For at least the last two years, Sara has been experiencing mild to moderate depression, which alternates with periods of her being cheerful and expansive, but also somewhat irritable. Although Sara is able to work and take care of her family, she and her family are both concerned about these emotional "ups" and "downs." Sara would most likely be diagnosed with

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Cyclothymic disorder is characterized by periods of mild to moderate depression alternating with periods of hypomanic symptoms (cheerful and expansive mood, but also somewhat irritable), which Sara is experiencing. Unlike bipolar I disorder, the symptoms are less severe and do not fully meet the criteria for major depressive or manic episodes.

For at Least the Last Two Years, Sara Has Been