Cyclothymia :Causes-Symptoms-Diagnosis-Treatment

 What is Cyclothymia (cyclothymic disorder)?

Cyclothymia, or manic-depressive psychosis disorder, is commonly thought of a milder and chronic kind of manic-depressive psychosisive disorder|emotional disorder|emotional disturbance} (previously called manic-depressive disorder). folks with manic-depressive psychosis experience cyclic “high” and “lows” as depicted by massive swings in mood and energy levels that negatively affect their ability to function. These changes in mood will occur quickly and at any time. someone with cyclothymia typically experiences solely short periods of traditional mood.

What is Cyclothymia (cyclothymic disorder)?

Most people have been diagnosed with bipolar disorder (manic depressive disorder), wherever individuals experience cycles of highs and lows (mania and depression). But, what's cyclothymia (cyclothymic disorder)? manic-depressive psychosis may be a rare mood disorder that has similar characteristics of bipolar disorder, simply in a very milder and additional chronic form. If you're stricken by cyclothymia, you expertise cyclic highs and lows that are persistent for a minimum of 2 years or more. With manic-depressive psychosis disorder, your lows are a gentle depression – not characteristic of full major depression. Your highs are classified as characteristic hypomania – a less severe kind of mania. throughout your highs, your mood elevates for a time before returning to its baseline. throughout your lows you are feeling gently depressed. In between your elevated and depressed moods, you are likely to desire yourself.

Everybody has their ups and downs, right? What distinguishes manic-depressive psychosis from regular mood swings? manic-depressive psychosis will increase your probabilities of developing manic-depressive psychosis (estimates vary wide from a 15% to 50% inflated risk of being diagnosed with bipolar disorder if stricken by cyclothymia) and your highs and lows interfere together with your existence functions and relationships – thus it’s essential to hunt treatment to induce a handle on the disorder before it becomes absolutely disruptive.

it's calculable that the speed of incidence of cyclothymia within the general population is between 0.4% to 1%, with it equally moving men and women. Women, however, are doubtlessly hunting for treatment. whereas the typical onset of the disorder happens throughout adolescence, its onset is systematically exhausting to identify. Risk of being stricken by Attention-Deficit/Hyperactivity Disorder, substance abuse, and sleep disorders are elevated among people suffering from manic-depressive psychosis disorder.

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Medical terms

  • Cyclothymia (sy-kloe-THIE-me-uh), also referred to as manic-depressive psychosis disorder, may be a rare mood disorder. manic depressive illness causes emotional ups and downs, however they're not as extreme as those in bipolar I or II disorder. With cyclothymia, your expertise amounts after your mood perceptibly shifts up and down from your baseline. you'll feel on prime of the planet for a time, followed by a coffee period once you feel somewhat down. Between these cyclothymic highs and lows, you may feel stable and fine. Though the highs and lows of cyclothymia are less extreme than those of bipolar disorder, it's crucial to seek to facilitate managing these symptoms as a result of they'll interfere along with your ability to perform and increase your risk of bipolar I or II disorder. Treatment choices for manic depressive illness embody medical aid (psychotherapy), medications and close, current follow-up with your doctor. 

  • Cyclothymia is a milder form of bipolar disorder People with cyclothymia have periods of depressive or hypomanic symptoms but these episodes are brief and do not cause as much disruption in the person's life as those experienced by people with severe depression or bipolar mania During an episode a person with cyclothymia may feel unusually productive creative energetic and optimistic to varying degrees but he does not go so far as to experience delusions or hallucinations or become suicidal These periods are often followed by periods of symptoms that resemble the low moods seen during major depression.

  • Cyclothymia is a type of mood disorder in which the person has episodes of hypomanic and depressive symptoms for several years The person may have periods of time when they are free from symptoms followed by symptom-free periods lasting anywhere from days to months Even though symptom-free the individual will continue to experience periods of depression and mania that vary in duration and severity While there are a number of effective medications for bipolar disorder cyclothymia often goes untreated or undertreated as its cause can be difficult to detect For this reason it is important that family members friends and individuals suffering from cyclothymia.

