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Bipolar II disorder requires at least one episode of hypomania. In Bipolar II disorder, individuals experience at least one hypomanic episode and at least one major depressive episode. Hypomania is a less severe form of mania characterized by a distinct period of persistently elevated, expansive, or irritable mood and increased activity or energy. Unlike mania, hypomania does not cause marked impairment in social or occupational functioning, and it typically does not require hospitalization.