Hi Sidestepper,

I have asked myself the question you have posed many times. I was hypomanic for about four months last year. It started from a combination of effexor and wellbutrin. When I cut the dosage and weaned off of these meds, the hypomania left. So, it really makes me wonder if my diagnosis is correct.
I do recall, well before my diagnosis, periods of great interest and productivity in the midst of depression. I just remember thinking that the depression was finally lifting and I was getting better, only to have it return.
Nonetheless, I am not sure if it really matters as I think my treatment would be the same regardless............. mood stabilizers due to the multiple episodes of depression that I have had.
I have been in the medical field for quite some time and I have seen human error or many occasions, so I do think it is always good to question things.......