I know that the difference between mania and hypomania is a matter of severity, but I guess I'm wondering how that gets measured. I never totally went without sleep when manic, for example. But I did drive very recklessly, to the point of scaring my wife when she was in the car with me. I also experienced extreme euphoria and felt like God was communicating with me. I only had that delusion when I was manic, not when just everyday psychotic.

I'm going to bring this up with my tdoc this week. Is it possible to have bipolar II and schizoaffective?