Hypomania/hypomanic episode

Question 1

DIAGNOSTIC CRITERIA

Answer 1

• 3 or more characteristics symptoms lasting at least 4 days
• Not severe enough to interfere with social or occupational functioning, or include psychotic features

Question 2

CLINICAL FEATURES

Answer 2

• Similar to mania but less severe
  
  • Midly elevated, expansive or irritable mood
  • Increased energy and activity
  • Marked feelings of well-being, physical and mental efficiency
  • Increased self-esteem
  • Sociability
  • Talkativeness
  • Over-familiarity
  • Increased sex drive
  • Reduced need for sleep
  • Difficulty focusing on one task alone

Question 3

DIFFERENTIALS

Answer 3

• Agitated depression
• OCD/other anxiety disorders
• Circadian rhythm disorders
• Substance misuse
• Physical illness
• Medication related

Question 4

MANAGEMENT

Answer 4

• Exclusion other cause with investigation
• Address psychosocial stressors
• If sleep disturbance, consider use of hypnotic
• If prolonged, possible medication management