et al., 2011, Zimmermann et al., 2009). However, subthreshold diagnoses depend critically on the quality of the assessments and the exact interpretation of what constitutes subclinical mania (it is easy to confuse a state of hypomania with elation from “normal” causes like falling in love, or getting a grant funded in grim times, or hyperactivity from the agitation that occurs in some depressive subtypes).
