Hyperthymic temperament

Hyperthymic temperament, or hyperthymia, from Ancient Greek ὑπέρ ("over", meaning here excessive) + θυμός ("spirited"), is a proposed personality type characterized by an exceptionally, or in some cases, abnormally positive or irritated mood and disposition. It is generally defined by increased energy, vividness and enthusiasm for life activities, as opposed to dysthymia. Hyperthymia is similar to but more stable than hypomania.

Hyperthymia
Other namesHyperthymic temperament, hyperthymic personality-type, chronic hypomania
Graph showing hyperthymia in comparison to bipolar spectrum disorders
SpecialtyPsychiatry, clinical psychology -although its classification as a disorder is still disputed
SymptomsHigh self-esteem, high energy, decreased need for sleep, optimism, impulsivity, talkativeness, high libido
ComplicationsIncreased risk of bipolar disorder, substance abuse
Usual onsetBefore 21 years old
CausesGenetic, environmental, and psychological factors
Risk factorsUnknown, family history
Diagnostic methodBased on symptoms
TreatmentOften not needed, unless potential complications develop

Characteristics of the hyperthymic temperament include:

  • increased energy and productivity
  • short sleep patterns
  • vividness, activity extroversion
  • self-assurance, self-confidence
  • strong will
  • extreme talkativeness
  • tendency to repeat oneself
  • risk-taking/sensation seeking
  • breaking social norms
  • very strong libido
  • love of attention
  • low threshold for boredom
  • generosity and tendency to overspend
  • emotion sensitivity
  • cheerfulness and joviality
  • unusual warmth
  • expansiveness
  • tirelessness
  • irrepressibility, irresistible, and infectious quality

The clinical, psychiatric understanding of hyperthymia is evolving. Studies have suggested that hyperthymic temperament may be associated with efficient performance of complex tasks under time pressure or extreme conditions. Despite this positive characterization, hyperthymia can be complicated with depressive episodes manifesting as a softer form of bipolar illness, such as cyclothymia. Research also suggests a familial genetic connection of the temperament to bipolar I.

Aside from references in historical and more recent writings on the spectrum of mood disorders, further literature on the temperament is lacking. There is a lack of agreement on its definition, implications or whether it is pathological. It is not known where to place hyperthymia on the affective spectrum.

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