Hypomania and Hyperfixation: What’s the Difference?

Mental health conditions can manifest in various ways, and two related concepts that often come up in discussions about mental health are hyperfixation and hypomania. Hyperfixation is an intense preoccupation with a particular object, activity, or topic, while hypomania is a state of elevated mood and energy that is less severe than full-blown mania.

While both hyperfixation and hypomania can have a significant impact on a person’s life, they are distinct phenomena that are associated with different underlying conditions.

In this blog post, we will explore the similarities and differences between hyperfixation and hypomania, as well as their respective causes, symptoms, and treatments. Whether you or someone you know is struggling with hyperfixation or hypomania, understanding these concepts is an important step in seeking the right help and support for optimal mental health.

Are Hyperfixation and Hypomania the Same Thing?

No, they are not.

Hypomania is a specific syndrome that occurs in patients with bipolar disorder and is characterized by a period of at least four consecutive days during which a person experiences persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy.

Hyperfixation is a phenomenon that can occur in various mental health conditions.  For instance, people with OCD can become hyperfixated on a specific obsession, individuals with generalized anxiety disorder may become hyperfixated on worries about the future, and those with PTSD or complex trauma can become hyperfixated on intrusive memories from the past.

Additionally, people with ADHD may become hyperfixated on projects they are highly interested in, while individuals with severe mental illnesses such as psychosis may become hyperfixated on a specific delusion.

In other words, it is clear that hyperfixation and hypomania are not the same thing.

Similarities between Hyperfixation and Hypomania

Hyperfixation and hypomania share some similarities in that they both involve a heightened state of focus and energy. In both cases, a person may feel driven to pursue a particular interest or activity, often to the point of neglecting other responsibilities or obligations.

Differences between Hyperfixation and Hypomania

However, there are also important differences between the two. Hyperfixation is not necessarily accompanied by changes in mood or energy level, whereas hypomania is a distinct state of elevated mood and activity. Hypomania is also a symptom of bipolar disorder, whereas hyperfixation may be seen in a range of conditions, including ADHD or Obsessive-Compulsive Disorder (OCD).

It is important to note that while hyperfixation may be a symptom of certain conditions, it is not itself a medical diagnosis. Hypomania, on the other hand, is a clinical syndrome that requires immediate evaluation and treatment by a mental health professional.

Hyperfixation refers to a strong and intense fixation on a particular object, activity, or topic, to the point where it becomes difficult to focus on anything else. Hypomania, on the other hand, is a symptom of bipolar disorder and refers to a state of elevated mood, energy, and activity that is less severe than full-blown mania. People experiencing hypomania may feel overly confident, euphoric, and impulsive, and may engage in reckless behavior, such as overspending, gambling, or sexual promiscuity.

How Are They Treated?

If you notice signs of hypomania or hyperfixation in yourself or someone you know, it is important to seek professional help. Here at NextStep2MentalHealth, our multidisciplinary team can assess the situation, provide an accurate diagnosis, and recommend an appropriate course of treatment.

For hypomania, treatment may include medication, therapy, or a combination of both. The specific treatment plan will depend on the severity of the symptoms, the underlying cause, and other individual factors. It is important to note that hypomania can escalate into full-blown mania if left untreated, which can have serious consequences on a person’s life and well-being.

For hyperfixation, treatment will depend on the underlying condition. For example, if hyperfixation is a symptom of ADHD, treatment may involve lifestyle modifications, therapy, medication, or a combination of both to help manage symptoms and improve daily functioning. If hyperfixation is a symptom of OCD, treatment may involve exposure and response prevention therapy, medication, or a combination of both.

It is crucial to seek help as soon as possible if you or someone you know is experiencing symptoms of hypomania or hyperfixation. Early intervention can lead to more effective treatment outcomes and a better quality of life.

We’re Here for You

If you are struggling with any sort of mental health issues — whether that’s signs of hyperfixation or signs of hypomania, seeking help from a mental health professional can make a significant difference in your life. Here at NextStep2MentalHealth, we understand that seeking help can be challenging, but we are here to support you every step of the way.

Our experienced mental health professionals provide a safe and supportive environment for you to explore your thoughts and feelings, develop coping strategies, and work towards your mental health goals. Don’t hesitate to reach out to us for help – we are here for you. Schedule your appointment here.

7 Things Teens with OCD Need to Know

Obsessive-compulsive disorder, more commonly called OCD, is a chronic mental health condition marked by intrusive thoughts and behavioral compulsions.

Here at NextStep2MentalHealth, our multidisciplinary team excel when it comes to diagnosing and treating OCD in teens. If you spot the signs of OCD in your teen, it’s never too early to receive professional help.

