The Right to Hypomania – A Controversial Topic in Bipolar Disorder (english version)


Bipolar disorder is characterized by extreme mood swings between depressive episodes and manic or hypomanic phases. While full mania often has serious consequences for a person’s life, many individuals with bipolar disorder experience hypomania as a positive, creative, and energetic state.

The question of whether people should have a „right to hypomania“ is highly debated in psychiatry and society. Is it legitimate for individuals to deliberately avoid treating a state that feels good to them? Or is it dangerous, since hypomania can escalate into full-blown mania?


🧠 What Is Hypomania and Why Is It Often Perceived as Positive?

✔ Increased energy – More motivation, productivity, and drive
✔ Creativity & fast thinking – Many report an overflow of ideas and mental clarity
✔ Heightened self-confidence – Less fear, more social engagement
✔ Reduced need for sleep without exhaustion – High energy levels without feeling tired

📌 Many people experience hypomania as a time when they „function at their best“—feeling more capable and alive than usual.


🔄 The Controversy: A Blessing or a Curse?

While some psychiatrists advocate for the early treatment of hypomania, some individuals with bipolar disorder argue that this state is not inherently pathological.

Pro “Right to Hypomania”Against “Right to Hypomania”
Hypomania enhances creativity and productivity.Hypomania can unknowingly escalate into dangerous mania.
It is often associated with positive emotions.Sleep deprivation and overactivity can cause long-term harm.
Some feel happier in this state than in „normality.“Relationships and work responsibilities may suffer due to impulsivity.
Medication often not only dampens mania but also energy and creativity.The long-term risk of relapses and severe episodes increases.

📌 Hypomania can be enjoyable for some, but it carries the risk of evolving into full mania, which can have severe consequences.


🛠 How Can a Responsible Approach to Hypomania Look Like?

A complete „right to hypomania“ is difficult to define, as individual risks vary. A balanced approach could involve observing hypomania rather than immediately suppressing it but also setting clear boundaries.

✔ Self-monitoring: Keep track of hypomanic episodes—when do they occur? Are there triggers?
✔ Recognizing early warning signs: Be mindful of whether hypomania is escalating into mania (e.g., sleep deprivation, impulsivity).
✔ Maintaining healthy routines: Ensure adequate sleep, regular meals, and breaks.
✔ Using social support: Involve trusted people who can recognize changes and provide feedback.
✔ Medication adjustments: Not every hypomanic episode requires immediate medication adjustment, but discussing it with a doctor is wise.

📌 The goal is not to eliminate hypomania entirely but to manage it consciously and responsibly.


🎯 Conclusion: A Controlled „Right to Hypomania“?

✔ Hypomania can be positive but should not be left unchecked.
✔ A nuanced approach can help utilize its advantages without spiraling into a dangerous episode.
✔ Each person with bipolar disorder should decide individually how to manage hypomania—ideally in consultation with professionals and trusted individuals.

💡 The „right to hypomania“ is not a black-or-white issue—it is about finding a healthy balance between quality of life and stability. 💙