Cyclothymia involves cycling periods of depressive and hypomanic unstable mood cycles over at least a two-year period. Hypomania is considered to be “mania light” according to Dr. Serin, meaning the agitation, lack of sleep, excitability, grandiosity, and impulsivity associated with mania is present but not to the same extreme degree. Individuals in a hypomanic phase may report feeling incredibly confident, having more energy, and experience mild symptoms of mania but they may not impair them occupationally or relationally. The individual also does not meet enough criteria for a major depressive disorder but often experiences chronic, low-grade depressive symptoms. Clinical presentations are usually complex as the individual may also display a variety of anxious or impulsive behaviors with rapid mood fluctuations (Perugi et al., 2017). Cyclothymia is associated with brain structural and functional abnormalities including amygdala hyperactivity, the emotional center of the brain, and deficits in the orbitofrontal and prefrontal cortex, responsible for inhibiting, planning, and emotional regulation. (Perugi et al., 2017). Together this leads to intense emotional dysregulation than can impair interpersonal and daily functioning. Treatments for cyclothymia may include therapy, medications, psychoeducation, or neurofeedback.
Perugi, G., Hantouche, E., & Vannucchi, G. (2017). Diagnosis and treatment of cyclothymia: The primary of temperament. Current Neuropharmacology, 15(3), 372-379. doi: 10.2174/1570159X14666160616120157
What We Don’t Treat
We are not an emergency clinic. We are an outpatient provider so we do not have inpatient facilities. We are not a hospital and do not provide detox services for addictions. We do not treat schizophrenia or brain disorders related to advancing age such as dementia or Alzheimer’s. We are not contracted with any court system and do not provide court ordered services related to child custody or other matters.