Cyclothymia

cyclothymia
Cyclothymia is a mood disorder like bipolar disorder that is characterized by mood swings from depression to hypomania. A mild level of mania is called hypomania. Hypomania may feel good to the person who experiences it and may even be associated with good performance and increased productivity. Thus, although family and friends to recognize the mood swings as a bipolar disorder, the person may deny that anything goes wrong.

Without proper treatment, however, hypomania can become severe mania in some people or can occur after a depression. The symptoms are never severe enough to be classified as major depressive episode. To diagnose cyclothymia, hypomanic symptoms and depressive symptoms should be rotated for at least two years. Longitudinal follow-up studies indicate that the risk of developing bipolar disorder in patients with cyclothymia is about 33 percent. While important, the rate remains too low to see cyclothymia as simply the early manifestation of bipolar disorder type I.

Symptoms

For at least 2 years (1 year for children and adolescents), the individual suffers from numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet the criteria for diagnosing a major depressive episode.

Hypomanic symptoms include:

  • Increased level of energy, activity, and restlessness.
  • Euphoric mood.
  • Great irritability.
  • Thoughts and talks fast, jumping from one idea to another.
  • Easily distracted, unable to concentrate. They need little sleep.
  • Unrealistic beliefs about their abilities and skills.
  • Poor Judgement.
  • Spending too much money.
  • Different from the usual behavior for a period of time.
  • Increased sexual desire.
  • Drug abuse, particularly cocaine, alcohol, and sleeping medications.
  • Provocative behavior, intrusive or aggressive.
  • He denies that something goes wrong.

Hypomanic episode is diagnosed if elevated mood state occurs with three or more of the other symptoms most of the day, nearly every day for four days or more. If the mood is irritable, 4 additional symptoms must be present.

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