You don't have dramatic episodes. You're not hospitalized. You don't go on spending sprees or lose contact with reality. So you tell yourself you don't have a real mood disorder — you're just "up and down," emotional, sensitive, hard to read. But if your mood cycles in a recognizable pattern — weeks of feeling energized, sharp, maybe slightly impulsive, followed by periods of low mood, withdrawal, and exhaustion — that's not a personality quirk. That's a clinical pattern called cyclothymia. And it's worth understanding, because living inside that cycle without a name for it is genuinely disorienting. You can be doing well and still feel like you can't trust yourself, because you know the crash is coming. Sindhia Shyras, APRN at Elite Health LLC helps people in Vernon and across Connecticut finally make sense of what's been happening — and build something more stable.
Cyclothymia is a mood disorder characterized by cycling between hypomanic symptoms — elevated mood, increased energy, less need for sleep, faster thinking — and depressive symptoms, over a period of at least two years. The highs don't reach the level of full mania, and the lows don't meet full criteria for major depression. But the cycling itself is real, and it affects your life in concrete ways. Relationships are hard to sustain when your energy and mood shift so unpredictably. Work performance fluctuates. You may feel like a different person depending on the week. Cyclothymia is sometimes the precursor to a bipolar diagnosis — but it's also its own distinct condition that deserves its own treatment approach.
Most people with cyclothymia don't seek help during their "up" periods — those feel fine, sometimes even great. They come in during the low phases, get assessed for depression, and may get treated for it in isolation. If an antidepressant is prescribed without mood-stabilizing consideration, it can sometimes accelerate cycling. That's not the prescriber's fault — it's what happens when only part of the picture is visible. A full psychiatric evaluation that tracks your mood over time, asks about your "up" periods as well as your lows, and looks at the cycling pattern is what gets you to the right diagnosis. That's the evaluation Sindhia does.
Treatment for cyclothymia often involves mood stabilizers or other medications that address the cycling itself — not just one end of it. Sindhia approaches this carefully, because what you need is a foundation, not just a floor. She also works with you on recognizing your own patterns, understanding your warning signs, and building a long-term relationship with care that responds when things shift. Telehealth appointments are available statewide — Vernon is covered, easily. Or come in person to 1 Liberty Sq, Suite 301, New Britain. Insurance accepted: Aetna, Cigna, Husky Health, Medicaid, United Healthcare, Anthem, ConnectiCare. Self-pay welcome.
Serving Vernon, CT and all of Connecticut via telehealth.
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