How to treat soft bipolar symptoms

Bipolar affective disorder

A. Mood instability with multiple periods of depression and hypomania, with or without normal mood, with an interval of at least 2 years
A. There are numerous periods of hypomanic symptoms and numerous periods of depressive symptoms that do not qualify as a major depressive episode for at least 2 years. Note: For children and adolescents, the duration must be at least 1 year
B. During such a 2-year period, no depressive or hypomanic mood swings were so severe or persistent as to qualify for a manic, moderate, or major depressive episode. However, manic or depressive episodes can occur before or after such a period of prolonged mood instability
B. During this 2-year period (1 year for children and adolescents) there was no longer than 2 consecutive months of symptom freedom according to criterion A and the hypomanic and depressive periods were present for at least half of the time
C. During at least some depressive episode, at least 3 of the following symptoms should be present:
1. Decreased drive or activity
3. Loss of self-confidence or feeling of inadequacy
4. Difficulty concentrating
6. Loss of interest or pleasure in sexuality and other enjoyable activities
7. Decreased talkativeness
8. Pessimism about the future or brooding over the past
C. There was no major depressive episode, mania, or hypomania for the first 2 years of the disorder
Note: If after the first 2 years (1 year in children and adolescents) people with cyclothymic disorder experience a manic or mixed episode, the diagnosis will change to bipolar I disorder and the diagnosis of cyclothymic disorder will no longer be used
D. During at least some elevated mood periods, 3 of the following symptoms should be present:
1. Increased drive or activity
2. Reduced need for sleep
3. Exaggerated sense of self
4. Sharpened or unusually creative thinking
5. more sociability than usual
6. More talkative or funnier than usual
7. Increased interest in and engaging in sexual or other enjoyable activities
8. Over-optimistic or exaggerating previous successes
D. The symptoms from A cannot be better explained by a schizoaffective disorder and do not overlay schizophenia, schizophrenia-like disorder, delusional disorder, or unspecified psychotic disorder
 
E. The symptoms are not due to the direct physical effects of a substance (e.g. drug, medication) or a medical disease factor
F. Symptoms are clinically meaningful to cause distress or impairment in social, professional, or other important functional areas