Cyclothymia ( Cyclothymic Disorder)

Cyclothymia is  may be recognised as cyclothymic Disorder.Cyclothymia is mild type of Bipolar Disorder, It  is a type  of Chronic Mood Disorder and generally it developed into  more chronic form. Mild to moderate Depression is may linked to Cyclothymia. Major Depressive Episode is different from Cyclothymia. 

 

Completely balanced at the baseline level the individual having Cyclothymia.  Leading from  a high level of emotionality  to a subthreshold of a Hypomanic episode's of elation or euphoria the person developed an eminent change. Cyclothymia has the symptoms like Mania, however in Cyclothymia the level of severity is low emotionally and  developed  into  low along the mild Depressive symptoms. The asymmetrical pattern of emotional lows and highs must be experienced by individual. For the time periods of at least two years the cyclothymic symptoms may be present , for  the diagnosis of Cyclothymia. There must be  no symptom-free consecutive months. At least for 1 year of  period symptoms must be present in adolescents and children.

 

Not as persistent as Bipolar Disorder the diagnosis of Cyclothymia is  more common. It is needed the non-existance of any Major Depressive Episode, Manic Episode or Mixed Episode, that takes the person to diagnosis of other mood disorders, for the diagnosis of Cyclothymia . Soon after an initial diagnosis of cyclothymia, the individual experience Major Depressive Episode, he can meet the diagnosis of Bipolar I or Bipolar II disorder. About15–50% of cases of cyclothymia are at a risk to be diagnosed for bipolar I and/or bipolar II disorder (with cyclothymic features). Cyclothymic Disorder has lifetime prevalence of 0.4–1%. women get treated than man however the chances of  disorder is equal in men and women.

Depressive/dysthymic episodes.   Difficulty  in making decision,   problems in concentrating, recall,  poor memory, low self-esteem, guilt, hopelessness irritability,  self-destructive thinking, pessimism and constant helplessness are  the major symptoms of this phase.

 

Hypomanic episodes.  Inflated self esteem, aggressive or hostile behavior,  good mood, extreme optimism, Unusual cheerfulness (euphoria), rapid speech, agitation lack of consideration for others, racing thoughts  massively increased physical activity, increased drive to perform or achieve goals, risky behaviour, increased sexual drive are the major symptoms of this disorder. 

Treatment: Lithium and Quetiapine gives best results.  Anti convulsant atypical antipsychotic and  electroconvulsive therapy are some additional  medications.

Psychotherapy contain Interpersonal therapy, Dialectic therapy, interpersonal and social rythm therapy, Cognitive behaviour therapy and person centred therapy.