with bipolar depression, but I advise you to undergo a re-evaluation. Mood swings can also occur as part of borderline personality disorder (BPD), a mental health condition characterized by emotional instability, impulsive behavior, and difficulty maintaining relationships.

Effective medications and psychotherapy are available for bipolar depression (a mood disorder that causes alternating episodes of depression and elevated mood or mania). You may consider Lurasidone (an atypical antipsychotic that helps stabilize mood and is generally weight-neutral) along with cognitive behavioral therapy (CBT). CBT is an evidence-based psychological treatment that helps individuals identify and change negative thought patterns and behaviors. It is most effective when continued for long-term benefits.

Hormonal changes during the menstrual cycle can affect bipolar disorder and may trigger a relapse or worsening of symptoms. In addition to medication and psychotherapy, lifestyle modifications can support recovery. However, they are not a substitute for medical or psychological treatment.

Helpful lifestyle changes include taking an evening walk, reducing caffeine or other substance use, involving family members in stress management, and addressing maintaining factors such as interpersonal conflicts.

Other conditions that can worsen mood symptoms, such as thyroid dysfunction (abnormal thyroid hormone levels), anemia (low hemoglobin levels), iron deficiency, vitamin B12 deficiency, and vitamin D deficiency, should be screened for and corrected if present.

If you have any further questions, please feel free to ask.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.