Which statements regarding a hypomanic episode are true? Select all that apply
a. Behavior has been observed in the patient for at least 4 days.
b. Patient appears unaware of potentially dangerous situations.
c. Hospitalization is generally required to stabilize the behavior.
d. Patient is engaging in behaviors that are normally uncharacteristic of them.
e. Primary difference between mania and hypomania is the nature of the activity.
ANS: A, B, D
Manic and hypomanic episodes share symptom criteria, and they differ primarily with regard to their severity and duration but not the nature of the activity. Hypomanic episodes are not severe enough to cause significant impairment in social and occupational functioning or to require hospitalization. However, for diagnosis, it must be evident that the mood and behav-ioral disturbances of hypomania represent a definite change in the person's usual functioning that lasts for at least 4 days. As judgment declines, patients sometimes fail to recognize the consequences of their actions and the presence of possible danger.
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