Bipolar and Cyclothymic Disorder: Early Intervention, Medication, and Long-Term Treatment Approaches

Sometimes, mood changes feel subtle, almost unnoticeable…until they begin affecting your work, relationships, and overall well-being. If this sounds familiar, it may be a sign of cyclothymic disorder in adults – one of the bipolar spectrum disorders. 

Cyclothymia causes mood swings that can be just as disruptive to daily life and functioning as bipolar I or II disorders. However, the good news is that with timely intervention and the right support, symptoms can be effectively managed, and you can regain emotional stability. 

If your moods are impacting your ability to function daily or impeding your overall quality of life, professional mental health support is advised. This page can also help you better understand cyclothymic disorder in adults by exploring:

  • What cyclothymic disorder is
  • Early signs of cyclothymia
  • The diagnosis process
  • Cyclothymia treatment options
  • Long term bipolar care
  • Answers to frequently asked questions about cyclothymia
  • Where to find professional support for cyclothymic disorder
Woman sitting with her head in her hands due to bipolar and cyclothymic disorder in adults

What Is Cyclothymic Disorder in Adults?

Cyclothymic disorder, also known as “cyclothymia,” is often thought of as a milder version of bipolar disorder. Yet, for the one in every hundred people who experience cyclothymia, it can immensely impact life.1 

Cyclothymia causes mood swings with hypomanic and
depressive symptoms, but not the full manic or major depressive episodes associated with bipolar I or II.2 Instead, mood symptoms tend to be less severe but much more frequent, rather like experiencing all four seasons within the space of a week. One day may have sunshine, the next day it’s frosty, then the rain clouds roll in. It’s an ever-changing weather pattern for your emotional landscape. 

The impact of cyclothymia can make life feel unstable; daily functioning can be a struggle, you never know how you’re going to feel, and daily routines can get disrupted. If left untreated, then work, relationships, and self-confidence may break down. 

Fortunately, with early intervention mood disorders like cyclothymia can be effectively treated. Recognizing the symptoms is important for getting the essential support needed to live a more balanced life. The next section discusses these symptoms in greater detail. 

Early Signs and Mood Instability Symptoms

Cyclothymia usually starts during the teen years or early adulthood. However, symptoms may sometimes be mistaken for “teenage mood swings” or stress responses. Recognizing the symptoms is key to accessing the right treatments and preventing the condition from worsening and continuing into adulthood.3  

Some of the mild bipolar symptoms adults with cyclothymia may notice are:
3

Hypomanic symptoms, including:

  • Euphoria
  • Increased energy levels
  • Inflated self-esteem
  • Being more talkative than usual
  • Racing thoughts
  • Risky behaviors 
  • Feeling irritable
  • Increased optimism, drive, and motivation
  • Less need for sleep
  • Difficulties concentrating

Depressive symptoms, such as:

  • Feeling sad, hopeless, or empty
  • Crying
  • Irritability
  • Loss of interest in pleasurable activities
  • Feeling worthless or guilty
  • Sleep issues
  • Fatigue
  • Feeling restless
  • Problems concentrating
  • Thoughts of death or suicide
If you are having suicidal thoughts, call 988 for free, confidential help 24/7. If you are in immediate danger, call 911 or attend your nearest emergency room for help. 

If any of these resonate, you may be living with an undiagnosed cyclothymic disorder. Further, cyclothymia generally doesn’t improve on its own. Without treatment, it can cause issues such as:
1,3
  • Worsening mood swings and emotional dysregulation
  • Significant emotional problems affecting every aspect of life
  • A higher risk of developing bipolar I or II disorder
  • Increased risk of suicidal thoughts or of completing suicide

Fortunately, effective treatments and support are available for cyclothymic disorder in adults, such as emotional dysregulation treatment.
1 Receiving a diagnosis of cyclothymia is the first step to accessing this support, which is discussed next. 
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Diagnosis of Cyclothymia

An accurate diagnosis is essential for treating any health condition. Yet, diagnosing cyclothymic disorder in adults can be complex. Mood changes may not feel disruptive enough for a person to seek help, and symptoms often overlap with other conditions, such as personality disorders.1

Diagnosis typically involves several steps, like…
1,3
  • A physical exam
    , sometimes with lab tests, to rule out medical causes
  • A psychological assessment, where your doctor learns more about your feelings, thoughts, and behavior patterns 
  • Assessment forms, such as the TEMPS-A Temperament Scale, aid diagnosis
  • Mood charts, which help track patterns and provide your doctor with more detailed insight. 

With your permission, your doctor might also speak to a family member or close friend to get a more complete overview of your symptoms. 

A diagnosis can then be made using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. For cyclothymic disorder, this includes:
4
  • Periods of hypomanic and depressive symptoms lasting at least two years
  • Symptoms not meeting the criteria for hypomanic or depressive episodes
  • Mood swings lasting for at least half the time, with no break longer than two months
  • Symptoms not being explained by another mental or physical condition or substance use

Receiving a diagnosis can bring mixed emotions: relief, confusion, overwhelm, or even fear. All of these feelings are completely valid. But having a name for what you’re experiencing can guide you to effective treatment options and mood stability. 

