[Question] Could induced and stabilized hypomania be a desirable mental state?

This may be a bad idea that acted upon may do more harm than good, but I propose that we should find a way to induce a controlled and stable state of hypomania in people who are willing to enhance their functional capabilities.

Hypomania is a state that frequently occurs in people with bipolar disorder, which in various variants affects up to 3% of the population. In contrast to full-blown mania, characterized by delusions, mind racing and intense euphoria and/​or dysphoria, hypomania does not incapacitate a person on the individual or social level. Instead, creative thinking and cognition as well as overall energy level are considerably enhanced, while the need for sleep and rest is reduced significantly. Mood is well above the baseline of the given individual. Often, hypomania is not even recognized as such, as the person sometimes appears perfectly healthy to the outsider who isn‘t familiar with the „normal“ state of the affected person. The major drawbacks are a tendency towards absent-mindedness and a certain loss of social inhibitions. Increased risk-taking can also pose a problem.

I have experienced hypomania myself some years ago. During that time, I experienced a motivation doing everyday chores, learning and sports like never before. I had never been as productive, creative and enthusiastic as during that few months. I had to pay a price for this: Severe psychosis followed by long depression and rehabilitation.

Now what if we could find a way to experience the benefits of hypomania without the negative consequences? Surely, this could improve the intellectual and artistic output of many people struggling, for example, with motivational issues or procrastination.

It is still a pressing and unsolved problem to find a lasting remedy against depression. I have not yet met a psychiatrist (or patient) who is satisfied with the state of the art. But from the point of view of utility, even the mentally healthy usually experience subjective shortcomings in their capabilities on an everyday basis, and improving upon what are now supposedly healthy states seems to be a worthwhile undertaking. In my opinion, it would useful to examine the mechanisms of hypomania for exploitation of this mental state.

Lacking a background in neurology and psychopharmacology, I cannot outline a research program leading into this direction. What I know is, from my subjective experience, that neuroleptics of the third generation like aripiprazol can, in many cases, inhibit the onset of hypomania and stabilize the mind toward „normalcy“ - for me, without noticable side-effects. Shouldn‘t there be a way of stabilizing the hypomanic state by fine-tuned adjustment of a person’s neurochemistry as a new default while inhibiting the descent into mania and preventing a reversal into depression?

Obviously, I don‘t know about the prevalence of bipolar disorder in the LW community, but maybe there are some among you with similar experiences and opposing attitudes toward this admittedly ambiguous state.

More questions: Is hypomania a good model for a person’s peak performance? Or is it more a distortion of the person‘s psyche?

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