Euthymia (medicine)

The term euthymia is derived from the Greek words eu and thymos . The word “thymos” had four meanings: life energy, feelings/passions, desire/will, and thought/intelligence; and was also tied to the social dimension e.g. seeking honor from others. The verb form "euthymeo” meant both “I am happy, in good spirits” and “I make others happy, I reassure and encourage”. Democritus, who coined the philosophical concept of euthymia, said that euthymia is achieved when "one is satisfied with what is present and available, taking little heed of people who are envied and admired and observing the lives of those who suffer and yet endure". This was later amended in the translation given by the Roman philosopher Seneca the Younger in which euthymia means a state of internal calm and contentment. Seneca was also the first to link the state of euthymia to a learning process; in order to achieve it, one must be aware of psychological well-being. Seneca’s definition included a caveat about detachment from current events. Later, the Greek biographer Plutarch removed this caveat with his definition which focused more on learning from adverse events. == History ==

In 1958, Marie Jahoda gave a modern clinical definition of mental health in the terms of positive symptoms by outlining the criteria for mental health: "autonomy (regulation of behavior from within), environmental mastery, satisfactory interactions with other people and the milieu, the individual’s style and degree of growth, development or self-actualization, the attitudes of an individual toward his/her own self". In her definition she acknowledged the absence of disease as being necessary, but not enough, to constitute positive mental health, or euthymia. A number of other scales, such as the WHO-5, PWB, AAQ-II, CIE, have been developed to also measure the positive side of euthymia. Macro-analysis and micro-analysis are techniques used by clinicians to combine the assessments of psychological well-being and distress. Using both fields may offer more insight into the planning of treatment: for example, well-being therapy (WBT) can be used to help a patient self-observe and increase periods of well-being, while cognitive behavioral therapy (CBT) can be used to target distress. Other therapies that focus on aspects of well-being include mindfulness-based cognitive therapy (MBCT), acceptance and commitment therapy (ACT) which focus on flexibility, and the less-proven Pedasky and Mooney's strengths-based CBT and forgiveness therapy. A few clinical trials have been done using a sequential model, where patients who have responded to antidepressants are tapered off the drug and then given a combination cognitive-wellbeing therapy. Although the results have been impressive with regard to relapse rates, it is unclear how much is due to this added well-being component. In a different trial setup, anxiety patients who have responded to behavioral theapy and mood disorder patients who have responded to medication are assigned to either CBT or WBT for residual symptoms. While both achieved a significant reduction of symptoms, WBT provided more benefit in terms of observer rating and PWB scores. WBT may also be applicable to cyclothymic disorder. MBCT seem to be an effective add-on to treatment-as-usual in treatment-resistant depression. == See also ==