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In the context of symptoms guiding treatment, if your hypomania's are not 'invasive' (I assume, by this, you mean they do not greatly negatively affect you) then why treat them, right? If what does, in fact, really affect you is depression, then that would be what would need to be treated, I would think.
When something is really kicking you in the b*** then one (and pdocs and therapists) start thinking of how to alleviate that. Whether with medications and/or therapy. In this sense, I'm not sure how useful the label is. Do the hypomania's make taking on the huge short and long-term risks of the medications worth it? On the other hand, does the depression feel like something that necessitates medication specifically for this, something that therapy alone cannot address? These are the questions I'd ask myself. Go with symptoms, your quality of life, and consider treatment from there. I don't think a label alone should guide treatment --it's about whatever you really need help with, and what kind of treatment(s) would be most beneficial.
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