How can you best distinguish between a manic episode and a hypomanic episode Quizlet

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  1. Social Science
  2. Psychology
  3. Abnormal Psychology

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Mood disorders and suicide

Terms in this set (101)

mood disorders

disturbances of mood that are intense and persistent enough to be clearly maladaptive

depression

emotional state characterized by extraordinary sadness and dejection

mania

emotional state characterized by intense and unrealistic feelings of excitement and euphoria

unipolar depressive disorders

mood disorder in which a person experiences only depressive episodes, as opposed to bipolar disorder, in which both manic and depressive episodes occur

bipolar disorders

mood disorders in which a person experiences both manic and depressive episodes

depressive episode

period of markedly depressed mood or loss of interest in formerly pleasurable activities (or both) for at least 2 weeks, accompanied by other symptoms such as changes in sleep or appetite or feelings of worthlessness

hypomanic episode

A condition lasting at least 4 days in which a person experiences abnormally elevated, expansive, or irritable mood. At least three out of seven other designated symptoms similar to those in a manic episode must also be present but to a lesser degree than in mania.

major depressive disorder

moderate to severe mood disorder in which a person experiences only major depressive episodes by no hypomanic, manic, or mixed episodes. Single episode if only one; recurrent episode if more than one

People diagnosed with mania would be most accurately described as experiencing periods of __________.
A. misinterpretation of body signals
B. delusions and hallucinations
C. excitement and euphoria
D. extraordinary sadness and dejection

C

What is the defining characteristic of a mixed-episode case of a mood disorder?
A. having at least one depressive episode and one manic episode within the same 12-month period
B. going back and forth between depressive and manic periods with no more than 2 years in between
C. experiencing both mood-related symptoms and psychotic symptoms at the same time
D. experiencing rapidly alternating moods, such as sadness and euphoria, all within one episode of the illness

D

The minimum required duration of symptoms for a depressive episode is __________ and the minimum required duration of symptoms for a manic episode is __________.
A. 2 weeks; 1 month
B. 2 weeks; 1 week
C. 1 month; 6 months
D. 3 months; 6 weeks

B

A person who suffers from a less-severe form of mania that lasts for a minimum of 4 days might be described as experiencing __________. It is typically less disruptive of a person's life than a full episode of mania.
A. persistent mania
B. hypomania
C. attenuated mania
D. cyclothymia

B

Which of the following is the most reasonable sociocultural explanation for the increased incidence of major depressive disorder in people from lower socioeconomic statuses?
A. There is a strong relationship between genetic and chromosomal mutations and being in a low SES.
B. Low SES leads to greater levels of adversity and life stress.
C. A low SES leads to greater body dissatisfaction, which is associated with higher levels of depression.
D. Low SES is correlated with greater levels of prenatal exposure to teratogens.

B

Criteria for Major Depressive Disorder

5+ of the following for 2+ weeks
- Depressed mood most of the day
- markedly diminished interest or pleasure in activities
- significant weight loss or gain/changes in appetite
- insomnia or hypersomnia
- psychomotor agitation or retardation every day
- fatigue
- feelings of worthlessness
- inability to concentrate
- recurrent thoughts of death

has never been a manic episode or hypomanic episode

specifiers (in mood disorders)

different patterns of symptoms that sometimes characterize major depressive episodes which may help predict the course and preferred treatments for the condition

major depressive episode with melancholic features

a type of major depressive episode that includes marked symptoms of loss of interest or pleasure in almost all activities, plus at least 3 of 6 other designated symptoms

Specifier: with melancholic features

three of the following: early morning awakening, depression worse in the morning, marked psychomotor agitation or retardation loss of appetite or weight, excessive guilt. qualitatively different depressed mood

specifer: with psychotic features

delusions or hallucinations (usually mood congruent) feelings of guilt and worthlessness common

specifer: with atypical features

mood reactivity- brightens to positive events, 2 of the 4 following symptoms: weight gain or increase in appetite, hypersomnia, leaden paralysis, being acutely sensitive to interpersonal rejection

specifier: with catatonic features

a range of psychomotor symptoms from motoric immobility to extensive psychomotor activity, as well as mutism and rigidity

specifier: with seasonal patterns

at least two or more episodes in past 2 years that have occurred at the same time (usually spring). no other nonseasonal episodes in the same 2 year period

