Cyclothymia: Through the Patient's Eyes

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1. A euthymic state is:
  a. An elevated mood state
  b. A state of sleeplessness
  c. A depressed state
  d. A normal or neutral mood state
2. The difference between Hypomania and Full Blown Mania is:
  a. Full Blown Mania is a more severe manic state, with more severe symptoms of mania
  b. Hypomania often involves instances of psychosis
  c. Full Blown Mania is described as an overly elevated mood, while Hypomania is the lack of an elevated mood
  d. Full Blown Mania is caused by a problem in a different part of the brain than Hypomania
3. Which of the following options is not a DSM-IV symptom of Cyclothymic Disorder?
  a. The patient has not been free of mood swings for more than two months of a two-year period.
  b. The patient describes persistent suicidal ideation and the desire to self-harm
  c. Schizoaffective disorder does not provide a better explanation for the patient’s symptoms
  d. The patient’s symptoms cause clinically important distress or inhibit the patient’s ability to function in work, social and personal environments.
4. A Cyclothymic patient is likely to describe a family history of:
  a. Bipolar disorder, depression and/or substance abuse
  b. Diabetes
  c. Multiple Personality Disorder
  d. All of the above
5. Which medication is not commonly prescribed for Cyclothymic patients?
  a. Depakote
  b. Lithium
  c. Lipitor
  d. Tegretol
6. What percentage of Cyclothymic individuals will eventually cycle into Bipolar Disorder?
  a. 0-15%
  b. 15-50%
  c. 50-75%
  d. 75-100%
7. If you believe that your patient may have Cyclothymic disorder, you should attempt to:
  a. Call an ambulance and rush the patient to the hospital
  b. Talk to the patient about his/her symptoms to try to identify the cycle between depression and hypomania
  c. Recommend that the patient sign up for a yoga class for a year and seek treatment later
  d. Both A and B are correct
8. Cyclothymic individuals who are not being treated often attempt to soothe their mood swings by:
  a. Excessive eating
  b. Self mutilation
  c. Self medicating through substance abuse
  d. Watching television
9. A mood diary is often recommended to Cyclothymic individuals because:
  a. It helps them control to gain control of their moods
  b. It helps them understand the causes of their mood swings
  c. It provides an outlet for their creativity
  d. All of the above
10. The symptoms of Cyclothymia lead to patterns in Cyclothymic patients' lives, a common pattern is:
  a. Inability to maintain steady employment
  b. Inability to maintain long-term relationships
  c. Substance abuse as an attempt to self medicate
  d. All of the above
11. The Kindling Theory implies that without treatment, Cyclothymic Disorder may:
  a. Disappear
  b. Deteriorate into a more severe illness
  c. Lead to Diabetes
  d. Both B and C are correct
12. On the Bipolar Spectrum, Cyclothymic Disorder lies somewhere in between:
  a. Bipolar Disorder and Unipolar Disorder
  b. Unipolar Disorder and a euthymic state
  c. Hypomania and Depression
  d. Cyclothymic Disorder is not on the Bipolar Spectrum
13. A symptom of a Mixed State for a Cyclothymic individual is:
  a. Hypomania
  b. Depression
  c. Restlessness
  d. All of the above
14. Treating a Cyclothymic patient with anti-depressant medications may cause:
  a. Heart burn
  b. Hypomanic states
  c. Severe depression
  d. Bipolar Disorder
15. Some Cyclothymic individuals describe their illness as a positive contributor to their lives in that:
  a. They feel that their sensitivity helps them to be more socially aware
  b. They feel that moving around a lot makes life more interesting
  c. They get satisfaction out of their mood swings
  d. Both A and B are correct
16. One symptom of hypomania is:
  a. Over sleeping
  b. Psychosis
  c. Elevated activity and energy levels
  d. Lack of motivation
17. Which of the following options is not a common complaint of a Cyclothymic individual:
  a. Difficulty maintaining employment
  b. Difficulty maintaining long-term relationships
  c. Separation anxiety
  d. Problems with money management
18. What treatments are recommended to improve a Cyclothymic individual's quality of life?
  a. A regular sleeping schedule
  b. A mood diary
  c. A scheduled activity
  d. All of the above
19. What is one aspect of Cyclothymia that you may warn a Cyclothymic individual's family to look out for?
  a. The fact that the individual may resort to substance abuse to self medicate
  b. The tendency of a Cyclothymic individual to become violent
  c. The fact that Cyclothymia often deteriorates into Cushing’s Disease
  d. Both B and C are correct
20. What other illnesses display similar symptoms as Cyclothymic Disorder?
  a. Bipolar disorder
  b. Multiple Personality Disorder
  c. Withdrawal from anti-depressants
  d. Both A and C are correct