Talk:Euthymia (medicine)

A fact from Euthymia (medicine) appeared on Wikipedia's Main Page in the Did you know column on 17 July 2018 (check views). The text of the entry was as follows:

Did you know... that euthymia, a state of internal calm and contentment, is a goal of psychiatric intervention?

A record of the entry may be seen at Wikipedia:Recent additions/2018/July. The nomination discussion and review may be seen at Template:Did you know nominations/Euthymia (medicine).

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why

why does this page exist? --Lafuerzasindical 08:31, 22 Jun 2004 (UTC)

I can't imagine... I always thought Euthymia is a Greek name. My sister's name is a variation of this name. Alensha 15:08, 24 Jun 2004 (UTC)

The word meaning basically "in a fair or normal mood" would not make it a bad name. I have heard of girls named "hope" and "faith" that I would consider to be similar names. Its not a bad thing. Names often mean the same thing as something else within our vocabularies.

I think this page exists so that when a normal person gets a copy of a medical report that claims they're "euthymic," they can figure out what the doctor means instead of panicking about having some fatal disease. WhatamIdoing (talk) 22:57, 11 January 2008 (UTC)[reply]

How is euthymia distinguishable from normal states of emotion in people without diagnosis of BPD or the like? A citation or elaboration would be appreciated -ScorpionSquadron 21:18, 31 Mar 2020

I don't know how to complain about this, but I find it a very disturbing rendering of people with bipolar disorder. The authors cited regarding the claim in the first paragraph that people with bipolar disorder are never "normal" is explicitly made in their article: "However, considerable fluctuations in psychological distress, often subsumed under the rubric of subclinical or residual symptomatology, were recorded in studies with longitudinal designs, suggesting that the illness is always active, even though its intensity may vary. Such findings are consistent with the socioeconomic, psycho- social and clinical deterioration in these patients". This is an opinion based on specious science, and says more about the treatment of the patients in question than it does about the nature of bipolar disorder — Preceding unsigned comment added by 2407:7000:9DCB:A296:4C91:5349:C816:AC37 (talk) 05:27, 24 April 2020 (UTC)[reply]

We are never “normal” ,that’s why . Reaching and staying in euthymia , is the goal for the bipolar patient . 94.227.57.160 (talk) 18:43, 19 May 2022 (UTC)[reply]

removing unsupported claim: mood vs. cognition

On March 1st 2024 I removed an unsubstantiated claim that euthymia is "distinguishable from the state of neurotypical people" since the cited article by Fava & Bech (DOI: 10.1159/000441244)^[1] does not support it. Fava & Bech make a claim which may appear superficially similar: "...fluctuations in psychological distress, often subsumed under the rubric of subclinical or residual symptomatology, were recorded in studies with longitudinal designs, suggesting that (bipolar) illness is always active..." However, Fava & Bech go on to state: "It is thus questionable whether subthreshold symptomatic periods truly represent euthymia or are simply a part of the manifestations of bipolar illness."

The authors aren't saying that euthymia is an abnormal mood state, and nowhere in the article is such a claim made. Rather, the authors are suggesting that bipolar people may never truly be euthymic. Instead of claiming that bipolar euthymia is "distinguishable from the state of neurotypical people", Fava & Bech are implying the opposite - that having subthreshold symptoms indicating continued presence of bipolar disorder negates the label of euthymia.

~

If you want this writer's take: neurocognitive differences between people diagnosed with BD and neurotypical people likely exist regardless of mood state.^[2] These neurocognitive differences cannot be boiled down to the mood state itself. Yet bipolar disorder is a mood disorder. That makes it definitionally different from a neurodevelopmental disorder like ADHD or ASD. We may, in the future, conclude that most people with bipolar have an underlying neurodevelopmental disorder which shapes the etiology of their mood disorder. But at this time in psychiatry, the bipolar model blames abnormal mood states for differences in cognition, not the other way around. To state baselessly that euthymia is a neurodivergent mood state further deepens the bipolar model's emphasis on mood state as the primary source of pathology, when we have a wealth of evidence that people diagnosed with bipolar disorders show wide-ranging differences in learning, thinking, social cognition, etc. ^[3]^[4]

Livin270 (talk) 18:30, 1 March 2024 (UTC)[reply]

I am planning to somewhat revamp this page considering the themes touched on above which appear throughout the two papers by Fava as well as other sources I've found.

Multiple competing definitions of euthymia appear to exist in psychiatry at this time and I'd like to see the page reflect a more comprehensive overall definition without conflating mood with other forms of cognition.

Collecting sources here for future project:

Rocha PM & Correa H (2018) "Is it time for psychiatry to discuss consensus criteria for euthymia? Clinical, methodological, research, and ethical perspectives" https://doi.org/10.1590/1516-4446-2018-0221

Samalin et al. (2016). Euthymia is not always euthymia: Clinical status of bipolar patients after 6 months of clinical remission. https://doi.org/10.1590/1516-4446-2018-0221

Gul A & Khan K. (2014) Emotion regulation strategies can predict task-switching abilities in euthymic bipolar patients. https://doi.org/10.3389/fnhum.2014.00847 Livin270 (talk) 19:59, 29 October 2024 (UTC)[reply]

use of "euthymia" beyond mood disorders

On October 28 2024 I removed an uncited and unsubstantiated claim that "Euthymia is also the “baseline” of...borderline personality disorder (BPD) and narcissistic personality disorder (NPD)". I didn't find any strong evidence of "euthymia" being a noteworthy concept directly relating to personality disorders or any other disorders beyond mood disorders, aside from incidental use, always involving the comorbidity of personality disorders with mood disorders. ^[1] The only scholarly source using "euthymia" in BPD was using it more as an emotional state/fleeting mood state rather than a stable mood state... much less a "baseline" one. ^[2] Keep in mind given the links between dysthymia and BPD/NPD that not everyone's "baseline" is a positive or healthy mood state... Sometimes in psychiatry, the person is trying to move away from or change their baseline.

However if anyone wants to expand this article to cover the use of "euthymia" in other psychiatric contexts, feel free. I recommend adding a new section and utilizing the sources I've cited here. Livin270 (talk) 04:52, 28 October 2024 (UTC)[reply]

[1] ttps://karger.com/pps/article-pdf/85/1/1/3481068/000441244.pdf

[2] ttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968641/

[3] ttps://pmc.ncbi.nlm.nih.gov/articles/PMC4424179/

[4] ttps://journals.sagepub.com/doi/full/10.1177/0004867420924109

[5] ttps://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2021.608271/full

[6] ttps://pmc.ncbi.nlm.nih.gov/articles/PMC8220090/

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