I am sorry if I am sounding ignorant here because I am genuinely curious: does situational (hypo)mania actually exist? I have never heard of that concept before. I have only heard of a stressful event (or multiple stressful events) triggering your dopamine receptors to cause hypomania, but that the malfunctioning receptors can be treated with meds. Usually situational depression does not respond to meds, no? So that would suggest that situational hypo/mania (if it exists) would not respond to meds. But I have not heard of someone's (hypo)mania being completely treatment resistant. Usually a heavy hitter like Zyprexa, Clozapine, ECT, TMS, etc. will knock someone down.