Patient states that for the past 2 years she's had bouts of hyperactivity, talkativeness and inflated self esteem that cycle with feelings of hopelessness, fatigue, guilt and low self esteem. The hyperactivity lasts no more than 5 days. Her former psychologist told her that her depression is not severe enough to fulfill the MDD diagnosis and that her hypomanic symptoms do not fulfill the diagnostic criteria of mania. What's your DDx?

Patient states that for the past 2 years she's had bouts of hyperactivity, talkativeness and inflated self esteem that cycle with feelings of hopelessness, fatigue, guilt and low self esteem. The hyperactivity lasts no more than 5 days. Her former psychologist told her that her depression is not severe enough to fulfill the MDD diagnosis and that her hypomanic symptoms do not fulfill the diagnostic criteria of mania. What's your DDx?




a) Dysthymic disorder
b) Cyclothymia disorder
c) Bipolar I
d) Bipolar II




Answer: B


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