hypomanic episode


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Related to hypomanic episode: Mixed episode

episode

 [ep´ĭ-sōd]
a single noteworthy happening in the course of a longer series of events, such as one critical period of several during a prolonged illness.
hypomanic episode a period of elevated, expansive, or irritable mood similar to a manic episode but not as severe; see also bipolar disorders and mood disorders.
major depressive episode a period of daily and day-long depressed mood or loss of interest or pleasure in virtually all activities. Also present is some combination of altered appetite, weight, or sleep patterns, psychomotor agitation or retardation, difficulty thinking or concentrating, lack of energy and fatigue, feelings of worthlessness, self-reproach, or inappropriate guilt, recurrent thoughts of death or suicide, and plans or attempts to commit suicide. See also bipolar disorders and mood disorders.
manic episode a period of predominantly elevated, expansive, or irritable mood accompanied by some of the following symptoms: inflated self-esteem, decreased need for sleep, talkativeness, flight of ideas, distractibility, hyperactivity, hypersexuality, and recklessness. See also bipolar disorders and mood disorders.
mixed episode a period during which the criteria are met both for a major depressive episode and for a manic episode nearly every day, with rapidly alternating moods and with symptoms characteristic of each type of episode. See also bipolar disorders and mood disorders.

hypomanic episode

1. a period of several days of elevated or irritable mood involving a lesser degree of some or all the features of a manic episode.
See also: bipolar disorder, bipolar II disorder, cyclothymia.
2. a DSM diagnosis is established when specified criteria are met.
See also: bipolar disorder, bipolar II disorder, cyclothymia.

hypomanic episode

Hypomania Psychiatry A discrete period–≥ 4 days of an abnormal and persistently elevated, expansive, or irritated mood, accompanied by 'ancillary' Sx–eg, ↑ self-esteem, non-delusional grandiosity, flight of ideas, ↑ distractibility, ↓ need for sleep, ↑ in goal-directed activities, or psychomotor agitation. See Bipolar disorder, Manic episode.

hy·po·man·ic ep·i·sode

(hīpō-manik epi-sōd)
Several days of elevated or irritable mood involving a lesser degree of some or all the features of a manic episode.
References in periodicals archive ?
We believe that the customary inclusion and exclusion criteria used to select participants for these research studies miss subtle (subthreshold) hypomanic episodes that fall short of meeting DSM criteria for duration and severity.
However, if his writing bursts were accompanied by manic or hypomanic episodes, then the risky activity that may have accompanied such excesses of energy may well have been sexual.
(40) Although patients with bipolar I or bipolar II typically cycle from mania to depression with periods of euthymia interspersed, they do not usually visit PCPs during manic or hypomanic episodes. When they do present for medical attention during these episodes, it is often through the emergency department.
Bipolar disorder is difficult to diagnose, and bipolar II disorder can be especially challenging because most patients will present with a depressive episode and not mention previous hypomanic episodes. Patients with shorter durations of hypomania (1-3 days) may have clinical characteristics and outcomes similar to patients with bipolar II disorder despite not meeting the accepted criterion of a 4-day duration.
With the exception of the patient who dropped out after 2 weeks of treatment due to a hypomanic episode, all enrolled patients took 60 mg/d of duloxetine during the first two weeks of treatment and 120 mg/d during the subsequent 10 weeks of treatment, so the mean dosage over the 12 weeks was 110 mg/d.
(13) Patients having a hypomanic episode often feel quite well and may not recognize that there is anything abnormal occurring.
Psychosocial interventions are key components in the effective management of bipolar disorder, especially during depressive or hypomanic episodes and during continuation and maintenance treatment, as patients are more capable of taking in and using new information at these times than they are during manic or mixed episodes.
* "with mixed features" is a new course specifier pertinent when [greater than or equal to]3 mania or hypomania symptoms coexist (that is, might be a subsyndromal mania or hypomania) with a depressive syndrome; the mixed features specifier can be applied to depressed patients whether or not they have ever had a manic or hypomanic episode, but MDD--rather than bipolar disorder--remains the overarching diagnosis, unless criteria have ever been met for a full mania or hypomania.
Although DSM-IV-TR criteria specify that a hypomanic episode must last at least 4 days, data from naturalistic studies indicate that the mean duration of hypomania in patients with bipolar II disorder is approximately 2 days.
The DSM-IV-TR diagnostic criteria for a hypomanic episode are similar to criteria for a manic episode, except:
The questionnaire asks parents and patients to rate 39 putatively prodromal symptoms that can emerge before the occurrence of a syndromal manic or hypomanic episode.
Her last hypomanic episode was several years ago, and was characterized by increased energy with decreased need for sleep, flight of ideas, increased productivity, and impulsivity.