Cyclopsychotic Disorder is a medically unrecognized Schizophrenia and Other Psychotic Spectrum Disorder categorized by the presence of at least one Psychotic Episode with manic features (referred to as "Psychomanic" episodes), often proceeded or followed by depressive episodes or episodes of mixed Depressive and Psychomanic symptoms.
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A. The presence of three (or more) of the following Psychotic symptoms. At least one of these must be (1), (2), or (3):
Disorganized speech (e.g., frequent derailment or incoherence).
Grossly disorganized or catatonic behavior.
Negative psychotic symptoms (e.g., diminished emotional expression or avolition).
B. The presence of one (or more) of the following Manic* symptoms (two, if the mood is only irritable). The symptoms may fluctuate or even change, but there must be at least one present during the entire duration of the episode:
Inflated self-esteem or grandiosity.
Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).
More talkative than usual or pressure to keep talking.
Flight of ideas or subjective experience that thoughts are racing.
Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.
Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless, non-goal-directed activity).
Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments.
C. The episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic.
D. The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment).
E. The disturbance is sufficiently severe to cause marked distress or impairment in at least one area of functioning (e.g., social, emotional, interpersonal, or occupational)
A. Criteria has been met for at least one Psychomanic episode (Criteria A-E under "Psychomanic Episode" above)
B. The primary symptoms are psychotic, and the manic symptoms present secondarily**.
C. The occurrence of the psychomanic episode(s) is not better explained by bipolar I, bipolar II, schizoaffective disorder, schizophrenia, schizophreniform disorder, brief psychotic disorder, major depressive disorder with psychotic features, other specified or unspecified schizophrenia spectrum and other psychotic disorder, or other specified or unspecified bipolar and related disorder.
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Current severity; marked mild, moderate, severe.
Note: Diagnosis of Cyclopsychotic disorder can be made without using this specifier.
Brief duration: episodes have a minimum duration of 1 day, and an overall maximum of 1 week.
Standard duration: episodes have a minimum duration of 3 days, and an overall maximum of 2 weeks.
Extended duration: episodes have a minimum duration of 1 week, and an overall maximum of 1 month.
Substantial duration: episodes have a minimum duration of 2 weeks, and may often continue after the 1 month mark.
Other specified episode duration: used for presentations that don't fit into one the previous duration specifiers. Examples of presentations that can be specified under the other specified designation are the following:
1) The average episode duration has a wider range than described in any one of the previous specifiers
2) Episodes usually fit into one of the previous duration specifiers, but have occasional outliers that the clinician feels necessary to note; can be marked solely as "other specified episode duration", or can be marked as "*primary duration* with *other specified episode duration: outlier duration* outlier" (e.g., "Standard duration with substantial duration outlier")
3) The diagnosis is being made when there has currently only been one episode
4) There doesn't seem to be a pattern in episode duration; episodes cannot be assigned an average range of duration
Unspecified Episode Duration.
With marked stressor(s): If symptoms occur in response to events that, singly or together, would be markedly stressful to almost anyone in
similar circumstances in the individual’s culture.
Without marked stressor(s): If symptoms do not occur in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the individual’s culture.
Mixed cause of onset.
Unknown or unspecified cause of onset.
Note: Diagnosis of Cyclopsychotic disorder can be made without using this specifier.
Continuous Psychotic Traits: Some psychotic features are present outside Psychomanic episodes, though are most often noticeably less severe than their episodic counterparts.
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*: A manic episode is classified as "a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy…"
**: Apposed to a manic episode with psychotic features
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