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Diagnostic criteria for 301.13 Cyclothymic Disorder

These criteria are obsolete.

DSM Criteria
DSM Version
DSM IV - TR
DSM Criteria

A. For at least 2 years, the presence of numerous periods with hypomanic symptoms (see p. 338) and numerous periods with depressive symptoms that do not meet criteria for a Major Depressive EpisodeNote: In children and adolescents, the duration must be at least 1 year. 

B. During the above 2-year period (1 year in children and adolescents), the person has not been without the symptoms in Criterion A for more than 2 months at a time. 

C. No Major Depressive EpisodeManic Episode, or Mixed Episode has been present during the first 2 years of the disturbance. 
Note: After the initial 2 years (1 year in children and adolescents) of Cyclothymic Disorder, there may be superimposed Manic or Mixed Episodes (in which case both Bipolar I Disorder and Cyclothymic Disorder may be diagnosed) or Major Depressive Episodes (in which case both Bipolar II Disorder and Cyclothymic Disorder may be diagnosed). 

D. The symptoms in Criterion A are not better accounted for by Schizoaffective Disorder and are not superimposed on SchizophreniaSchizophreniform DisorderDelusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism). 

F. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000 American Psychiatric Association

DSM Version
DSM IV
DSM Criteria

A. For at least 2 years, the presence of numerous periods with hypomanic symptoms (see p. 338) and numerous periods with depressive symptoms that do not meet criteria for a Major Depressive EpisodeNote: In children and adolescents, the duration must be at least 1 year. 

B. During the above 2-year period (1 year in children and adolescents), the person has not been without the symptoms in Criterion A for more than 2 months at a time. 

C. No Major Depressive EpisodeManic Episode, or Mixed Episode has been present during the first 2 years of the disturbance. 
Note: After the initial 2 years (1 year in children and adolescents) of Cyclothymic Disorder, there may be superimposed Manic or Mixed Episodes (in which case both Bipolar I Disorder and Cyclothymic Disorder may be diagnosed) or Major Depressive Episodes (in which case both Bipolar II Disorder and Cyclothymic Disorder may be diagnosed). 

D. The symptoms in Criterion A are not better accounted for by Schizoaffective Disorder and are not superimposed on SchizophreniaSchizophreniform DisorderDelusional Disorder, or Psychotic Disorder Not Otherwise Specified. 

E. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hyperthyroidism). 

F. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Copyright 1994 American Psychiatric Association