I'm a person who almost never gets actually manic. My pdoc does talk about hypomania because my episode pattern starts with hypomania, and if not caught and intervened with, it crashes into a mixed state, which for me almost inevitably lands me in the hospital because of the extremely impulsive suicidality that I run into.

My treatment has been more about keeping me out of the depressive and/or mixed end of bipolar disorder: the depression, lethargy, anxiety, irritability, suicidality, ruminations and racing thoughts (always dark and dysphoric).