A client has repeated periods of increased energy and reduced need for sleep, alternating with depressive symptoms for more than two years. The symptoms never meet full criteria for mania or a major depressive episode. Which diagnosis is most consistent with this pattern?

Correct answer: A. Cyclothymic disorder

  • A. Cyclothymic disorder
  • B. Bipolar I disorder
  • C. Major depressive disorder
  • D. Adjustment disorder

Explanation

Cyclothymic disorder involves chronic fluctuating hypomanic and depressive symptoms that do not meet full episode criteria, lasting at least 2 years in adults. Bipolar I requires a manic episode, while adjustment disorder is linked to an identifiable stressor and does not follow this chronic pattern.

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Mood and anxiety disorders include major depression, bipolar disorder, generalized anxiety, panic disorder, phobias, and obsessive-compulsive disorder. Key areas include depressive and manic symptoms, suicide risk, anxiety levels, diagnostic differences, and nursing interventions, while distinguishing normal sadness or fear from clinically impairing conditions.

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