Diagnostic Criteria For 301.13 Cyclothymic Disorder
Excerpts from the DSM-IV
by The American Psychiatric Association
These criteria are excerpts from
Diagnostic and Statistical Manual of Mental Disorders, DSM-IV,
© 1994, American Psychiatric Association.
- For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous
periods with depressive symptoms that do not meet criteria for a Major Depressive Episode.
Note: In children and adolescents, the duration must be at least 1 year.
- 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.
- No Major Depressive Episode, Manic 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).
- The symptoms in Criteria A are not better accounted for by Schizoaffective Disorder and are not
superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic
Disorder Not Otherwise Specified.
- 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).
- The symptoms cause clinically significant distress or impairment in social, occupational, or other
important areas of functioning.
Modified June 26, 2006