I am always worried if I seem the least bit hypomanic to me or to my husband. This is because the handful of times I've been manic, I have been completely unaware (and maybe that is because I am usually also delusional). Thank goodness for family. Anyway, I seem to know when I am hypomanic but not manic and tend to always know when I am depressed although I don't tend to realize if I am delusional and depressed.