severe major depressive episode with psychotic features

major depression involving loss of contact with reality, often in the form of delusions or hallucinations

mood congruent

delusions or hallucinations that are consistent with a persons mood

relapse

return of the symptoms of a disorder after a fairly short period of time

recurrence

a new occurrence of a disorder after a remission of symptom

major depressive episode with atypical features

A type of major depressive episode which includes a pattern of symptoms characterized by marked mood reactivity, as well as at least two out of four other designated symptoms

major depressive episode with catatonic features

a subset of major depressive disorders that is characterized by severe disturbances in motor function

recurrent major depressive episode with a seasonal pattern

a form of major depression where the episodes of depression recur on a regular seasonal basis, but not at other times of the year

persistent depressive disorder

A new DSM-5 disorder that involves long-standing depressed mood (2 years or more). The disorder incorporates dysthymic disorder and chronic major depression from DSM-IV.

double depression

this condition is diagnosed when a person with dysthymia has a superimposed major depressive episode

Dysthymia

a form of depression that is not severe enough to be diagnosed as major depression

Marcela has been feeling depressed and down for most of the day, nearly every day, over the past two months. In addition to this low mood, she reports not being interested in doing anything, including watching soccer, even though her favorite soccer team made it to the World Cup. She also reports getting little to no sleep, not feeling hungry, having difficulty making decisions, and irrational guilt. Which of the following would preclude Marcela from qualifying for a diagnosis of major depressive disorder?
A. having had a previous episode of depression
B. having experienced a hypomanic episode in the past
C. being under 18 years of age
D. having a diagnosis of specific phobia

B

What is the relationship between the experience of depressive symptoms and significant levels of anxiety?
A. Despite common misconception, there appears to be almost no correlation between depressive and anxiety symptoms.
B. Depression has been found to preclude anxiety disorders in a vast majority of cases.
C. The DSM-5 states that anxiety disorders and depressive disorders cannot be concurrently diagnosed.
D. There is a very high level of comorbidity between depressive and anxiety disorders.

D

How might one most aptly distinguish between a relapse and a recurrence of depressive symptoms?
A. A relapse is a re-emergence of previous symptoms; a recurrence is the emergence of a new episode of depression.
B. A recurrence is a re-emergence of previous symptoms; a relapse is the emergence of a new episode of depression.
C. A recurrence is the appearance of exactly the same symptoms; a relapse occurs when depressive symptoms change into bipolar symptoms.
D. A relapse is the appearance of exactly the same symptoms; a recurrence occurs when depressive symptoms change into bipolar symptoms.

A

According to research presented in this module, somewhere between __________ and __________ percent of adolescents experience either major depressive disorder or subclinical levels of depression at some point.
A. 10; 20
B. 40; 65
C. 25; 40
D. 8; 24

C

Marcellus has been struggling with the symptoms of a major depressive episode for quite some time. Dr. Ting, his therapist, notes that Marcellus meets the criteria for a major depressive episode and, in addition, seems to have lost interest or pleasure in almost all activities, even recently turning down a chance to go to a concert of his favorite musician for no discernable reason. The diagnosis of major depressive disorder would probably best include the specifier of "__________."
A. with atypical onset
B. with seasonal pattern
C. with melancholic features
D. with psychotic indicators

C

According to twin studies, monozygotic twins who have a co-twin with major depressive disorder are about __________ as likely as dizygotic twins to develop depression.
A. twice
B. four times
C. one-half
D. three times

A

Lavinia has been going through very difficult times lately, with both an increase in life stressors and the emergence of depressive symptoms. If her physician were to take a sample of blood from her, it is likely that she would find elevated levels of which stress hormone?
A. cortisol
B. oxytocin
C. melatonin
D. luteinizing hormone

A

Why is seasonal affective disorder much more common in the fall and winter months than in spring and summer?
A. Fall and winter months include reduced ambient temperatures, which cause a reduction in specific neurotransmitters.
B. Those months are associated with a statistically significant increase in negative life events.
C. Those seasons provide a reduction in the amount of available light.
D. People do not usually go on vacation or have fun parties during the fall and winter months, which can lead to a reduction in overall happiness.

