dysphoric hypomania

dys·phor·ic hypomania

(dĭs-fôr′ĭks)
n.
A mood disorder in which an individual who has had a major depressive episode undergoes an episode with some manic symptoms although not so severe or of such duration as to be categorized as manic. Also called bipolar II.
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This is especially likely if the patient shows an initial prompt antidepressant response, but depression returns with irritability, insomnia, restlessness, or other subtle symptoms of dysphoric hypomania.
When bipolar treatment fails; What's your next step? Be a troubleshooter: systematically eliminate whatever is perpetuating manic, depressive, or cycling symptoms

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