Cyclothymic disorder

Recognize the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria for bipolar disorder as well as the subtypes of bipolar I disorder, bipolar II disorder, and cyclothymic disorder. 

Bipolar disorder can be conceptualized as a continuum or spectrum of mood disorders and is not comprised solely of bipolar I disorder.9 They include four subtypes bipolar I (periods of major depressive, manic, and/or mixed episodes) bipolar II (periods of major depression and hypomania) cyclothymic disorder (periods of hypomanic episodes and depressive episodes that do not meet all criteria for diagnosis of a major depressive episode) and bipolar disorder, NOS. The defining feature of bipolar disorders is one or more manic or hypomanic episodes in addition to depressive episodes that are not caused by any medical condition, substance abuse, or other psychiatric disorder.1... 

Cyclothymic disorder is a chronic mood disturbance generally lasting at least 2 years (1 year in children and adolescents) and characterized by mood swings including periods of hypomania... 

I and depressive symptoms. Hypomanic symptoms include inflated self-esteem or grandiosity (non-delusional), decreased need for sleep, pressure of speech, flight of ideas, distractibility, and increased involvement in goal-directed activities, not causing severe impairment in social or occupational functioning or requiring hospitalization. Psychotic features are not found in cyclothymic disorder.1... 

The Diagnostic and Statistical Manual of Mental Disorders, 4th ed., text revision, classifies bipolar disorders as (1) bipolar I, (2) bipolar II, (3) cyclothymic disorder, and (4) bipolar disorder not otherwise specified. Table 69-3 defines mood disorders by type of episode. Table 69-4 describes the evaluation and diagnostic criteria for mood disorders. 

Bipolar disorder, type llc Dysthymic disorder Cyclothymic disorder ... 

Patients with cyclothymic disorder have a 15-50% risk of later developing a bipolar I or II disorder. 

The mood disorders were once called affective disorders and are grouped into two main categories unipolar and bipolar. The unipolar depressive disorders include major depressive disorder and dysthymic disorder the bipolar disorders include bipolar 1, bipolar II, bipolar not otherwise specified, and cyclothymic disorder. Other mood disorders are substance-induced mood disorders and mood disorders due to a general medical condition. In addition, mood disturbance commonly occurs as a symptom in other psychiatric disorders including dementia, post-traumatic stress disorder, substance abuse disorders, and schizophrenia. 

Bipolar Syndromes. There are three distinct bipolar syndromes described in DSM-IV BRAD I, BRAD II, and cyclothymic disorder. The most severe subtype, BRAD I, is comprised of episodes of mania and/or depression. BRAD II, in contrast, is defined by episodes of hypomania and/or depression. BRAD II is arguably the most difficult to distinguish from the mood instability of patients with Cluster B personality disorders. Cyclothymic patients fluctuate between phases of hypomania and those of mild depression reminiscent of dysthymia. Although the symptoms of cyclothymia produce significant morbidity and impairment, the disability falls far... 

Cyclothymic disorder— An illness in which there are many hypomanic episodes and many periods of depression during a period of time lasting at least two years. 

Major depressive disorder, single episode Major depressive disorder, recurrent Bipolar disorder, type P Bipolar disorder, type lb Dysthymic disorder Cyclothymic disorder ... 

Cyclothymic disorder Persistent mood disturbance lasting at least two years, must not be without for two months, less severe than bipolar... 

According to the DSM-IV, clients with a diagnosis of cyclothymic disorder have milder experiences than those who suffer from bipolar disorders although the symptoms are more consistent and last for approximately two years. In order to be diagnosed with cyclothymic disorder, the client s history must indicate that he or she has not been without hypomanic and depressive symptoms for a period of two months (American Psychiatric Association, 1994) a client with a major depressive episode only should not be diagnosed as cyclothymia. 

Cyclothymic disorder A form of depressive disorder typified by mood swings, hypomania and depression. In this mental disorder clients have... 

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