Symptoms Cyclothymia 

In cyclothymia, moods fluctuate from gentle depression to hypomania and back again. In most people, the pattern is irregular and unpredictable. Hypomania or depression will last for days or weeks. In between up and down moods, an individual might need traditional moods for quite a month -- or might cycle unceasingly from hypomania to depression, with no normal amount in between. Compared with a lot of serious mood disorders, the mood symptoms of cyclothymia are mild. Depressive symptoms in manic depressive illness ne'er reach the factors for major depression. Elevated mood never reaches the definition of mania. manic depression will straddle the road between psychopathy and traditional variations in mood and personality. Some folks with gentle symptoms are extremely no-hit in life, driven by their hypomania to specific individual talents. On the opposite hand, chronic depression and irritability can ruin marriages and skilled relationships. manic depression symptoms alternate between emotional highs and lows. The highs of cyclothymia include symptoms of an elevated mood (hypomanic symptoms). The lows accommodates mild or moderate depressive symptoms. manic depression symptoms are just like those of bipolar I or II disorder, however they're less severe. After you have cyclothymia, you'll be able to generally perform in your daily life, though not forever. The unpredictable nature of your mood shifts might considerably disrupt your life as a result of your ne'er skills you're about to feel.

Hypomanic symptoms

Signs and symptoms of the highs of cyclothymia may include:

  • An exaggerated feeling of happiness or well-being (euphoria)

  • Extreme optimism

  • Inflated self-esteem

  • Talking more than usual

  • Poor judgment that can result in risky behavior or unwise choices

  • Racing thoughts

  • Irritable or agitated behavior

  • Excessive physical activity

  • Increased drive to perform or achieve goals (sexual, work related or social)

  • Decreased need for sleep

  • Tendency to be easily distracted

  • Inability to concentrate

Depressive symptoms

Signs and symptoms of the lows of cyclothymia may include:

  • Feeling sad, hopeless or empty

  • Tearfulness

  • Irritability, especially in children and teenagers

  • Loss of interest in activities once considered enjoyable

  • Changes in weight

  • Feelings of worthlessness or guilt

  • Sleep problems

  • Restlessness

  • Fatigue or feeling slowed down

  • Problems concentrating

  • Thinking of death or suicide

When to see a doctor

If you have any symptoms of cyclothymia, seek medical help as long as possible. manic depressive illness usually doesn't bounce back on its own. If you're reluctant to hunt treatment, physical exercise and the courage to disclose to somebody who can assist you, take that initial step. If a dearest has symptoms of cyclothymia, speak overtly and honestly thereupon person concerning your concerns. You can't force someone to seek professional help, however you'll be able to provide support and help notice a professional doctor or mental state provider.

Suicidal thoughts

Although self-destructive thoughts could possibly occur with cyclothymia, they're additionally possible to occur if you have bipolar I or II disorder. If you're considering suicide right now:

  • Call 911 or your local emergency services number, or go to a hospital emergency department.

  • Call a neighborhood crisis center or suicide hotline range — within the United States, you'll decision the National Suicide bar Lifeline at 1-800-273-TALK (1-800-273-8255) or use the webchat at If you only can't create that call, reach somebody else — in real time — similar to your doctor, mental state provider, family member, friend or somebody in your religious community.

Causes Cyclothymia 

Many consultants say cyclothymia may be a terribly gentle type of bipolar disorder. Nobody is bound to what causes cyclothymia or bipolar disorder. biological science plays a role within the development of each of these disorders. individuals with cyclothymia are additional seemingly to possess relatives with bipolar disorder and vice versa.It's not acknowledged specifically what causes cyclothymia. like several psychological state disorders, analysis shows that it should result from a mixture of:

  • Genetics, as cyclothymia tends to run in families

  • Differences in the way the brain works, such as changes in the brain's neurobiology

  • Environmental issues, such as traumatic experiences or prolonged periods of stress

Risk factors Cyclothymia 

Cyclothymia is assumed to be comparatively rare. However, true estimates are laborious to form as a result of folks who are also unknown or misdiagnosed as having alternative mood disorders, comparable to depression. Cyclic disorder generally starts throughout the teen years or young adulthood. It affects an equivalent range of males and females.

