What causes the following symptom: "Hypomania or mania preceding a depressive episode"?

Generally, the symptom "Hypomania or mania preceding a depressive episode" can be related to: Bipolar disorder

Which other symptoms can occur along with the following symptom: "Hypomania or mania preceding a depressive episode"?

The symptom "Hypomania or mania preceding a depressive episode" can occur along with the following: (1) Having suicidal thoughts. (2) Before becoming depressed, had an episode of high mood where sleep was unnecessary

Hypomania or Mania Preceding a Depressive Episode

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Reviewed By:

Charles Carlson, DO, MS (Psychiatry)

Dr. Carlson graduated from Touro University in Nevada with a degree in osteopathic medicine. He then trained as a resident in Psychiatry at Case Western Reserve University/University Hospitals where he was also a chief resident and completed a fellowship in Public and Community Psychiatry. After training, he started practicing in | Addiction Psychiatry at the U.S. Department of Veterans Affairs where he also teaches Psychiatry residents.

Yu Shirai, MD (Psychiatry)

Dr. Shirai works at the Yotsuya Yui Clinic for mental health treatment for English and Portuguese-speaking patients. He treats a wide range of patients from neurodevelopmental disorders to dementia in children and participates in knowledge sharing through the Diversity Clinic.

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Alternating mania and depression

Felt over the moon but then mood crashed

Did not need to sleep at all for a few days before becoming depressed

Mania / hypomania followed by depressive episode

Became depressed after initially feeling that I had energy to go without sleep

Feeling very elated and full of energy just before the depression hit

Minimal sleep requirements for a period of time before depression

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Having suicidal thoughts
Before becoming depressed, had an episode of high mood where sleep was unnecessary

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Content updated on Jan 4, 2023

About the symptom

Symptoms of mania may include some of the following: elevated, expansive or irritable mood, very high self esteem, more talkative or pressured speech, easily distracted, abrupt changes from one topic to another or racing thoughts, increased energy or goal directed activity, excessive involvement in pleasurable activities that have a high potential for painful consequences, and decreased need for sleep. These symptoms can sometimes come before one begins to develop depressive symptoms.

When to see a doctor

Seek professional care if you experience any of the following symptoms

Hypomania or mania preceding a depressive episode
Recent weight loss
Suicidal thought
Decrease in sleeping desire

Possible causes

Bipolar disorder
A psychological disorder characterized by extreme mood swings. The exact cause is unclear, though genetic and environmental factors play a role.

Questions your doctor may ask about this symptom

Your doctor may ask these questions to check for this symptom

Before your mood dropped drastically, was there a period where you could perform well despite no/minimal sleep?
Do you feel fatigued?
Do you have difficulty sleeping (Insomnia)?
Do you have less or no appetite, therefore eat less food?
Do you feel tired almost every day and unmotivated to do anything?