I can't tell, it seems to be the level of functioning that distinguish between hypo and manic. Who know's the functionality of the episode? How would you know whether your functioning well or not?

My T was very clear that I need to start taking my PRN, sleep and slow down. I feel fine besides not feeling I can understand English (my first language) it all just sounds to me right now. I guess she thinks I'm (hypo)manic.