Here are seven facts that teens with OCD need to know.

1. OCD Is Common

According to the International OCD Foundation, there are about as many kids with OCD as there are with diabetes. That equates to about 20 teens in every medium-to-large high school who struggle with OCD. OCD is a type of anxiety disorder and can often occur with other anxiety disorders or depression.

2. Doubt and Guilt Are Two Hallmark Signs of OCD

TV shows and movies make it appear as though cleanliness is the only compulsion for people with OCD, but the reality is fear of germs or contamination is just one sub-type of OCD. Other sub-types of OCD include:

Doubt

Doubt is a driving force behind many of the compulsions to check and re-check. Doubt is defined as “doubting that you completed the activity even right after you completed it.” This can lead teens to constantly re-checking locks, homework, etc. Understandably, this can affect time management skills and even academic performance.

Guilt

Guilt is another excruciating aspect of OCD. People with OCD may feel guilty about anything, even if it had nothing to do with them. This can cause thoughts such as:

• “Did I offend John Doe?”
• “Did I inadvertently cause XYZ to occur?”
• “Am I a good person or a bad person?”

Other sub-types include counting, hoarding, contamination, false memory, and harm OCD.

3. Cognitive Behavioral Therapy (CBT) Can Help Treat OCD

Cognitive Behavioral Therapy (CBT) is considered to be a top form of treatment for anxiety disorders, and that includes OCD too.

4. The Goal of Treatment Helps You Learn the Tools to Manage Your Symptoms

Throughout your therapy sessions, you’ll continue to learn strategies and tools for managing the cycles of intrusive thoughts and compulsions.

Does your OCD need treatment? Read this blog: Does OCD Need Treatment?

5. Treatment Isn’t Completed Overnight

Often, when teens start treatment for OCD, one of their first questions is “how long does treatment take?” The short answer is: as long as is necessary for any given individual. Managing symptoms is an individualized process and can be impacted by your teen’s willingness to participate in therapy, the presence of any comorbidities, and how severe your teen’s symptoms are.

Understandably, long-term OCD can take a heavy toll on your teen’s quality of life.  It may have been a long time since your teen socialized comfortably, held a summer job, or felt at ease doing daily chores. Some teens have never done these things without the obstacle of OCD.

6. Know the Signs of Relapse in Teens with OCD

As with many disorders, your teen may go for long periods with his or her symptoms well managed, but a relapse can knock them off track. Relapses are not uncommon with OCD.

Here at NextStep, our therapists know that the best way to deal with a relapse is to get ahead of it. We discuss relapse in our sessions and help you engage in as many relapse prevention strategies as possible.

That being said, if you or your teen notice any signs of a relapse, don’t hesitate to reach out. The quicker you seek help, the quicker you can get back on track.

7. OCD Can Be Managed

The most important fact to remember is that OCD can be managed. As with any anxiety disorder, lifestyle modifications help support mental wellness. This includes getting enough sleep, following a proper diet and exercise routine, engaging in positive social relationships, and engaging in hobbies or productive work of some type.

At NextStep2MentalHealth, we know how profoundly OCD can impact all aspects of your teen’s life, and if your teen is struggling now, you don’t have to wait until it gets worse before reaching out for help. Our compassionate, non-judgmental team offers a variety of OCD treatments, including medication and therapy.

If you have concerns about OCD, schedule an appointment at our Louisville, Kentucky office. Request an appointment online.

Does My Teen Have OCD?

Navigating Obsessive Compulsive Disorder (OCD) in a Post-Pandemic World

Obsessive Compulsive Disorder (OCD) affects the brain and behavior and is actually very common. Persons with OCD can have obsessions or compulsions.

Does Your OCD Need Treatment?

Obsessive-compulsive disorder (OCD) is an anxiety disorder marked by recurrent intrusive thoughts and fears that lead to ritualistic behaviors. At first, you might find the obsessions and compulsions are manageable, but left untreated, the patterns of OCD can impact all aspects of your life. Here at Next Step 2 Mental Health, our multidisciplinary team excels when it comes to diagnosing and treating OCD. If you spot the signs of OCD in you or your child, it’s never too early to receive professional help.

If you’re unsure if your OCD requires treatment, here are seven signs that your OCD could benefit from medical intervention.

But First… What Is OCD?

Before we dive into the signs that OCD requires treatment, let’s first cover what OCD is. OCD is short for obsessive-compulsive disorder. Watch the video below to hear what the International OCD Foundation says about the disorder.

