Hypomania Symptoms: Understanding Signs and DSM-5 Criteria

Hypomania is a distinct period of abnormally elevated/irritable mood and increased activity lasting ≥4 days, less severe than mania (no marked impairment, psychosis, or hospitalization).

DSM-5 Criteria (Core Symptoms)

• Elevated, expansive, or irritable mood
• Increased energy/activity
• Plus ≥3 of the following (4 if mood only irritable):

1. Inflated self-esteem/grandiosity
2. Decreased need for sleep
3. Pressured speech
4. Flight of ideas/racing thoughts
5. Distractibility
6. Increased goal-directed activity or agitation
7. Risky behavior (spending, sex, investments)

Additional Features

• Enhanced creativity, heightened senses, increased libido
• Weight loss, decreased appetite
• Physical complaints (headaches, muscle aches)

Important

Not all symptoms appear in every episode. Hypomania can be productive but risks progression to mania or depression. Seek professional evaluation if suspected.