Circulatory disorder or cyclic mood disorder is a mood disorder in which children experience alternating episodes of hypomanic and depressive symptoms. Bipolar disorder is considered part of bipolar disorder, with mild but chronic symptoms.
Cyclic disorders include periods of depressive symptoms and periods of hypomania. Hypomania is a state of elevated mood.
In order to be diagnosed with a circulatory arrhythmia, a child must have symptoms for at least one year and no more than two months without symptoms.
Although cyclic depression may begin as early as childhood, it usually begins in adolescence.
Although the incidence of cyclic mood disorder and other bipolar disorder in children and adolescents has not been determined, the National Institute of Mental Health reports that the incidence of cyclic mood disorder in children and adolescents is about 1%, up to 3%.
Family history of bipolar disorder or cyclic mental disorder is a risk factor for the development of cyclic mental disorder. Some studies have shown that bipolar disorder is a risk factor for the development of bipolar type II disorder.
Symptoms of cyclic depression
The symptoms of circulatory arrhythmia are considered mild enough to be effective. However, children are often severely impaired in important areas of daily function.
Symptoms of circulatory arrhythmia may include:
- Grumpy or irritable
- Little or no sleep, but not tired
- easily distracted
- Overly happy
- Speak fast
- Racing thoughts
- Difficulty of completing the task
- Engaging in excessively reckless behavior, such as speeding, overspending, drug abuse, etc.
- Recurring thoughts of death or suicide
Due to unpredictable or irritable emotions, children or adolescents with cyclic depression may be described as unreliable, moody, or moody.
For the diagnosis of cyclic depression, depressive symptoms must not meet the criteria for major depressive episodes, and hypomanic symptoms must not meet the criteria for mania. In addition, the symptoms cannot be better explained by substance use or other mental or medical illnesses.
Cyclodymia treatment options
Once the child is evaluated and diagnosed, her doctor will consider all factors of her condition and determine the most suitable treatment for her.
It is well known that mood-stabilizing drugs, such as lithium and mood-stabilizing anticonvulsants, are effective for children and adolescents with bipolar disorder. Psychotherapy has also proven to be an effective concomitant therapy.
Antidepressants can be prescribed, but they need to be used with caution in children and adolescents with a family history of bipolar disorder, as they may cause manic episodes or increased emotional circulation.
Outcome of cyclic depression
Although circulatory arrhythmia is considered a chronic disease, proper treatment can significantly help control symptoms. However, if left untreated, the short- and long-term consequences associated with arrhythmia are:
- Interpersonal difficulties
- Substance use and abuse
- Academic decline
- Increased risk of suicide attempt
Less than half of people with bipolar disorder will eventually develop bipolar disorder, and in some people, bipolar disorder will actually disappear over time.
When to seek help
If your child or adolescent has symptoms of bipolar disorder or other bipolar disorder, please consult her pediatrician or mental health professional. Cyclothymia is a serious medical disease that requires treatment. Treatment can significantly reduce the severity of symptoms and may prevent future attacks.