We should understand the two potential presentations of the word "distinguishes"
1) ....distinguish between X and Y
2) ....distinguish X from Y
In this prompt, only 2 of the answers fit these patterns: A and C. Eliminate B, D and E
From here, we have a number other rules that we can use (we could also have started with these rules instead of focusing on the word "distinguish"):
1) Unnecessary pronouns: The pronoun "their" in Answer A is unnecessary, since the modifying phrase is clearly discussing "mood swings."
2) 2-part phrases: There are several 2-part phrases that you might see on Test Day. Some are common ("either...or", "neither...nor", "between....and", which others are rarer ("not only...but also", "just as....so." Notice that the usage of the word "between" in some of the answers....this is a clue that we will likely be using the phrase "between...and" in the correct answer.
3) Parallelism: Since the prompt compares two things, we have to present the two "like" things and do so in "parallel format."
All of this points to the correct answer:
Final Answer:
GMAT assassins aren't born, they're made,
Rich