Hypomania or Mania Preceding a Depressive Episode
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Reviewed By:

Charles Carlson, DO, MS

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

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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Content updated on Apr 4, 2024

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  • Experiencing a shift from initially feeling energetic and the ability to go without sleep to subsequently feeling depressed

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

  • Mania / hypomania followed by depressive episode

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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

Generally, Hypomania or mania preceding a depressive episode can be related to:

  • Bipolar Disorder

    A disorder marked by extreme and persistent shifts in mood that last for weeks to months, from periods of sustained depression to periods of elevated mood and euphoria. The precise cause is unclear, but genetic and environmental factors contribute.

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

  • Was there a period of good performance despite lack of sleep before your mood dropped drastically?

  • Do you feel you fatigued?

  • Do you struggle with insomnia?

  • Do you have a reduced appetite and eat less food?

  • Are you tired and unmotivated daily?

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Reviewed By:

Charles Carlson, DO, MS

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

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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