China
Africa
Explore chapters and articles related to this topic
Mood and Anxiety Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Tricia L. Chandler, Fredrick Dombrowski
Cyclothymic disorder is a less severe form of bipolar disorder in that neither the hypomania nor the depressive symptoms have met the criteria for being labeled bipolar, but disturbance of mood has occurred for at least a year in children and adolescents or two years for adults with symptoms of both poles of mood disorders for at least half that time and symptoms for more than two months at a time during that period. Cyclothymic disorder often develops in adolescence or early adulthood and is less prevalent than BDI or BDII (p. 140). Symptoms of depression in cyclothymia will often be expressed as a dejected mood, low energy, and loss of pleasure in activities, which are similar to those of persistent depressive disorder. The hypomanic stage brings increased energy with increased creativity and productivity (Goodwin & Jamison, 2007).
Clinical Theory and Skills EMIs
Published in Michael Reilly, Bangaru Raju, Extended Matching Items for the MRCPsych Part 1, 2018
D. The College indicates that candidates need only have a detailed knowledge of either ICD-10 or DSM-IV and a familiarity with the other. Despite the widespread use of ICD-10 in Ireland and Britain, it is common to get MCQs requiring detailed knowledge of DSM-IV. It is prudent therefore to have a good knowledge of DSM-IV for the written exams at the very least. Note that with cyclothymic disorder, after the initial two years’ history required, if another mood disorder appears, such as a manic episode, then the appropriate diagnosis can be given as well (e.g. bipolar I disorder) comorbid with the cyclothymic disorder. [O. p365]
The person experiencing bipolar disorder
Published in Chambers Mary, Psychiatric and mental health nursing, 2017
Cyclothymic disorder, or cyclothymia: This is described as a milder form of bipolar disorder, where a person experiences cyclical changes in mood over a period of 2 years, but again, not falling into the pattern outlined in the other three categories.
Effects of Positive Psychotherapy for People with Psychosis: A Systematic Review and Meta-Analysis
Published in Issues in Mental Health Nursing, 2023
Heeseung Choi, Soyoun Shin, Gumhee Lee
Lastly, our study presented the characteristics of each type of intervention in positive psychotherapy. Positive psychology combined with other interventions had the largest effect on psychiatric symptoms in this study. Positive psychotherapy combined with other interventions included well-being therapy, I-CAT, and IRT programme. Well-being treatment is a positive psychological treatment developed based on the six elements of psychological well-being mentioned above (Ruini & Fava, 2015). In this study, cognitive behavioural and well-being therapy were sequentially provided to people with the cyclothymic disorder. The improvement of manic and depressive symptoms remained significant even after 2 years of follow-up. The I-CAT programme was provided in a way that combined mindfulness and positive psychotherapy. There was a significant effect on negative and disorganised symptoms of schizophrenia. The IRT programme provided as part of an integrated programme (drug education, family education, academic and employment support, etc.) for the recovery of people with first-episode psychosis strengthened their strength and resilience and positively affected psychological well-being and mental health recovery. As such, programmes combined with other interventions are limited in terms of the effect of positive psychotherapy alone. Nevertheless, as the result of this study was an effective intervention type, efforts towards positive psychotherapy combined with other interventions are continuously required.
Objective and biological markers in bipolar spectrum presentations
Published in Expert Review of Neurotherapeutics, 2019
Trisha Chakrabarty, Lakshmi N. Yatham
Some, but not all, studies have found BSPs to be associated with increased activity in reward processing areas. Healthy participants with high scores on the Hypomania Personality Scale (HPS) had increased VS activity when anticipating a reward, and increased insula activation in response to expected rewards [100]. Similarly, increased structural connectivity between the VS and OFC/amygdala was seen in community participants who scored high on the HPS [101]. In a group of 85 adolescents with diagnoses of ADHD, disruptive behavior disorders and/or bipolar spectrum disorders (encompassing DSM-IV defined BDI, BDII, cyclothymic disorder or BD-NOS), increased mania scores were dimensionally associated with increased left mPFC activity during a reward task regardless of diagnosis [102]. Similarly, non-clinical samples displaying high hypomanic traits showed increased left frontal cortical activation in response to an anger-evoking event [103], as well as attenuated FN in a reward task [104]. However, one study of 20 euthymic, antipsychotic and mood stabilizer naive BDII/BD NOS (not meeting symptom criteria for previous mood episodes) adults found decreased ventral/dorsal striatum activity during reward anticipation compared to healthy participants [105].
The clinical role of well-being therapy
Published in Nordic Journal of Psychiatry, 2018
Jenny Guidi, Chiara Rafanelli, Giovanni A. Fava
Another indication (modulating mood) came when WBT was applied to treatment of cyclothymic disorder, that involves mild or moderate fluctuations of mood, thought and behavior without meeting formal diagnostic criteria for either major depressive disorder or mania [36,37]. The results indicated that WBT may address both polarities of mood swings and is geared to a state of euthymia [8]. In 1991 Garamoni et al. [38] suggested that healthy functioning is characterized by an optimal balance of positive and negative cognitions or affects, and that psychopathology is marked by deviations from the optimal balance. As pointed out by Wood and Tarrier [39], also excessively elevated levels of positive emotions can become detrimental and are more connected with mental disorders and impaired functioning. Can the WBT target of euthymia decrease vulnerability to depression in anxiety disturbances? Why do many patients in the longitudinal course of anxiety disorders develop depression and other patients do not [8,40]?