Pathways to Healing Lung cancer starts in the lungs but can spread to other regions of the body. While there is no single cure, there are different treatment options that can be used. In this article, we will look at treatment options, as well as symptoms of lung cancer Roughly 1 in 16 Americans will be diagnosed with lung cancer. While smoking can increase the likelihood of getting a diagnosis, non-smokers are not exempt from this condition. There are many different causes of lung cancer, and people of all ages can be diagnosed. Unfortunately, there is no specific cure for lung cancer. Beating cancer is a little more complicated than taking a few pills or going to a doctor’s office. The disease is more serious and requires more intense intervention techniques. Different Lung Cancer Treatment Options Depending on the progression of the cancer and the patient's general health, a physician may recommend several treatment options. Know that with all treatment options, there is a risk of harsh side effects and a chance that the treatment does not work. Still, these are the best options when it comes to defeating lung cancer, with increased chances of success in cases of early detection. Treatments can be used in combination with one another, or as a standalone option depending on the particular case. Chemotherapy Chemotherapy has been one of the most common treatment options for a long time. It works by using strong chemicals that target rapidly dividing cells. When introduced into your body, chemotherapy drugs will attack all rapidly dividing cells. Unfortunately, these drugs cannot differentiate between cancer cells and healthy cells that just happen to be dividing. The side effects of such treatments can be unpleasant, but most reverse when the treatment ends or can be reduced during the treatment. Common side effects include: Nausea/vomiting. Hair loss. Mouth sores. Pain. Bowel disturbances (diarrhea/ constipation). Loss of appetite. Bruising easily. [youmaylike] Harsher and potentially permanent side effects include: Organ damage (heart, lung, kidneys). Nerve damage. Infertility. Heightened risk of a second cancer. Side effects will also vary depending on the type of drug that is used in your treatment and the way you “take in” the drug. The most common chemotherapy drugs for lung cancer include the following: Afatinib. Bevacizumab. Ceritinib. Crizotinib. Erlotinib. Chemotherapy for lung cancer can be done in the following ways: Injected: Most often this is administered through infusions (IV) but can be given through shots. Implanted: Thin wafers containing the drug can be inserted directly into the site of a tumor or surgery. Pills: Pills and capsules containing the drug are sometimes available. Radiation Radiation is another treatment method. Radiation therapy uses beams of energy to damage cells in targeted regions of the body. The intense energy beams aim at precise locations in the body and damage the cells in that region. While this, unfortunately, means that healthy cells will also be attacked, they are often able to “bounce back” from the damage where cancer cells will be killed. As it is a targeted treatment, side effects are often limited to the region in which the treatment was applied. This means that patients can expect skin problems in the area of application as well as fatigue; these are mostly short-term side effects. Specific side effects characterized by treatments aimed at the chest include: Breast soreness. Stiff shoulders. Difficulties swallowing. Respiratory problems. Radiation fibrosis (permanent lung scarring). There is a low chance of developing long-term side effects, such as the development of a second cancer, as an effect of radiation exposure. Surgery If the cancer is caught early enough, then it can be treated by removing the cancerous tissue at the initial site. The operation can only be successful if the cancer has not yet spread to other regions of the body. The side effects of this treatment will depend on the depth of the removal, the nature of the removed tissue, and its size. For example, removing a tiny bit of the lung will not be as hard to recover from as removing a large piece. Other Lung Cancer Treatment Options Other treatments are being developed that aim to keep the effectiveness of chemotherapy and radiation treatments without the harsh side effects. While some remain experimental, recently emerging treatments, such as immunotherapy, offer the potential to battle lung cancer. Talk to a licensed care physician to get the most valuable recommendations on which cancer treatment is right for you. Everybody has a different experience and treatments are decided on a case-by-case basis.
Cyclothymic Disorder: A Mood Disorder
The cyclothymic disorder, also known as cyclothymia, is a mood disorder milder than bipolar I or II. It is characterized by a successive series of hypomania and depressive lows. The highs and lows are mild, with the depressive lows never reaching major depression and the hypomania never culminating in actual mania.
