I have some of the same questions, EternalWinter.

I have had all the symptoms of hypomania, going on about 4 hours of sleep a day, spending too much money, grandiosity and arrogance, improper sexual behavior. However, I have had similar symptoms to what you describe. I would fly into a rage and shout at friends and family and I finally became physically violent with someone. I always got it under control before someone came and hauled me away, though.

I have read that full blown mania is completely out of control and usually ends with hospitalization. I don't know, maybe.

I am starting to believe that quantifying mania is probably a waste of time. The real question is what you can do to keep it under control. For me it's medication. I'm pretty sure that I will be on them for life. I also go to therapy every couple of weeks. My life is better.

I know the antipsychotics have some unpleasant side effects, but for me, it's better than destroying my family, alienating my friends, and eventually ending up in the hospital. If your doctor thinks they will help you and you seem to have noticed that they did, maybe it's time to give them a second look.

Anyway, I hope you find what works for you, whether it is medication, therapy, or some other coping mechanism.