Complications Cyclothymia

If you have cyclothymia:

  • Not treating it can result in significant emotional problems that affect every area of your life

  • There is a high risk of later developing bipolar I or II disorder

  • Substance misuse is common

  • You may also have an anxiety disorder

  • You may be at increased risk of suicidal thoughts and suicide

Is cyclothymia a serious mental illness?

Cyclothymia is low-level bipolar disorder a mental health condition in which you have mood swings that alternate between hypomania and depression The symptoms of cyclothymia include severe mood swings erratic behavior and time spent feeling overly energetic or extremely slowed down However many people with this disorder have no idea they have it because these symptoms are similar to those of other mental illnesses such as anxiety disorders and personality disorders While the condition is not considered serious when compared to other types of mental illness there can be significant negative consequences including health problems caused by stress – such as high blood pressure -- risk for suicide and.

What is the usual age of onset for Cyclothymic disorders?

People with cyclothymia develop symptoms between adolescence and early adulthood usually in their 20s A chronic mood disorder that is of lesser severity than bipolar I or II disorders it does not typically cause the periods of depression or mania associated with these illnesses Those affected may have multiple episodes of mild depression over a period of several years followed by several years during which they feel healthy They may spend months at a time thinking obsessively about disasters before they happen while at other times they become euphoric and grandiose.

Can cyclothymia be triggered?

Cyclothymia can be triggered even if you do not want it When you are in an emotionally charged environment your moods swing upward and then downward This can happen with or without your control Most people who suffer from cyclothymia have a genetic component that causes the disorder They might also have experienced physical and emotional trauma at some point in their life.

Does cyclothymia respond to antidepressants?

Cyclothymia is a bipolar disorder that includes periods of depression and hypomania If a person with cyclothymia takes antidepressants the drugs may trigger feelings of mania or worse depression in someone who doesn’t have bipolar disorder Medication management is necessary for people with major depression or cyclothymia to prevent these symptoms from occurring as well as treating them once they occur The right combination of antidepressant and mood stabilizer can alleviate symptoms without triggering any additional psychiatric conditions.

Prevention Cyclothymia

There's no certain thanks to forestall bipolar disorder. However, treatment at the earliest indication of a psychological state disorder can prevent cyclothymia from worsening. semi permanent preventive treatment can also help prevent minor symptoms from changing into full-blown episodes of hypomania, mania or major depression.

Diagnosis Cyclothymia 

If you're thinking that you would possibly be stricken by cyclothymia, request the assistance of your medical doctor or mental state supplier. Your doctor can doubtless perform a series of tests to form positive the causes of your depressive ANd hypomanic symptoms aren't thanks to an underlying medical condition or medication you're taking. Your mental health provider will perform a series of assessments to diagnose the prevalence of cyclothymia, with the final word designation being created based on your mood history. throughout your psychological evaluation, the doctor will raise concerning your case history of mood disorders and might ask you to complete a daily diary of your moods to point mood swings that occur throughout a typical day.Your doctor or alternative health care supplier should verify if you have got cyclothymia, bipolar I or II disorder, depression, or another condition that will be inflicting your symptoms. to assist pinpoint a designation for your symptoms, you'll doubtless have many exams and tests, that typically include:

  • Physical exam. A physical exam and lab tests may be done to help identify any medical problems that could be causing your symptoms.

  • Psychological evaluation. A doctor or psychological state supplier can speak with you regarding your thoughts, feelings and behavior patterns. you'll additionally fill out a psychological self-assessment or questionnaire. Along with your permission, relatives or close friends are also asked to supply data about your symptoms, adore potential hypomanic or depressive symptoms. 

  • Mood charting. To identify what's going on, your doctor could have you keep a daily record of your moods, sleep patterns or alternative factors that might facilitate designation and finding the correct treatment. 

