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Diagnosis information
Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.
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Core criterion A
≥2 years (≥1 yr children/adolescents) of hypomanic AND depressive symptoms not meeting full episode criteria
Core criterion B
Hypomanic/depressive periods present >50% of time; no gap >2 months
Core criterion C
Never met criteria for hypomanic, manic, or major depressive episode
Core criterion D
Clinically significant distress or impairment
Core criterion E
Not better explained by schizoaffective, schizophrenia, or other psychotic disorder
Core criterion F
Not attributable to substances or another medical condition
Consistent with [Cyclothymic Disorder] [specifier(s)]. Over at least two years (one year in children/adolescents), there have been numerous periods of hypomanic symptoms - including elevated or expansive mood; irritable mood; inflated self-esteem; decreased need for sleep; increased talkativeness; pressured speech; flight of ideas; racing thoughts; distractibility; increased goal-directed activity; psychomotor agitation; engagement in risky activities - that do not meet full criteria for a hypomanic episode, alongside numerous periods of depressive symptoms - including depressed mood; diminished interest or pleasure; appetite or weight change; insomnia; hypersomnia; psychomotor agitation; psychomotor retardation; fatigue; loss of energy; feelings of worthlessness; excessive guilt; impaired concentration; indecisiveness; recurrent thoughts of death - that do not meet full criteria for a major depressive episode. Symptoms present for at least half the time, with no gap of more than two consecutive months. These symptoms have resulted in clinically significant distress or impairment, and the pattern is not better accounted for by bipolar I disorder, bipolar II disorder, substance/medication effects, or a primary medical condition.
Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.