C

In a single word, what did Sigmund Freud feel was at the root of most people's symptoms of depression?
A. sex
B. loss
C. dreams
D. conflict

D

Which researcher was the first to propose the idea of learned helplessness as being a significant contributing factor to the symptoms of a major depressive episode?
A. Martin Seligman
B. Sigmund Freud
C. Aaron T. Beck
D. Albert Ellis

A

cyclothymic disorder

mild mood disorder characterized by cyclical periods of hypomanic and depressive symptoms

Bipolar I disorder

a form of bipolar disorder in which the person experiences both manic episode and major depressive episodes

mixed episode

a condition in which a person is characterized by symptoms of both full-blown manic and major depressive episodes for at least 1 week, whether the symptoms are intermixed or alternate rapidly every few days

bipolar II disorder

a form of bipolar disorder in which the person experiences both hypomanic episodes and major depressive episodes

bipolar disorder with a seasonal pattern

bipolar disorder with recurrences in particular seasons of the year

__________ disorder is marked by repeated experiences of hypomanic symptoms for a period of at least __________.
A. Cyclothymic; 2 years
B. Bipolar I; 6 months
C. Persistent depressive; 1 month
D. Bipolar IV; 1 year

A

Why is a person who demonstrates symptoms of mania without any history of depression still given a diagnosis of bipolar disorder?
A. Because a "mania only" disorder is considered much more socially stigmatizing, and so bipolar disorder is diagnosed to help a client feel less ostracized.
B. The treatment of unipolar mania is extremely costly and lasts years, so insurance companies are only willing to pay for a shorter-term treatment of bipolar disorder.
C. It is assumed that either they have had undiagnosed depressive symptoms or that such symptoms will occur in the future.
D. Since there are no medications that treat manic symptoms and such patients are treated with antidepressant drugs, bipolar disorder is the more appropriate diagnosis.

C

Which of the following individuals exhibits symptoms that are consistent with a diagnosis of bipolar II?
A. Wilma has experienced very minor depressive symptoms (not enough to be diagnosed as a major depressive episode) combined with manic symptoms.
B. Zenia alternates between hypomanic and major depressive episodes.
C. Veronica has been diagnosed with bipolar I disorder in the past but now is only experiencing depressive symptoms.
D. Yolanda goes through manic episodes but has never had a depressive period.

B

In order for a person with bipolar disorder to be described as having a rapid cycling pattern, he or she would have to have at least __________ episodes of manic or depressive cycles in a given year.
A. 10
B. 8
C. 52
D. 4

D

Which of the following best describes the likely long-term course of bipolar disorder?
A. Most people with a diagnosis of bipolar disorder experience a relapse of symptoms, with depressive symptoms being the most likely to recur.
B. Most people with a diagnosis of bipolar disorder experience full recovery within 2 years once they receive effective treatment (e.g., mood-stabilizing medications).
C. Most people with a diagnosis of bipolar disorder experience a relapse of symptoms, with psychotic symptoms being the most likely to recur.
D. Most people with a diagnosis of bipolar disorder experience full recovery within 2 months, regardless of treatment.

A

The average concordance rate for bipolar disorder is about __________ percent for monozygotic twins, compared to __________ percent for dizygotic twins.
A. 90; 60
B. 15; 75
C. 5; 25
D. 60; 12

D

Several different neurotransmitters seem to be involved in the regulation of mood states in human beings. They include all but which of the following?
A. serotonin
B. norepinephrine
C. acetylcholine
D. dopamine

C

Henry suffers from bipolar disorder and experiences one or two manic episodes in a given year, more when he is not taking his medication. Between episodes, which of the following symptoms is he most likely to experience?
A. substantial sleep difficulties
B. skin irritations that lead to painful rashes and eczema
C. thinning hair and brittle finger- and toenails
D. unwanted weight gain and loss in a "yo-yo" cycle

A

Lao lives in China, where he has resided with his family for his entire life. Recently, he has begun experiencing symptoms of depression. Which symptom would he most likely demonstrate, given the cultural influences of his surroundings?
A. an overwhelming sense of guilt
B. a desire to isolate himself socially
C. loss of sexual interest
D. feelings of worthlessness

C

In the 2004 World Mental Health Study conducted by the World Health Organization, the prevalence and characteristics of psychological disorders were examined in 20 different countries. The 12-month prevalence rate of depression was found to be lowest in __________.
A. Australia
B. the United States
C. Nigeria
D. Canada

C

Jarli is a young Australian Aboriginal man who lives in a native community in the Northern Territory of Australia. If Jarli were clinically depressed, what types of behaviors would he likely exhibit?
A. Venting of hostilities onto others might be observed.
B. A tendency to engage in self-abnegation is likely.
C. He would engage in suicidal thoughts.
D. Expressing guilt over past behaviors would most likely be observed.

