"When they're manic or hypomanic
they're very productive.
DSM-5 also requires severity criteria for hypomania that patients with unequivocal hypomanic
episodes often do not meet.
The median age's at the interview, 1st mood (depressive or manic or hypomanic
) episode, 1st depressive episode, most severe depressive episode for the BID group was early than MDD group.
Identifying BPD in a patient with current or past depressive symptoms requires screening for manic, hypomanic
, and mixed episodes (table 1 (9)).
Judge Stephen Ashurst concluded the trigger for the incident was drink, not a hypomanic
relapse or psychiatric illness.
[2, 10] The reason may be related to the characteristics of the onset of bipolar disorder itself, especially when the episode of onset is depressive with no mania or hypomania.[2, 11] In the entire course of bipolar disorder, there were apparently more depressive episodes than manic or hypomanic
episodes. In particular the patients with bipolar II disorder had a depressive presentation throughout most of their illness,  making the clinical diagnosis even more difficult.
In mid-October 1882 it all seemed to be a so-called "false" unipolar depression (American Psychiatric Association, 2000) that within half a year switched into a "hypomanic
alert" (Jacobsen 1965: 295-299), with sleep disturbance as prodrome.
I was at the hypomanic
state of the spectrum on and off for a long period, but generally you can only last at the end for around three months before you hit rock bottom and go down into depression," she explained.
The onset was with a hypomanic
episode characterized by easy irritability, anger, and hyperactivity in work and social life.
in a study comparing the polysomnographic characteristics of bipolar hypomanic
patients with unipolar depressed patients .
Cognitive function across manic or hypomanic
, depressed, and euthymic states in bipolar disorder.
The mean number of lifetime hypomanic
/ manic / mixed episodes exceeded that of depressive episodes.