Mental Health

What Is Cyclothymia?

By Dynne C. | Update Date: Mar 18, 2024 03:25 AM EDT

Mood disorders encompass a range of conditions characterized by disturbances in mood regulation. They can manifest as periods of depression, mania, or a combination of both. These conditions can significantly impair daily functioning and overall quality of life. 

Cyclothymia, otherwise referred to as cyclothymic disorder, is a mental health condition characterized by mood swings that range from mild depression to mild mania. Although less severe than bipolar disorder, it still significantly impacts a person's daily functioning and quality of life. Understanding the nature of cyclothymia can help people recognize its symptoms and seek appropriate treatment.

Symptoms and diagnosis

People with cyclothymia experience alternating periods of elevated mood (hypomania) and low mood (mild depression). During hypomanic episodes, they may feel unusually energetic, confident and optimistic. However, these periods are shorter and less intense than those experienced in bipolar disorder. Conversely, during depressive episodes, people may feel sad, hopeless and lacking in energy.

To be diagnosed with cyclothymia, these mood swings must persist for at least two years in adults (or one year in adolescents) without any symptom-free periods lasting longer than two months. The symptoms must also cause significant distress or impairment in social, occupational, or other important areas of functioning.

Causes and risk factors

The exact cause of cyclothymia remains unclear, but like other mood disorders, it likely results from a combination of genetic, biological and environmental factors. People with a family history of bipolar disorder or cyclothymia may have a higher risk of developing the condition. 

Additionally, imbalances in neurotransmitters such as serotonin, dopamine and norepinephrine are believed to contribute to mood dysregulation.

Treatment options

Treatment for cyclothymia typically involves a combination of psychotherapy and medication. Cognitive behavioral therapy (CBT) can help people recognize and challenge negative thought patterns and develop coping strategies to manage mood swings. Medications such as mood stabilizers, antidepressants, or antipsychotics may also be prescribed to help stabilize mood fluctuations.

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