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</div><div><span>Cyclothymic disorder</span></div></div>
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</a><h1 class="with-also" itemprop="name">Cyclothymic disorder</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Cyclothymic disorder is a mental disorder. It is a mild form of <a test="test" href="./000926.htm">bipolar disorder</a> (manic depressive illness), in which a person has mood swings over a period of years that go from mild <a test="test" href="./003213.htm">depression</a> to emotional highs.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>The causes of cyclothymic disorder are unknown. Major depression, bipolar disorder, and cyclothymia often occur together in families. This suggests that these mood disorders share similar causes.</p><p>Cyclothymia usually begins early in life. Men and women are equally affected.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms may include any of the following:</p><ul><li>Periods (episodes) of extreme happiness and high activity or energy (hypomanic symptoms), or low mood, activity, or energy (depressive symptoms) for at least 2 years (1 or more years in children and adolescents).</li><li>These mood swings are less severe than with bipolar disorder or major depression.</li><li>Ongoing symptoms, with no more than 2 symptom-free months in a row.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>The diagnosis is usually based on your mood history. Your health care provider may order blood and urine tests to rule out medical causes of mood swings.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Treatments for this disorder include mood-stabilizing medicine, antidepressants, talk therapy, or some combination of these three treatments.</p><p>Some of the more commonly used mood stabilizers are lithium and antiseizure medicines.</p><p>Compared with bipolar disorder, some people with cyclothymia may not respond as well to medicines.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Support Groups</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>You can ease the stress of living with cyclothymic disorder by joining a <a test="test" href="./002150.htm">support group</a> whose members share common experiences and problems.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Less than one half of people with cyclothymic disorder go on to develop bipolar disorder. In other people, cyclothymia continues as a chronic condition or disappears with time.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>The condition can progress to bipolar disorder.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Call a mental health professional if you or a loved one has alternating periods of depression and excitement that do not go away and that affect work, school, or social life.</p><p>If you or someone you know is thinking about suicide, call or text 988 or chat <a class="extln" target="_blank" href="https://988lifeline.org">988lifeline.org</a>. You can also call 1-800-273-8255 (1-800-273-TALK). The 988 Suicide and Crisis Lifeline provides free and confidential support 24/7, anytime day or night.</p><p>You can also call 911 or the local emergency number or go to the hospital emergency room. DO NOT delay.</p><p>If someone you know has attempted suicide, call 911 or the local emergency number right away. DO NOT leave the person alone, even after you have called for help.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Cyclothymia; Mood disorder - cyclothymia</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>American Psychiatric Association. Cyclothymic disorder. <em>Diagnostic and Statistical Manual of Mental Disorders</em>. 5th ed. Arlington, VA: American Psychiatric Publishing, 2013:139-141.</p><p>Fava M, Østergaard SD, Cassano P. Mood disorders: depressive disorders (major depressive disorder). In: Stern TA, Fava M, Wilens TE, Rosenbaum JF, eds. <em>Massachusetts General Hospital Comprehensive Clinical Psychiatry</em>. 2nd ed. Philadelphia, PA: Elsevier; 2016:chap 29.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 7/28/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Fred K. Berger, MD, addiction and forensic psychiatrist, Scripps Memorial Hospital, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. </p>
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