I have always considered my highs as Hypomania. But I have been admitted for it, and have done life threatening things while in this state. For me the line is psychosis and delusions. I get really high and out of control but I do not suffer from psychosis, nor do I have delusions of grandeur. To me, this is what makes my highs hypomania rather than mania.

My hypomanias involve dangerous activities, sex, drugs, alcohol, money spending, lack of sleep, roadtrips, over the top confidence, rapid speech and thoughts, obsessions, new ideas and fleeting interests just to name a few symptoms.

My diagnosis is BPII but I have experienced mixed episodes too. My doctor recently wrote on my admission forms that I was BPII with mixed episodes, so my doctors at least, do acknowledge that some BPII can involve mixed states.

I havent had a hypomanic episode for almost 4 years now, mine are few and far between. I hope that I will never have one again, but that wont change my BP diagnosis.