Explains hypomania and mania, including possible causes and how you can access treatment and support. Includes tips for helping yourself, and guidance for friends and family.
View this information as a PDF (new window)
The first place to go is normally your GP. They should ask about your symptoms and discuss different treatment options. If you've been monitoring your moods, for example using a mood diary, it might help to show this information to your doctor. To make sure you get the right treatment, your doctor should check if your hypomania or mania has a physical cause or is a side effect of medication.
There are a range of treatments recommended for hypomania and mania. This page covers:
If you are experiencing mania or hypomania, you will normally be offered one of these antipsychotics:
If you experience mania or hypomania, as part of a mood disorder, you may also be offered mood stabilisers. These include:
Your doctor or healthcare team should review any other medication you're taking when you develop hypomania or mania. If you're taking lithium, they should check your plasma levels.
"Lithium helps [me cope] and I just have to keep reminding myself that whichever feeling I'm going through won't last forever."
If you experience hypomania or mania regularly, and it has a significant impact on your ability to carry out daily activities, you may be referred for community-based support.
This could include:
Some people experiencing difficulties with hypomania or mania may be entitled to a needs assessment by social services and to social care. See our pages on social care in our health and social care rights guide for further information.
"I now have a care co-ordinator and have been stable for a few months."
If you start to feel very unwell, or if an episode of mania is lasting for a long time and your regular treatment isn't working, you may need to access crisis services . This may include:
See our pages on crisis services for more information on different types of crisis service, and planning ahead for a possible crisis.
Very rarely, a treatment called electroconvulsive therapy (ECT) may be offered. According to NICE guidelines, this could be if:
If you feel like you're in this situation, your doctor should discuss this option with you in a clear and accessible way before you make any decisions.
This information was published in January 2020. We will revise it in 2023.
References are available on request. If you would like to reproduce any of this information, see our page on permissions and licensing.