Hello, Coko! I notice from your profile you are carrying a number of different diagnoses, and dysthymia is the most recent, yes? Do your medications predate the dysthymia diagnosis?

In general, I think you will get the best coping/managing results by considering the whole range of your challenges, including other medical issues (if any) and life situation.

Oh, does your doctor know about the mood swings? Is this a primary care doctor or a specialist (psychiatrist)?