Recurrent episodes of physical complaints (fatigue, weakness, anorexia and abdominal discomfort) without manifest emotional depression are known as cyclothymic equivalents. They may occur in constitutionally predisposed individuals who experience severe psychic trauma and subsequent fixation on the oral sadistic level. According to Schick, these conditions differ from periodic depressions by evidence of a better ego integration and elements of conversion (multiple determination). Three nonpsychoanalytic case histories, all of females of middle age, serve to illustrate the marked similarity of development and symptomatology.