I am hypomanic right now and I'm afraid to tell me doctor at my next appointment. For many years I have been in a fog from fibro and depression. My only bright spots of clarity and alertness seem to be when I'm hypomanic. (Of course, full mania and mixed states are another story.) I know he will ask if I've been "up" and I don't want any med changes. Have you ever hidden episodes from your pdoc, and looking back, do you have any regrets?