A

Monoamine Oxidase Inhibitors (MAOIs)

class of antidepressant drugs sometimes used for treating depression

Tricylic Antidepressants (TCAs)

medications used to treat depression, and sometimes anxiety disorders, that are thought to block the reuptake of norepinephrine and serotonin at the synapse

Selective Serotonin Reuptake Inhibitors (SSRIs)

a medication that inhibits serotonin and is used in the treatment of depression

lithium

a common salt formed from a soft silver-white metal, it has been found to reduce the symptoms of bipolar disorder although it has a number of negative side effects

electroconvulsive therapy (ECT)

Use of electricity to produce convulsions and unconsciousness; a treatment used primarily to alleviate depressive and manic episodes. Also known as electroshock therapy.

transcranial magnetic stimulation (TMS)

the use of strong magnets to briefly interrupt normal brain activity as a way to study brain regions

deep brain stimulation (DBS)

a treatment procedure for depression in which a pacemaker powers electrodes that have been implanted in Brodmann Area 25, thus stimulating that brain area

bright light therapy

a technique for treating circadian rhythm phase disorders that uses timed exposure to light with the aim of shifting an individual's sleep-wake cycle to a desired, more appropriate or conventional schedule

cognitive-behavioral therapy (CBT)

therapy based on altering dysfunctional thoughts and cognitive distortions

Mindfullness-based cognitive therapy

Variant of cognitive therapy that was developed in recent years to be used with people with highly recurrent depression. Works to change the way in which the people relate to their thoughts, feelings, and bodily sensations. Group treatment that involves training in mindfulness meditation techniques.

behavioral activation treatment

treatment for depression in which the patient and the therapist work together to help the patient find ways to become more active and engaged with life

interpersonal therapy (IPT)

a time-limited psychotherapy approach that focuses on the interpersonal context and on building interpersonal skills

Which of the following people has the least likelihood of receiving some sort of treatment?
A. Richard, who suffers from very severe major depressive disorder
B. Ulie, who has been diagnosed with a mild to moderate case of major depressive disorder
C. Tremaine, who was first diagnosed with bipolar II disorder at age 23 and still fights serious symptoms of the illness at age 40
D. Steven, who has dealt with serious bipolar I disorder for years

B

Why might a physician be somewhat unwilling to give a person with major depressive disorder a prescription for tricyclic antidepressants (TCAs) as the first pharmaceutical approach to addressing their symptoms?
A. These drugs are more dangerous than other antidepressants and can be used for fatal suicide attempts.
B. While TCAs were the first type of antidepressant thought to be effective, it is now known that they help only about 5 percent of those who take them.
C. The side effects of TCAs can include severe muscular tics and tremors that, if allowed to continue, can become permanent.
D. A rare but potentially fatal blood disease called aplastic anemia can develop as a result of taking even a slight excess of this type of medication.

A

Generally speaking, a person who has just started taking antidepressants should not expect to experience a significant reduction in depressive symptoms for about __________.
A. 7 to 10 days
B. 2 to 3 years
C. 3 to 5 weeks
D. 4 to 6 months

C

Which of the following describes a benefit offered by transcranial magnetic stimulation for the treatment of mood disorders?
A. The treatment is far more painful than electroconvulsive therapy (ECT), and also more painful than the use of antidepressant medications.
B. The treatment does not cause any deficit in cognitive performance or memory skills like those that occur with electroconvulsive therapy (ECT).
C. It is the first non-pharmaceutical treatment that is effective for bipolar disorder.
D. While it cannot be used with children and adolescents, it is only slightly less effective than electroconvulsive therapy (ECT) for adults.

