Do I Have Cyclothymic Disorder?

Have you experienced numerous periods with hypomanic symptoms (elevated mood) and numerous periods with depressive symptoms for at least 2 years? Note: The symptoms should not meet the criteria for a hypomanic episode (i.e., at least three symptoms like inflated self-esteem, decreased need for sleep and distractibility, lasting at least 4 days, almost every day) and for a major depressive episode (i.e., at least five symptoms like depressed mood, diminished interest in activities, weight loss, insomnia/hypersomnia, fatigue that are present during the same 2-week period).

During the above 2-year period, have the hypomanic and depressive periods been present for at least half the time and do any symptom-free intervals last no longer than 2 months?

Can you confirm that you never met the criteria for a major depressive, manic or hypomanic episode?

Are the symptoms in question 1 not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder or other specified or unspecified schizophrenia spectrum and other psychotic disorder?

Can you confirm that the symptoms are not attributable to the effects of a substance (e.g., drug abuse, medication) or another medical condition (e.g., hyperthyroidism)?

Do the symptoms cause clinically significant distress or impairment in important areas of functioning (e.g., social, occupational)?

You do not have cyclothymic disorder.

It is unlikely you have cyclothymic disorder. The symptoms of this disorder are similar to those of bipolar I or II disorder, but they are less severe. People with this disorder can usually function normally, although that is not always the case. The sudden mood shifts can disrupt someone’s life dramatically. You may visit your doctor if you would like to know more about this disorder or if you are not sure about the underlying cause of your symptoms.

While it is unlikely that you have cyclothymic disorder, you are displaying symptoms related to the disorder. Medical attention may be essential in this case. Your doctor will determine if you qualify for the diagnosis of cyclothymia. Your doctor will conduct several tests, including a physical exam to rule out other medical conditions, a psychological evaluation and may ask you to keep a diary for your moods, sleep patterns and other important information. With all the gathered information, your doctor will make sure to offer you the right treatment interventions if necessary.

Unfortunately, you are displaying numerous symptoms typically seen among individuals who have cyclothymic disorder. Cyclothymic disorder will not go away on its own, therefore it is important to seek medical care when you detect symptoms related to this disorder. Not treating cyclothymic disorder can affect all areas of your life. Besides, you have a higher risk at developing bipolar I/II disorder and substance abuse is common. If your doctor concludes that you meet the diagnostic criteria for a cyclothymic disorder, your doctor will give you the right advice concerning treatment and self-care. In general treatment consists of psychotherapy (e.g., cognitive behavioral therapy) and medication.