How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17543
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I have thought a couple of years since my divorce

Customer Question

I have thought for some a couple of years since my divorce that i may have cyclothymia. I now see my life and moods more clearly without an outside influence.A number of females in my family have depression and i myself had post natal depression and other bouts in the past.I have made an appointment this morning with my gp to discuss it. When'up' i can get so much done not needing much sleep and people think im amazing but like now 'down' i feel lonely lack confidence and feel guilty seeing everything in my past as failure although i have a profitable business and two happy successful grown up kids-i do have friends and family but i can go hermit like !.Can i get help??
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
Hello from JustAnswer.
Are you asking what help is available for this problem?
Or are you asking whether you can be prescribed medicine through this site?
Customer: replied 1 year ago.

I am asking what help is available and has proven to be most successful medication or CBT for example?I understand that whilst difficult fer me it must be also so difficult for those around me

Expert:  Dr. D. Love replied 1 year ago.
There are several treatment options for treatment in this situation.

The interventions that are most often used are medicines that are called mood stabilizers, because they can help diminish the upwards and downwards swings in mood. There are several that have been shown to be helpful, including lithium, valproic acid, carbamazepine, and lamotrigine. It is worth noting that several of these are anticonvulsants, if you were to look them up in a drug reference book or website, but they have also been found to be helpful as mood stabilizers. The medicine that is considered the first line medicine is lithium, as it has more years of study supporting its use, but the other medicines are increasingly being used.

For someone with more persistent symptoms, stronger medicines, such as some of the newer antipsychotics, have been shown to help with mood disorder, so also can be tried. Commonly used medicines include olanzipine, risperidone, and quetiapine.

It is also true that counselling, including CBT, is frequently used. It is more difficult to perform a study to prove the magnitude of the benefit of counselling, but many patients certainly say that it is helpful. The current life situation of each patient also may be considered when deciding upon whether to seek counselling, rather than making that decision based solely on the diagnosis.

So, the usual first step would be a mood stabilizer, either with or without counselling.

If I can provide any further information, please let me know.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions