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=== Hypomanic episodes === [[File:'Melancholy passing into mania' Wellcome L0022595 (cropped).jpg|thumb|An 1858 lithograph captioned "Melancholy passing into mania"]] [[Hypomania]] is the milder form of mania, defined as at least four days of the same criteria as mania,<ref name="Beentjes2012" /> but which does not cause a significant decrease in the individual's ability to socialize or work, lacks psychotic features such as [[delusions]] or [[hallucinations]], and does not require psychiatric hospitalization.<ref name="Barnett2009" /> Overall functioning may actually increase during episodes of hypomania and is thought to serve as a defense mechanism against depression by some.<ref name="Bowins2013" /> Hypomanic episodes rarely progress to full-blown manic episodes.<ref name="Bowins2013" /> Some people who experience hypomania show increased creativity,<ref name="Beentjes2012" /><ref name="pmid20936438">{{cite journal|vauthors=Srivastava S, Ketter TA|date=December 2010|title=The link between bipolar disorders and creativity: evidence from personality and temperament studies.|journal=Current Psychiatry Reports|volume=12|issue=6|pages=522β530|doi=10.1007/s11920-010-0159-x|pmid=20936438|s2cid=1880847}}</ref> while others are irritable or demonstrate poor judgment.<ref name="Bobo2017">{{cite journal | vauthors = Bobo WV | title = The Diagnosis and Management of Bipolar I and II Disorders: Clinical Practice Update | journal = Mayo Clinic Proceedings | volume = 92 | issue = 10 | pages = 1532β1551 | date = October 2017 | pmid = 28888714 | doi = 10.1016/j.mayocp.2017.06.022 | type = Review | doi-access = free }}</ref> Hypomania may feel good to some individuals who experience it, though most people who experience hypomania state that the stress of the experience is very painful.<ref name="Beentjes2012" /> People with bipolar disorder who experience hypomania tend to forget the effects of their actions on those around them. Even when family and friends recognize [[mood swing]]s, the individual will often deny that anything is wrong.<ref>{{cite web|url=http://www.pueblo.gsa.gov/cic_text/health/bipolar/bipolar.htm |title=Bipolar Disorder: NIH Publication No. 95-3679|publisher=U.S. National Institutes of Health|date=September 1995 |archive-url = https://web.archive.org/web/20080429204140/http://www.pueblo.gsa.gov/cic_text/health/bipolar/bipolar.htm |archive-date = April 29, 2008}}</ref> If not accompanied by depressive episodes, hypomanic episodes are often not deemed problematic unless the mood changes are uncontrollable or volatile.<ref name="Bowins2013">{{cite journal | author = Bowins B | title = Cognitive regulatory control therapies | journal = Am J Psychother | volume = 67 | issue = 3 | pages = 215β236 | year = 2007 | pmid = 24236353 | doi = 10.1176/appi.psychotherapy.2013.67.3.215 | doi-access = free }}</ref> In individuals with Bipolar II disorder, depressive symptoms typically overlap with hypomania symptoms. These individuals may not be able to identify these specific symptoms as hypomania, rather they view them as typical depression with slight alterations in mood.<ref>{{Cite book |last=American Psychiatric Association |url=https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787 |title=Diagnostic and Statistical Manual of Mental Disorders |date=2022-03-18 |publisher=American Psychiatric Association Publishing |isbn=978-0-89042-575-6 |edition=DSM-5-TR |language=en |doi=10.1176/appi.books.9780890425787}}</ref> Most commonly, symptoms continue for time periods from a few weeks to a few months.<ref>{{cite web|url=http://www.webmd.com/bipolar-disorder/guide/bipolar-2-disorder|title=Bipolar II Disorder Symptoms and Signs|publisher=Web M.D.|access-date=December 6, 2010|url-status=live|archive-url=https://web.archive.org/web/20101209213147/http://www.webmd.com/bipolar-disorder/guide/bipolar-2-disorder|archive-date=December 9, 2010}}</ref>
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