B

What type of therapy aimed at the treatment of depression involves meditation techniques that emphasize patients' awareness of unwanted thoughts, feelings, and sensations?
A. in-vivo exposure therapy
B. rational emotive behavioral therapy
C. mindfulness-based cognitive therapy
D. directive Gestalt therapy

C

suicide

act of killing one's self

nonsuicidal self-injury

direct, deliberate destruction of body tissue in the absence of any intent to die

The disorder that is most prevalent among those who die by suicide is __________.
A. depression
B. anorexia nervosa
C. bipolar disorder
D. schizophrenia

A

Angelina, age 12, sits several times a week in a locked bathroom in her home and uses a razor blade to cut the inside of her thighs. The practice is painful to her, but she experiences that pain as a positive sensation rather than a negative one. Angelina's behavior would be classified as __________.
A. nonsuicidal self-injury (NSSI)
B. suicide attempts
C. nonlethal suicide attempts
D. suicidal thoughts

A

Whereas suicide is relatively rare among children, the prevalence of such behaviors increases starting at around age __________ and continues to increase into the early- to mid-20s.
A. 12
B. 36
C. 24
D. 5

A

Which figure, described in your text as the "godfather of suicide research," has written extensively about what constitutes a suicidal mind?
A. Groth-Marnat
B. Durkheim
C. Shaw
D. Shneidman

D

Recent neuroimaging research indicates that when suicidal people think about suicide, they show greater activation in brain regions associated with __________ compared to people who have no history of suicidal thoughts or behaviors.
A. pain
B. fear
C. escape
D. self-referential thought

D

The Food and Drug Administration (FDA) has required pharmaceutical companies to place warnings on the packaging for antidepressant medications that state that these drugs might __________.
A. contribute to the development of both Type I and Type II diabetes
B. lead to intracerebral bleeding and a risk of stroke
C. increase the risk of suicidal behaviors
D. increase blood pressure in those with a medical history of hypertension, leading to a risk of sudden cardiac death

C

Since the 1960s, the availability of competent assistance at times of suicidal crisis has been expanded through the establishment of __________.
A. community mental health centers
B. suicide hotlines
C. urgent psychiatric care facilities
D. halfway houses

B

In classical Greece, a person who was extremely ill could __________.
A. petition the state and receive permission to end his life
B. end his life without governmental or religious mandates or interference
C. face scorn and ridicule from members of the community for wanting to end his life
D. petition the gods for early entrance into the afterlife so he could end his life

A

Which of the following is true about suicide prevention hotlines?
A. These 24-hour call centers are associated with reduced rates of suicide.
B. These 24-hour call centers are primarily staffed by well-trained psychologists.
C. We lack evidence that these 24-hour call centers reduce suicide rates.
D. There are very few suicide hotlines in the United States.

C

Allen is contemplating suicide, but he does not want to receive treatment. Given what you learned from this module, which of the following factors is Allen most likely to say keeps him from seeking treatment?
A. Allen does not trust psychologists.
B. Allen received psychological treatment in the past, and does not want to do it again.
C. Allen does not think that he needs help.
D. Allen knows his thinking and decision making are impaired, and he wants to wait for it to pass.

C

Which of the following mood disorders is the most prevalent in the United States?
A. bipolar I disorder
B. bipolar II disorder
C. double depression
D. major depressive disorder

D

n what age group are rates of depression equal among males and females in the United States?
A. older adults/elderly
B. adults
C. adolescents
D. school-aged children

D

__________ refers to the inability to experience pleasure.
A. Rumination
B. Learned helplessness
C. Anhedonia
D. Depression

C

What do cyclothymic disorder and bipolar II disorder have in common?
A. They both involve periods of hypomanic symptoms.
B. Each of them is diagnosed far more commonly in men than in women.
C. They both can be diagnosed after 3 months of unrelenting symptoms.
D. They can both be diagnosed after a manic episode, even if depressive symptoms have not yet occurred.

A

Which of the following would be the correct combination of neurotransmitter activities during different stages of bipolar disorder?
A. increased sertraline activity during manic episodes and decreased glutamate activity during depressed and manic stages
B. increased gamma-aminobutyric (GABA) activity during manic episodes and decreased cortisol activity during depressed and manic stages
C. increased norepinephrine activity during manic episodes and decreased serotonin activity during depressed and manic stages
D. increased cortisol activity during manic episodes and decreased acetylcholine activity during depressed and manic stages

C

Which of the following may explain the lower prevalence rates of mood disorders in Nigeria compared to the United States?
A. There is greater stigma in the United States around mental illness, particularly depression.
B. People in the United States experience more stress, which triggers episodes of depression.
C. People in the United States may be less willing to report symptoms of psychopathology because of stigma.
D. People in Nigeria may be less willing to report symptoms of psychopathology because of stigma.

