Yes. The symptoms will vary greatly and many, many have never been in hospital. But the casinos are full of them, trust me I know and meet them. I know some who never had anger issues. Alcohol is a big trigger, albeit I get up-mood without drinking a drop... And what happens when you are in deep depression but there is a reason like 3 years without work and a newborn daughter and no money? Even in my deepest depression I was never suicidal or despondent, I was just frustrated and hopeless until I found hope and miracle happens - I got a job. Still, I do think my diagnosis is true... I am 60 and introspection works especially when I am hypo-manic. The closest "mania" was before I was diagnosed and I thought I have found my past life person Before that I wanted to become a magician (and not the stage performing kind). (I happen to believe in those things/magical thinking/wicca) I got into a very strange euphoric insomniac state where I saw "signs" everywhere. I would say that is(was) mania.....(but lack of sleep would/could do that). P.S. I have completely given up Wicca (but kept my online handle, just for grins....)