A distinct period of abnormally distinct and persistently elevated, expansive or irritable mood and abnormally and persistently increase goal directed activity or energy lasting at least 1 week and present most of the day. Accompanied by 3 or more of the following 1. inflated self esteem 2. decreased need for sleep 3. talkative/ pressure to keep talking 4. flight of ideas/ racing thoughts 5. distractibility 6. agitation 7. excessive involvement in activities that have a high potential for painful consequences; buying sprees, sexual activities, etc) | A distinct period of abnormally and persistent elevated, expansive or irritable mood and abnormally and persistently increased activity or energy, lasting 4 days and present most of the day, nearly everyday. 1. inflated self esteem 2. decreased need for sleep 3. talkative/ pressure to keep talking 4. flight of ideas/ racing thoughts 5. distractibility 6. agitation 7. excessive involvement in activities that have a high potential for painful consequences; buying sprees, sexual activities, etc) - at least one episode of hypomania and major depression - may be rapid cycling, 4 or more eps a year - more time in depressive episode