Cyclothymic Disorder: Symptoms, Causes & Management
Definition
A chronic mood disorder with numerous periods of hypomanic symptoms and depressive symptoms that do not meet full criteria for bipolar I/II or major depression. Symptoms persist for ≥2 years (1 year in adolescents).
Symptom Clusters
Hypomania (≥2 days)
- Elevated/expansive mood
- Increased energy/activity
- Pressured speech, racing thoughts
- Decreased need for sleep
- Impulsivity, risk-taking
- Inflated self-esteem
Depression (≥2 days)
- Sadness, hopelessness
- Anhedonia
- Appetite/sleep changes
- Fatigue, poor concentration
- Worthlessness, guilt
- Suicidal ideation
Treatment
- Psychotherapy (CBT, interpersonal, psychoeducation).
- Mood stabilizers (lithium, lamotrigine, valproate) or atypical antipsychotics.
- Antidepressants used cautiously (risk of switching).
Outlook
With treatment, many achieve symptom control and functional improvement. Ongoing monitoring is essential.
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