Diagnostic criteria

For a designation of cyclothymia, the Diagnostic and applied math Manual of Mental Disorders (DSM-5), printed by the yankee medicine Association, lists these points:

  • You've had many periods of elevated mood (hypomanic symptoms) and periods of depressive symptoms for at least two years (one year for children and teenagers) — with these highs and lows occurring during at least half that time.

  • Periods of stable moods usually last less than two months.

  • Your symptoms significantly affect you socially, at work, at school or in other important areas.

  • Your symptoms don't meet the criteria for bipolar disorder, major depression or another mental disorder.

  • Your symptoms aren't caused by substance use or a medical condition.

Treatment Cyclothymia 

Medications and psychotherapy are the common treatment choices imposed to patients living with cyclothymia. Treatment is typically a chronic, womb-to-tomb process, with the aim to decrease your depressive and hypomanic symptoms and to decrease your risk of developing manic depression. Currently, there aren't any noted medications that {may} effectively treat cyclothymia, though, your doctor may prescribe unremarkably used medications known to treat bipolar disorder to ease your symptoms and cut back their frequency. unremarkably prescribed drug treatments embrace the utilization of anticonvulsants and atypical antipsychotics – reminiscent of metal and Quetiapine. Antidepressants haven't been shown to be effective within the treatment of cyclothymia. cyclothymic disorder needs womb-to-tomb treatment — even during times once you feel higher — sometimes target-hunting by a mental state supplier complete in treating the condition.

 To treat cyclothymia, your doctor or mental health provider works with you to:

  • Decrease your risk of bipolar I or II disorder, because cyclothymia carries a high risk of developing into bipolar disorder

  • Reduce the frequency and severity of your symptoms, allowing you to live a more balanced and enjoyable life

  • Prevent a relapse of symptoms, through continued treatment during periods of remission (maintenance treatment)

  • Treat alcohol or other substance use problems, since they'll worsen cyclic disorder symptoms the most treatments for cyclothymia are medications and psychotherapy. 


No medications are approved by the Food and Drug Administration specifically for manic depressive illness, however your doctor could bring down medications accustomed to treat bipolar disorder. These medications may facilitate management of cyclothymia symptoms and forestall periods of hypomanic and depressive symptoms.


Psychotherapy, additionally known as psychological substance or medical aid, could be an important part of manic depression treatment and may be provided in individual, family or cluster settings. many styles of therapy could also be helpful, such as:

  • Cognitive behavioral therapy (CBT). A common treatment for cyclothymia, CBT focuses on identifying unhealthy, negative beliefs and behaviors and replacing them with healthy, positive ones. CBT can help identify what triggers your symptoms. You also learn effective strategies to manage stress and cope with upsetting situations.

  • Interpersonal and social rhythm therapy (IPSRT). IPSRT focuses on the stabilization of daily rhythms, cherishing sleeping, waking and mealtimes. a uniform routine permits for higher mood management. individuals with mood disorders could have the benefit of establishing a daily routine for sleep, meals and exercise. 

  • Other therapies. Other therapies have been studied with some evidence of success. Ask your doctor if any other options may be appropriate for you.

Lifestyle and home remedies

In addition to skilled treatment, you'll be able to rest on your treatment set up by following these way and self-care steps:

  • Take your medications as directed. Even if you're feeling well, resist any temptation to skip your medications. If you stop, cyclothymia symptoms are likely to come back.

  • Pay attention to warning signs. You could have known a pattern to your manic depression symptoms and what triggers them. Follow your treatment set up if you are feeling you're facing a number of high or low symptoms. Involve relations or friends in expecting warning signs. Addressing symptoms early may keep them from getting worse. 

  • Quit drinking or using recreational drugs. Alcohol and recreational drugs may trigger mood changes. Talk to your doctor if you have trouble quitting on your own.

  • Check first before taking other medications. Call the doctor who's treating you for manic depression before you're taking over-the-counter medications or medications prescribed by another doctor. Typically different medications trigger periods of cyclothymia symptoms or could interfere with medications you're already taking. 

  • Keep a record. Track your moods, daily routines and vital life events. These records might assist you and your psychological state supplier perceive the result of treatments and determine thinking patterns and behaviors related to cyclothymic disorder symptoms. 

