Depressive/dysthymic episodes: difficulty making decisions, problems concentrating, poor memory recall, guilt, self-criticism, low self-esteem, pessimism, self-destructive thinking, constant sadness, apathy, hopelessness, helplessness and irritability. Also common are quick temper, poor judgment, lack of motivation, social withdrawal, appetite change, lack of sexual desire, self-neglect, fatigue, insomnia and sleepiness
Hypomanic episodes: unusually good mood or cheerfulness (euphoria), extreme optimism, inflated self-esteem, rapid speech, racing thoughts, aggressive or hostile behavior, lack of consideration for others, agitation, massively increased physical activity, risky behavior, spending sprees, increased drive to perform or achieve goals, increased sexual drive, decreased need for sleep, tendency to be easily distracted, and inability to concentrate
7 signs of hypomania:
2) Increased/Unrealistic activities – Starting the next great American novel? Painting your entire home in one night? Triple booking appointments for yourself?
3) Energetic – Staying up all night to save the world? Feeling like you have more endurance than usual?
4) Racing thoughts – Thinking about a thousand things at once? Jumping from one topic to another totally unrelated one during conversation?
5) Distractible/Irritable – Having trouble paying attention? Got a short fuse?
6) Hypersexual – Feeling extra frisky? Doing impulsive things like speeding or shopping until you drop?
7) Talkative – Having trouble slowing down your speech?
During the period of mood disturbance, 3 or more of the following symptoms have persisted (4 if the mood is only irritable) and have been present to a significant degree:
- Inflated self-esteem or grandiosity
- Decreased need for sleep (e.g., feels rested after only 3 hours of sleep)
- More talkative than usual or pressure to keep talking
- Flight of ideas or subjective experience that thoughts are racing
- Distractibility (e.g., attention too easily drawn to unimportant or irrelevant external stimuli)
- Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation
- Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g., the person engages in unrestrained buying sprees, sexual indiscretions, or foolish business investments)