Next, we explore the adult mental health support available for cyclothymic disorders. 

Long-Term Cyclothymic Disorder Management

Managing cyclothymia long-term can be made easier by incorporating routines into your life that promote mental health stabilization. You could think of them as a lifestyle treatment plan for your well-being. 

If you are seeking suggestions for managing cyclothymia, the following may be useful:

  • Learning more about your condition: Understanding cyclothymia and how it may affect you can make you feel empowered and motivated to carry on treatment. Psychoeducation can also help loved ones better understand what you’re going through and increase your sense of social support. 
  • Taking medication as directed: Always take your medication exactly as your doctor has recommended, even if you’re feeling “better.” If you feel like your symptoms have shifted or you’ve stopped responding to a certain medication, you can discuss potential changes with your doctor. 
  • Tracking your moods: This can help you identify patterns and potential symptom triggers. 
  • Paying attention to warning signs: If your mood tracking indicates an upcoming potentially challenging time, use this advanced warning to follow your treatment plan and make positive changes to help you through this time.
  • Living a healthy lifestyle: As described in the previous section, creating healthy daily routines can assist mood management. For instance, a regular sleep hygiene routine. 
  • Joining a support group: Support groups connect you with others struggling with similar issues, allowing you to share your experiences and learn from peers. 
  • Keeping up with therapy: Therapy can provide you with emotional support and skills to manage cyclothymia, especially when times get tough. 
  •  

Long-term management of cyclothymia is a journey, and it’s natural to have questions along the way. The answers to some of the most common questions are covered in the following sections. 

Find Bipolar Disorder Treatment Programs

A Mission For Michael (AMFM) provides treatment for adults experiencing various conditions. Bipolar Disorder support is a phone call away – call 866-478-4383 to learn about our current treatment options.

See our residences in Southern California’s Orange County & San Diego County.

Take a look at our homes on the east side of the Metro area in Washington County.

View our facilities in Fairfax County, VA within the DC metro area.

Frequently Asked Questions About Cyclothymia

How Is Cyclothymia Different From Bipolar Disorder?

Cyclothymic disorder is on the bipolar spectrum, but mood shifts tend to be milder and more frequent. In bipolar I or II disorder, people experience very distinct depressive, manic, or hypomanic episodes with more severe mood symptoms. 

Can Cyclothymic Disorder in Adults Be Treated Without Medication?

The main treatments for cyclothymia are psychotherapy and medications. While psychotherapy can be greatly beneficial for understanding mood triggers and emotional regulation, medication often plays a crucial role in stabilizing mood.3 A mental health professional can work with you to create a personalized treatment plan based on your unique symptoms. 

How Do I Track Mild Mood Swings Effectively?

Tracking moods can be very useful for spotting early mood changes before they intensify. You can use several different methods to track moods, depending on your personal preference. For instance, you could use a phone app to track your patterns and sleep routines or write the information in a journal each day. Alternatively, you could try putting different colored dots or stickers on a calendar to help you see mood patterns quickly. The key is to experiment with various methods and find a way that works best for you.

AMFM: Residential Recovery Programs for Cyclothymic Disorder in Adults

Living with cyclothymia may make life feel unpredictable, but with the right support and treatment, recovery is possible. Residential programs can be an empowering step toward stability and healing because accessing the appropriate treatment in the right setting can make all the difference. 

At AMFM, we offer a safe, supportive, and structured environment designed to help you manage your moods and focus on your long-term recovery from cyclothymic disorder. With personalized treatment plans, evidence-based approaches, and compassionate care, our residential programs in California, Minnesota, and Virginia are here to help you when you’re ready. 

Taking the first step is often the hardest, but also the most important. Contact us today to find out how we can support you on your healing journey. 

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  1. Bielecki, J. E., & Gupta, V. (2023, July 17). Cyclothymic disorder. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK557877/
  2. American Psychological Association (APA).  (2018, April 19). Cyclothymic disorder. APA Dictionary of Psychology.  https://dictionary.apa.org/cyclothymic-disorder
  3. Mayo Clinic. (2022, December 13). Cyclothymia (cyclothymic disorder) – Symptoms and causes. https://www.mayoclinic.org/diseases-conditions/cyclothymia/symptoms-causes/syc-20371275
  4. American Psychiatric Association. (2024, April). What are bipolar disorders? https://www.psychiatry.org/patients-families/bipolar-disorders/what-are-bipolar-disorders#section_8
  5. Abrams, Z. (2022, January 1). Diagnosing and treating bipolar spectrum disorders.  APA. https://www.apa.org/monitor/2022/01/ce-bipolar-spectrum
  6. Morales-Brown, L. (2020, September 21). What is cyclothymia? Medical News Today.  https://www.medicalnewstoday.com/articles/cyclothymia#treatments
  7. Telloian, C. (2021, February 25). What are my cyclothymia treatment options? Psych Central. https://psychcentral.com/disorders/cyclothymic-disorder-cyclothymia/cyclothymic-disorder-treatment#diagnosis