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Hypomania is also a feature of bipolar I disorder; it arises in sequential procession as the mood disorder fluctuates between normal mood (i.e., euthymia) and mania. Some individuals with bipolar I disorder have hypomanic as well as manic episodes. Hypomania can also occur when moods progress downwards from a manic mood state to a normal mood.
Conversely, a patient with hypomania with mixed features will present with the full criteria for a hypomanic episode, but with concurrent symptoms of decreased appetite, loss of interest, and low energy. [26] Episodes with mixed features can last up to several months.
Hypomanic episodes in bipolar II may not last as long as full manic episodes, though that’s not always the case. While bipolar I doesn’t always involve depressive episodes, bipolar II does. ...
Hypomanic episodes do not go to the full extremes of mania (i.e., do not usually cause severe social or occupational impairment, and are without psychosis), and this can make bipolar II more difficult to diagnose, since the hypomanic episodes may simply appear as periods of successful high productivity and are reported less frequently than a ...
Bipolar II – bipolar disorder categorized by depressive episodes and at least one hypomanic episode, no manic episode experienced; Cyclothymia – a milder form of bipolar disorder with predominantly depressive symptoms and some symptoms of hypomania, does not meet diagnostic severity of bipolar I or II
Substance-induced mood disorders can have features of a manic, hypomanic, mixed, or depressive episode. Most substances can induce a variety of mood disorders. For example, stimulants such as amphetamine , methamphetamine , and cocaine can cause manic, hypomanic, mixed, and depressive episodes.
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The duration of bipolar mood swings also varies. They may last a few hours – ultrarapid – or extend over days – ultradian: clinicians maintain that only when four continuous days of hypomania, or seven days of mania, occur, is a diagnosis of bipolar disorder justified. [25]