Kindly advice me on bipolar affective.

Hello,

Welcome to icliniq.com.

Tell me one thing, since how long you have these thyroid nodules? Because some times symptoms of anxiety and restlessness might be due to hyperthyroid state. Is there any family history of any such kind of illness? Is there any change in functioning, sleep or appetite habit? In cyclothymia, there is an alternative period of depression and mania, but none of them is in full symptomatology, which means your functioning is not affected, but you can have distinctive period of euphoria and depression. Take a healthy diet, avoid junk foods, have proper sleep, do moderate exercise, follow relaxation technique, yoga and meditation may help you. Thank you.

Hello,

Welcome back to icliniq.com.

In bipolar affective disorder, there are two-phases manic and depressive. In a manic episode, there is a distinct period of elevated mood, distractibility, over-talkativeness, increased activity, decreased need for sleep, and high self-esteem for at least seven days. In depression low mood, sadness, decreased interest, fatigue, low concentration, the idea of self-harm, guilt and sleep problem for at least two weeks. To diagnose one with some bipolar, he should have these two. While cyclothymia is a milder form of bipolar affective disorder having episodes of hypomania and mild depression for two years. I think in your case there were never manic symptoms presented, and it is unlikely to have bipolar or cyclothymia. One more fact is, there is a strong association between thyroid and depression or anxiety. Thank you.