  • Get regular physical activity and exercise. Moderate, regular physical activity and exercise can help steady your mood. Working out releases brain chemicals that make you feel good (endorphins). It can also help you sleep and has a number of other benefits. Check with your doctor before starting any exercise program.

  • Get plenty of sleep. Don't not blink all night. Instead, get lots of sleep. Sleeping enough is a very important part of managing your mood. If you have got the hassle of sleeping, refer to your doctor or mental state supplier concerning what you'll be able to do. 

Coping and support

Coping with manic depressive illness will be difficult. During times once you feel better, or once you're having hypomanic symptoms, you will be tempted to prevent treatment. Here are some ways that to trot out cyclothymia:

  • Learn about the disorder. Learning concerning manic depressive illness and its attainable complications can empower you and encourage you to stay to your treatment plan. Also, you'll be able to easily educate your family and friends about what you're going through. 

  • Join a support group. Ask your provider if there's any type of support group that might help you reach out to others facing similar challenges.

  • Stay focused on your goals. Successfully managing cyclothymia can take time. Stay motivated by keeping your goals in mind.

  • Find healthy outlets. Explore healthy ways to channel your energy, such as hobbies, exercise and recreational activities.

  • Learn relaxation and stress management. Try relaxation methods or stress-reduction techniques such as meditation and yoga.

Preparing for your appointment

If you've got signs and symptoms common to cyclothymia, consult your doctor. Once your initial appointment, your doctor may refer you to a psychological state supplier who can facilitate making a designation and build the proper treatment set up for you. you would possibly need to raise a trusty friend or friend to come back to your appointment, if possible. somebody near to you'll give further insight concerning your condition and might assist you bear in mind what' mentioned throughout your appointment.

What you can do

Before your appointment, make a list of:

  • Any symptoms you've been experiencing, and for how long

  • Your medical information, including other physical or mental health conditions with which you've been diagnosed

  • Any medications you're taking, including over-the-counter medications, vitamins and supplements, and their doses

  • Questions to ask your doctor or mental health provider to make the most of your time together

Questions may include:

  • What do you believe is causing my symptoms?

  • Are there any other possible causes?

  • How will you determine my diagnosis?

  • What treatments are likely to be helpful in my case?

  • How much do you expect my symptoms to improve with treatment?

  • Will I need to be treated for the rest of my life?

  • What lifestyle changes can help me manage my symptoms?

  • How often should I be seen for follow-up visits?

  • Am I at increased risk of other mental health problems?

  • Do you have printed material that I can have? What websites do you recommend?

Don't hesitate to ask any other questions.

What to expect from your doctor

Your doctor or mental health provider may ask:

  • How would you describe your symptoms?

  • How have the people close to you described your symptoms?

  • When did you or your loved ones first notice these symptoms?

  • Have your symptoms been getting better or worse over time?

  • If you have intense high and low periods, how long do they generally last?

  • Do you also have periods where your mood feels relatively stable?

  • How would you describe your mental and emotional state during high versus low periods? How would your loved ones answer this question about you?

  • How would you say your choices and behaviors change during high versus low periods? How would your loved ones answer this question about you?

  • Do your physical needs change during high versus low periods, such as your need for sleep, food or sex?

  • How are these cycles affecting your life, including work, school and relationships?

  • Have any of your close relatives had similar symptoms?

  • Have you been diagnosed with any medical conditions?

  • Have you been treated for other mental health disorders in the past? If yes, what type of treatment was most helpful?

  • Have you ever thought about harming yourself or others?

  • Do you drink alcohol or use recreational drugs? If so, how often?

General summary

  1. Bipolar disorder is a broad term for several types of mood disorders Bipolar depressive disorder also known as unipolar or major depression can be triggered by external events such as death of loved ones loss of jobs financial problems and natural disasters Bipolar disorder manic episodes are often linked to extreme sleep deprivation and drug use or abuse Although cyclothymia can overlap with bipolar I disorder in many ways it does not involve the same responses to triggers that cause mania.

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