Geek, I have read the ABOUT page on your profile. You have a demanding position and a history of having an affair with a fellow psych patient. This combination does paint you as a wonderfully whimsical person, but I can see how you could do something that would jeopardize everything. There is a whole lot that you HAVE that you can LOSE, so you are afraid of jeopardizing it - right?

I am unclear as to why your cocktail does not address elevated mood AT ALL.

Here you are, wondering about the diff. between hypomania and mania, but your cocktail is unable to address EITHER. Weird, no? What does the pdoc think of your recklessness? You need something. You take an AD, you take a so called MS that acts as an AD specific to bipolar, a sleep aid, and an anxyolitic. Where is your anti-mania medicine? Nothing in the signature to prevent you from being manic.