Depression, Depression Types

Hypomanic Episode

Is defined as a period of abnormally elevated and irritable mood.

The episode must be accompanied by; inflated self-esteem, grandiosity, decreased sleep, distractibility, increased involvement in goal-oriented activities, and flight of ideas.

The mood must be different than the persons usual non-depressed mood.

In contrast to Manic Episode, the Hypomanic Episode does not cause severe impairment to social or occupational functioning.

Although the person’s mood may have a cheerful and infectious in quality to the uninvolved observer, it is recognized as a distinct change in the usual self by those who know the person well.

Symptoms can be abrupt in the onset, lasting weeks to months, but typically briefer compared to the episodes MDE and Bipolar Episode.

Criteria for Hypomanic Episode

A. A district period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual non depressed mood.

B. During the period of mood disturbance, three of the following symptoms have persisted and have been present to a significant degree:

  1. inflated self-esteem
  2. decreased need for sleep
  3. more talkative than usual or pressure to keep talking
  4. flight of ideas or subjective experience that thoughts are racing
  5. distractibility (attention too early drawn elsewhere )
  6. increase in goal-oriented activity or psychomotor agitation
  7. excessive involvement in pleasurable activities that have a high potential for painful consequences (the person engages in unrestrained buying sprees, sexual indiscretions, or foolish business investments)

C. This episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.

D. The disturbance in mood and the change in functioning are observable by others.

E. The episode is not severe enough to cause impairment in social or occupational functioning.

F. The symptoms are not due to the direct results of a physiological substance.