Which is true of a hypomanic episode?

A hypomanic episode is characterized by a distinct period of persistently elevated, expansive, or irritable mood and increased goal-directed activity or energy lasting at least four consecutive days. This duration aligns with the criteria set forth in the DSM-5, highlighting the time commitment necessary for diagnosing a hypomanic episode.

In contrast, a key feature of hypomania is that it does not typically cause marked impairment in social or occupational functioning, which distinguishes it from a manic episode. The absence of a requirement for hospitalization also sets it apart, as hypomanic episodes can frequently be managed without intensive treatment, unlike severe mood episodes that may necessitate such intervention. Additionally, while some individuals may experience depressive symptoms, these are not required for a hypomanic diagnosis. Therefore, the criteria focus on the duration and characteristics of the mood episode itself.