Bipolar II disorder is typically characterized by periods of depression and periods of hypomania. Hypomania is a distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energy, lasting at least 4 consecutive days, present most of the day, nearly every day.
While your question presents an unusual scenario in that the individual has hypomania without depressive episodes, management strategies would likely focus on addressing the hypomanic symptoms and preventing the potential onset of depressive symptoms, given the disorder's nature. Here are some treatment modalities that might be used, although they should be discussed with and prescribed by a healthcare professional:
Medication: Mood stabilizers, such as lithium or anticonvulsants like valproate, lamotrigine, or carbamazepine, are often used. Atypical antipsychotics may also be used. Medication is usually the first line of treatment for bipolar disorder.
Psychotherapy: Cognitive-behavioral therapy (CBT), family-focused therapy, and interpersonal and social rhythm therapy can be beneficial. Psychoeducation about the disorder is also crucial.
Lifestyle Changes: Regular exercise, good sleep hygiene, a healthy diet, and the avoidance of alcohol, caffeine, and drugs can be beneficial. Stress management techniques like mindfulness, yoga, and other relaxation exercises can also help.
Regular Monitoring: Even if the person is currently not experiencing depressive symptoms, regular check-ins with mental health professionals can help catch any changes early on.
Contingency Management: It's important to have a plan in place in case of a full-blown manic or depressive episode.
Remember, while this provides general advice for managing bipolar II disorder, it's crucial that anyone suspected of having a mental health disorder consult with a healthcare professional for a full assessment and individualized treatment plan. This advice does not replace a consultation with a medical professional.