Hypomanic Episode

Hypomanic Episode,briefly mean a less severe manic period under a hypomanic episode with symptoms due to their milder character which generally do not function clearly. However, there is an undeniable difference with the normal behavior of the person in question. Furthermore hypomania is never accompanied by psychotic symptoms. Hypomanic periods are generally often appreciated by the person concerned and the area is experiencing an episode that is always abnormal. This is in contrasts with depression in the same person.

A hypomanic episode generally begins abruptly with a rapid escalation of symptoms within a day or two. The episodes may persist for weeks or months and normally last less than depressive episodes. In many cases, hypomanic episodes are preceded or followed by a depressive episode. Research shows that about 5-15% of people with hypomania will ultimately develop a manic episode.

In adolescents it may be accompanied by hypomanic episodes truancy from school, antisocial behavior, poor school performance or substance abuse.

Symptoms that are seen during a hypomanic episode may be due to the direct effects of antidepressant medication, electroconvulsive therapy, light therapy or other medications such as corticosteroids. However, these are not to be regarded as a hypomanic episode.

Symptoms of a Hypomanic Episode

1.A clearly identifiable period of at least four days in which there is an abnormally and persistently elevated, expansive or irritable mood, which is clearly different from the usual nondepressed mood. The elevated mood is described as euphoric, excited or high.Although elevated mood is characteristic of the hypomanic episode, the disturbed mood can be irritable or switch between euphoria and irritability.

2.During this period, still need a minimum of three of them (four if the vote is only stimulated) can occur of the following symptoms:

  • inflated self-esteem or grandiosity (no delusions)
  • decrease the need for sleep with those awakened earlier than usual and has a lot of energy (For example, after three hours of sleep feels rested)
  • speak impulse or talkative than usual where there is talk louder and faster than is normal but the person in question is not difficult to interrupt.
  • flight of ideas (does not happen often and take in those cases short) or subjective experience that is hunting thoughts
  • distractibility (this is often observed in which there are rapid change in speech or activity as a result of responding to various irrelevant external stimuli)
  • increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation. This may involve planning or participating in many activities.These activities are often creative and productive nature such as writing a letter to the editor or organizing paperwork.
  • are excessively engaged in pleasurable activities that have a high potential for painful consequences (eg unrestrained buying sprees or sexual indiscretions). Generally there is an increase in sociability and this may also apply to sexual activity. There may be impulsive behavior such as reckless driving or foolish business investments. These operations, however, are organized on the whole, not bizarre and do not result in such effects that are characteristic for a manic episode.

3. The mood is decidedly different from the usual nondepressed mood and there must be a clear change in functioning that is uncharacteristic of the person when this symptom free

4. Changes in mood and function must be perceived by others

5. Unlike a manic episode where the hypomanic episode is not severe enough to marked impairment in social, occupational or cause recording to necessitate a hospital. Furthermore, there is no question of psychotic symptoms. The performance change may cause some people to a marked increase in a person’s competence, performance and creativity, although other causes of limitation in functioning social or professional.

6.The disturbed mood and other symptoms may not be the direct physiological effect of a substance such as drugs, a drug or other treatment of depression (ECT or light therapy), or exposure to a toxic substance. Furthermore, the episode must not be due to the direct physiological effects of a general medical condition (e.g., multiple sclerosis or brain tumor).


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