Making ‘Sense’ Of Hypomania?!

Each person’s hypomanic episode can vary substantially. I believe I’ve had numerous hypomanic episodes that had gone unrecognized for the past 2 years. People with bipolar disorder mostly seek help only during depressive states. Each episode has also been slightly different, but always featuring insomnia, high productivity, motivational happiness, sexual drive and irritability. I think that they need to expand on hypomania; the DSM-IV Criteria doesn’t recognize that hypomania seems to have a variety of stages within the actual episode.

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I’m currently hypomanic at the moment, its 2am and I’m at my laptop, I’ve taken mood stabilizers today and insomnia tablets, yet I’m still awake. I feel productive when I write at the moment; the night-time has definitely become my time of focus. Not all of my hypomanic episodes have been like this, some were beyond awful, with bouts of crying/laughing simultaneously, tension headaches, head chatter/static/white noise (whichever you prefer) and the inability to focus on a task without getting agitated and eventually irritated, this isn’t including the racing thoughts that leave me sitting in the one position without recognizing the time passing, the worst hypomanic episode I experienced was co-morbid with dissociation caused by antidepressants. My thoughts seemed like they weren’t my own, that I was looking at all these social instances from a macro level instead of my perceived micro level perception. The dissociation caused me extreme anxiety whereby I couldn’t function properly for two days and was taken off the medication.

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