nap(they/them)
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A little brown-gray tabby laying on his back with his toes curled.
A little brown-gray tabby laying on his side with his curled toes facing upward.

here. take some oak pictures. he’s almost 7 months old now!!


nap(they/them)
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[Image description: Two kittens snuggled up on a white bath mat. They're both facing eachother, and one's face is buried in the other's front paws.]


nap(they/them)
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another old photo of oak and juniper! i plan to post more recent ones once i catch up. they love my beat-up office chair.


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Albuquerque, New Mexico, near the Rio Grande.


nap(they/them)
dsm
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DSM-5 Overview of Cyclothymic Disorder

dsm

301.13 (F34.0)

Content warning: Suicide mention (as a symptom)

Disclaimer: I am not a professional. This is my interpretation of information found. Though I am trying my best to portray different disorders, don’t take me too seriously on this.

Overview

Cyclothymic disorder is considered to be a rare disorder in the bipolar spectrum. It consists of mood swings, including depressive and hypomanic symptoms. However, someone with cyclothymic disorder can’t be diagnosed if they meet the criteria of a major depressive episode or a manic/hypomanic episode, unlike what is required in other bipolar disorders. The symptoms must have a serious impact on the individual’s life, and these mood swings must last on and off for least two years (one year for children) for the disorder to be diagnosed.


The Diagnostic Criteria

A. For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode.

B. During the above 2-year period (1 year in children and adolescents), the hypomanic and depressive periods have been present for at least half the time and the individual has not been without the symptoms for more than 2 months at a time.

C. Criteria for a major depressive, manic, or hypomanic episode have never been met.

D. The symptoms in Criterion A are not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.

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

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

Additional Classification (subtypes of cyclothymic disorder)

With anxious distress (which includes symptoms of anxiety during the mood episodes)

Explanations of Hypomania and Depression

(These explanations have been shortened and probably aren’t significant on their own.)

A hypomanic episode consists of four days of an abnormally elevated, expansive, or irritable mood with increased activity or energy. This mood change must be noticeable by other people. For cyclothymic disorder, only some criteria must be met.

A major depressive episode consists of at least two weeks of a number of symptoms, mainly including a depressed mood or loss of pleasure in activities that are usually enjoyable. Some other symptoms include weight loss (when not dieting) or weight gain, insomnia or hypersomnia (excessive sleepiness), loss of energy, intense feelings of worthlessness and/or guilt, inability to concentrate or indecisiveness, and recurrent thoughts of death. The symptoms must cause significant distress or impairment. For cyclothymic disorder, only some criteria must be met.

Alternative Diagnoses

(Diagnoses that might be confused with cyclothymic disorder.)

Bipolar or depressive disorder due to another medical condition. This would be diagnosed if it is realized that a medical condition considered physical was the cause of bipolar or depressive disorder symptoms.

Substance-induced bipolar or depressive disorder. Some medications, often stimulants, can cause signs of mood disorders.

Bipolar 1 or bipolar 2 with rapid cycling. Unlike with cyclothymic disorder, bipolar 1 and 2 with rapid cycling must meet the criteria for full manic/hypomanic and depressive episodes. If a bipolar disorder is specified as rapid cycling, it means there are at least four mood episodes (depressive, manic, or hypomanic) in the past twelve months. This still should mean that depressive episodes must last at least two weeks, manic episodes at least one week, and hypomanic episodes at least four days.

Borderline personality disorder. Borderline personality disorder often consists of major mood swings of shifts that last from hours to days, which might look like cyclothymic disorder. If the individual meets the criteria of both, both disorders can be diagnosed.

Comorbidity

Substance-related disorders and disordered sleep, (for example, trouble going to sleep and staying asleep) are often seen in those with cyclothymic disorder. ADHD is more likely to be diagnosed in someone with cyclothymic disorder than someone with a separate disorder.

Other Details

  • Cyclothymic disorder is equally commonly found in males and females based on the DSM.
  • The prevalence of the disorder is about 0.4-1%.
  • Cyclothymic disorder seems to be genetically or familiarly related to other mood disorders (such as depressive disorders and bipolar disorders).

Resources: DSM-5

nap

this was posted a bit late, but oh well!

edit: i wouldn't be surprised if this was underdiagnosed.



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a little kitten we saw at this adoption event. i love him!!!


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It can be kind of hard to see, but I got my septum pierced! It'll be about three months before I can change the ring, though. I'm pretty happy with my makeup, too.


nap(they/them)
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Here's a quick pic of Toby that I got today!! He had to get a tooth removed recently, and he's still recovering.


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a nice little cup of chai tea latte i got the other day.


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Some photos from a recent walk around a national park.


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Posting some older pictures I'm finding on my computer today.

edit: i didn't know the second one was so low-quality until i posted this.


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