However, since all mental illnesses are on a continuum, cyclothymia may also range from normal mood variations to severe functional impairment because of the disorder. Individuals with cyclothymia are at risk of developing bipolar or other severe mood disorders if they cannot manage the condition properly with the help of a doctor.
The high and low periods are irregular and unpredictable. The low periods may last several days or weeks, but the person may experience normal moods for more than a month between the high and low.
Symptoms of Cyclothymic Disorder
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) categorizes cyclothymia’s symptoms into depressive and manic symptoms.
Depressive related symptoms may include:
- Aggressiveness
- Changes in appetite
- Chronic fatigue or low energy
- Feelings of worthlessness and guilt
- Inattentiveness and forgetfulness
- Irritability
- Insomnia or hypersomnia without fatigue
- Weight changes
- Low libido
- Tearfulness, sadness, or feeling empty
- Loss of interests in things that were once enjoyed
- Poor concentration
- Suicidal thoughts
The manic symptoms of cyclothymia may include:
- Extremely combative
- Extreme optimism
- When talking, they speak fast and excessively
- Having little or no sleep for days (without feeling tired)
- Hypersexuality
- Increased anxiety
- Inflated self-esteem
- Irregular sleep cycle
- Lack of focus
- Racing thoughts
- Poor judgment and risky behavior
- High drive and a strong desire to achieve goals
- Restlessness and hyperactivity
Causes of Cyclothymic Disorder
The underlying causes of the cyclothymic disorder are unknown. However, there is a heredity aspect of it since it may run in families. Cyclothymia may also result from negative neurological changes of the brain caused by:
- Alcohol use disorder
- Stroke
- PTSD
- Alzheimer disease
- Migraines
- Brain aneurysm
- Concussion
- Multiple sclerosis
Cyclothymic Diagnosis
In the diagnosis of a cyclothymic disorder, your doctor may:
- Perform a physical exam which may include a lab test to find an explanation of your symptoms.
- Undertake a psychological evaluation, which entails talking about your thoughts and how they affect your feelings and behavior. The doctor may engage your family members and close friends to discuss your behavior but only with your express consent. Your doctor may also ask you to fill out a self-assessment questionnaire.
- Your doctor may require that you keep a journal recording your mood and sleep patterns.
According to the DSM-5, you may have cyclothymia if your doctor discovers that you have:
- Periods of elevated mood and depressive episodes lasting two years for adults and one for children and teens.
- You’ve not had a stable mood for periods not exceeding two months.
- Your symptoms significantly affect your social life, work, or school.
- There is no other explanation for your symptoms (such as substance abuse).
- Your symptoms do not meet the criteria for bipolar, depression, or other mental disorders.
Cyclothymic Disorder Treatment Options
People with cyclothymia need full-time medication to manage their condition, primarily because of the risk that the disease may progress into bipolar disorder if not treated. Whereas there is no medication specifically to treat cyclothymia, your doctor may rely on treatments used to treat other conductions such as:
- Anti-anxiety medication
- Antidepressants such as Prozac, Paxil, or Zoloft
- Anti-epileptic medication
- Anti-seizure meds
- Avoid alcohol and substance use or abuse
- Mood stabilizers such as lithium or lamotrigine
- Atypical antipsychotic medication
These medications can help manage the symptoms of the disorder and prevent the hypomanic and depressive cycles.
Cognitive-behavioral therapy (CBT) is another treatment option. Your doctor may recommend CBT combined with medication. It focuses on identifying negative thought patterns that lead to behavioral problems. CBT also imparts mechanisms to cope with stress. CBT is an effective form of psychotherapy that allows the patient to identify, avoid, or cope with triggers.
The other psychotherapeutic option is interpersonal and social rhythm therapy (IPSRT). IPSRT supports the patient to achieve a daily rhythm of activities such as sleeping, waking up, and mealtimes. A predetermined and consistent routine is one way of guaranteeing a better mood. Your therapies may also recommend physical exercises and diet or connect you to a professional.