Hypomania highlights the fuzzy line between normal positive experiences and patterns of variation that require treatment. People often describe hypomania as a state where they feel, and sometimes objectively are, more productive and creative than usual. Hypomania, therefore, is similar to states people might characterize as “hyper”—passionate love, relief after final exams, or euphoria from a beach vacation.
The DSM handles this distinction by stating that on one hand, hypomania must be out of character for the person, with changes observable by others, but on the other hand, hypomania must not impair functioning; loved ones may notice the change, but it’s not getting the person into trouble.