Preview build — content shown here has not yet cleared independent review and is not the public release.

Case Lab · Type B · Transfer

F34

Not every 'up' week is cyclothymia

Nadia, 29, describes years of mood that goes "up and down." On closer questioning, several of the 'up' periods lasted about a week each and involved not just feeling chattier and needing less sleep, but on two occasions she maxed out a credit card on items she later regretted buying, and once sent an angry, uncharacteristic written complaint about a colleague to her whole team after an argument she would not normally have started — both occasions causing real disruption to her work relationships and finances.

What is the best-supported classification?