- Inflated self-esteem
- Decreased need for sleep
- More talkative than usual or pressure to keep talking
- Flight of ideas or subjective experience that thoughts are racing
- Increase in goal-directive activity or psychomotor agitation
- Excessive involvement in activities that have a high potential for painful consequences
The hypomanic episode is associated with an unequivocal change in functioning that is uncharacteristic of the individual when not symptomatic. The disturbance in mood and the change in functioning are observable by others. The episode is not severe enough to cause marked impairment in social or occupational functioning or to necessitate hospitalization. The episode is not attributable to the physiological effects of a substance.