In my sessions, I frequently talk to people who say, “I feel like my moods are always shifting, but I’m not sure if it’s serious enough to be bipolar disorder.” Many don’t realise there’s a term for this: cyclothymia, or cyclothymic disorder. It’s a milder form of bipolar disorder that causes chronic mood swings, and while the shifts aren’t as extreme as Bipolar I or II, they can still disrupt daily life.
What Is Cyclothymia?
Cyclothymia is characterized by alternating periods of mild hypomanic and depressive symptoms. Hypomanic phases might bring increased energy, creativity, or sociability, but they’re often accompanied by irritability or impulsive decisions. On the other hand, the depressive phases can bring sadness, fatigue, and self-doubt, though not as severe as major depressive episodes. These mood swings can feel like an emotional rollercoaster, leaving people unsure of what to expect from one day to the next.
To meet the criteria for cyclothymia, these symptoms must persist for at least two years in adults (or one year in adolescents) and occur more days than not. People with cyclothymia often find it challenging to pinpoint their mood patterns because the shifts may feel subtle or frequent.
Why Cyclothymia Matters
Even though cyclothymia is considered a “mild” mood disorder, it’s important to recognize that it can still affect relationships, work, and self-esteem. Untreated cyclothymia can also progress to Bipolar I or II over time, making early identification and intervention critical.
Patients often tell me they’ve been labeled as “moody” or “sensitive,” which can make them dismiss their symptoms. But mood instability is more than just a personality trait—it’s a pattern that deserves attention and care.
How I Help Patients With Cyclothymia
When I work with patients who have cyclothymia, we often use Interpersonal and Social Rhythm Therapy (IPSRT) to help manage mood swings. IPSRT focuses on maintaining stable daily routines, particularly around sleep, meals, and activities. Disruptions in daily rhythms—like staying up late or skipping meals—can trigger mood changes, so establishing consistency is key.
IPSRT also explores interpersonal relationships and how they influence your moods. For example, if conflicts or life transitions are destabilizing your emotions, we work on strategies to manage these challenges. By addressing both your social interactions and your daily routines, IPSRT helps create a stable foundation for emotional regulation.
If you think cyclothymia might apply to you, my on-demand e-course offers practical tools and guidance to help you understand and manage your moods.
Take Control of Your Moods
If you’re feeling uncertain about your mood swings or wondering if cyclothymia might apply to you, take the first step by reaching out or exploring available resources. Understanding your moods is the first step to taking control, and support is always available.