D

Which of the following reasons most accurately describes why SSRIs tend to be prescribed more often than TCAs for depression?
A. SSRIs are more effective than TCAs for severe depression.
B. SSRIs are more effective than C. TCAs for mild depression.
TCAs do not outperform placebo.
D. TCAs can cause several unpleasant side effects.

D

Approximately __________ percent of adolescents and young adults have engaged in at least one nonsuicidal self-injury behavior, often with the goal of decreasing high levels of distress and eliciting help from others.
A. 35 to 60
B. 8 to 12
C. 15 to 20
D. 25 to 32

C

Which side-effect is Jason, age 14, more likely to experience than Alex, age 55, after starting antidepressant medication?
A. weight gain
B. suicidal thoughts
C. hallucinations and delusions
D. obsessive-compulsive symptoms

B

In the United States, the first state to pass a Death with Dignity Act in 1994 was __________. This gave physicians legal permission to prescribe a lethal dose of medication for a terminally ill patient to ingest on their own.
A. Oregon
B. New Jersey
C. Alaska
D. Idaho

A

CBT and medications have been found to be similarly effective in the treatment of severe depression. However, __________.
A. medications are associated with reducing neural abnormalities, but CBT is not
B. CBT is associated with lower rates of relapse over a one year follow-up period after discontinuation of both treatments
C. medications are associated with lower rates of relapse over a one year follow-up period after discontinuation of both treatments
D. medications are associated with greater symptom reductions among people with mild depression

B

The __________, an area of the brain involved in selective attention, shows __________ in patients with depression.
A. pituitary gland; decreased production of dopamine
B. brain stem; decreased volume and lower levels of activation
C. hypothalamus; increased activation
D. anterior cingulate cortex; decreased volume and abnormally low levels of activation

D

EEG sleep studies of persons with depression reveal that depressed persons on the average __________ when compared to persons who are not depressed.
A. spend half as much time in REM sleep and engage in more nocturnal movement
B. demonstrate more frequent eye movement during REM sleep and spend a longer-than-normal amount of time in stage 3 and 4 sleep
C. enter REM sleep 3 hours later and spend a greater percentage of time in stage 1 and 2 sleep
D. enter REM sleep 15 to 20 minutes earlier after going to bed, and spend a lower-than-normal amount of time in stage 3 and 4 sleep

D

Which of the following people is the least likely to transition from suicidal thinking to suicidal behavior?
A. Ella has been thinking about suicide again over the past month. Previously, she thought about suicide on and off for a year, but it has been several years since her first and only suicide attempt.
B. Allison has a history of self-injury and has been increasingly engaging in self-harm behavior over the last several months.
C. Roger has been thinking about suicide on and off for 10 years and has never engaged in any suicidal behaviors.
D. Franky has been thinking about suicide periodically for the first time over the past few months. She has never engaged in any suicidal behaviors before.

C

Which of the following is a possible side effect of transcranial magnetic stimulation (TMS)?
A. insomnia
B. increased suicidal thoughts
C. memory impairment
D. headaches

D

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How can you best distinguish between a manic episode and a hypo manic episode?

They differ in how severe these mood changes are:.
Mania is a severe episode that may last for a week or more. A person may feel uncontrollably elated and very high in energy. ... .
Hypomania is an episode that lasts for a few days. People may feel very good and function well..

What are the signs of mania or hypomania?

Mania and hypomania.
Abnormally upbeat, jumpy or wired..
Increased activity, energy or agitation..
Exaggerated sense of well-being and self-confidence (euphoria).
Decreased need for sleep..
Unusual talkativeness..
Racing thoughts..
Distractibility..

What is a manic or hypomanic experience?

Hypomania and mania are periods of over-active and excited behaviour that can have a significant impact on your day-to-day life. Hypomania is a milder version of mania that lasts for a short period (usually a few days) Mania is a more severe form that lasts for a longer period (a week or more)

What is the difference between hypomania and hypermania?

In addition, hypomania is distinguished from mania and hypermania by the absence of psychotic symptoms and the high sense of grandiosity and by a lesser degree or impact on functioning.