As discussed in the short video clip, OCD is characterized by obsessions (intrusive, unwanted thoughts) and compulsions (behaviors). 

Common obsessions include:

Now that we’ve covered what OCD is and examples of common obsessions, let’s explore the signs that your OCD isn’t under control.

Signs Your OCD Requires Treatment

1. You Can’t Control Your Obsessions Or Your Behaviors

The types of obsessions or compulsions can vary from person to person. Regardless of which obsessions you struggle with, if you can no longer control them, then you might benefit from help.

2. You Spend Too Much Time Thinking about Your Obsessions

How much is “too much time” thinking about your thoughts? If intrusive thoughts interfere with your daily life or take up more than one hour (per the National Institute of Mental Health (NIMH)), consider asking for help.

3. Your Anxiety Isn’t Relieved by the Compulsions

Although OCD and anxiety are often discussed as separate conditions, OCD is a type of anxiety disorder. Other anxiety disorders include generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD), social anxiety disorder, and panic disorder. Many people who complete ritualistic behaviors report that they do it because it helps to ease their anxiety. They also note that refraining from the behavior (whether that’s checking the door or retracing steps, etc.)  increases their feelings of anxiety.

If you feel trapped in a cycle of anxiety and compulsions, there is hope. OCD treatment, which may include a combination of therapy, CBT, medication, and even lifestyle changes, can help you learn to manage your thoughts and behaviors to free you from the control of anxiety. 

4. Your Career Is Suffering

Intrusive thoughts and ritualistic behaviors can suck up a lot of your time at work. For example, ruminating on obsessions can take up hours of your time and prevent you from getting your work done. Getting the right OCD treatment can help you manage your anxiety, which can lead to a more productive work day.

5. Your Personal Relationships Are Suffering

OCD doesn’t just impact your work performance. Unmanaged OCD can start to affect your relationships with your spouse, family members, and friends. You might consider OCD treatment if:

• Your thoughts take up the time you’d normally spend with your family
• Your compulsions limit your ability to enjoy time with friends or family
• Your OCD is getting in between you and your spouse

6. Your Child Continually Asks If He’ll Be Okay

Children can also be diagnosed with OCD. Children may struggle with many of the same intrusive thoughts as adults, including fear of contamination and fear of harm. You might suspect your child struggling if he continually asks if “he’ll be okay”. According to the International OCD Foundation, this can be a sign of pediatric OCD.

Other signs of OCD in children include:

• Excessive checking (re-checking that homework is done, lights are off, the door is locked, etc.)
• Excessive washing, tidying up,  and/or cleaning
• Repeating ritualistic behaviors until they are “just right” … or starting over again until they are right
• Obsessing with rearranging things
• Mental compulsions which may include excessive praying or mental reviewing
• Frequent  apologizing
• Reciting lucky words or numbers or phrases; using lucky items, etc.

If you notice any signs of OCD in your child, seeking professional treatment can help restore the quality of your child’s life.

7. You Used to Have OCD Managed, But Not Anymore

Even if you previously had control over your OCD — either with therapy and lifestyle changes — you might benefit from additional treatment, especially if your symptoms are regressing. If  your current treatment plan is no longer working for you, we can help you get the relief you need. Many people find that a combination of therapy and medication is beneficial. 

How Is OCD Treated?

At Next Step, we know how profoundly OCD can impact all aspects of your life, and if you’re struggling now, you don’t have to wait until it gets worse before reaching out for help. Our compassionate, non-judgmental team offers a variety of OCD treatments, including medication and therapy.

To reclaim control over your OCD, call our Louisville, Kentucky office at 502-339-2442. You can also request an appointment online.

OCD During the Pandemic: What You Need to Know

Mental health experts from the Centers for Disease Control and Prevention are noting “historic rises” in anxiety and depression cases, but anxiety and depression aren’t the only two mental health conditions impacted by the pandemic. Individuals with OCD may be particularly triggered. One of the more prominent obsessions associated with obsessive-compulsive disorder (OCD) is the fear of germs and contamination, and with the increased talk and demands for increased hygiene, it’s no surprise. If you find that your symptoms of OCD are worsening, you’re not alone. Research published in a June 2020 study noted that the intensity of OCD symptoms grew during (and after) the quarantine, and relapse symptoms also intensified.

If you have OCD, now is a good time to check in with yourself to ensure your symptoms are fully managed. In the meantime, this is what you need to know about the pandemic and OCD.

Debunking the OCD Myth

OCD is one of the anxiety disorders. OCD is characterized by recurring, unwanted thoughts, ideas, or sensations (obsessions) that make them feel driven to do something repetitively (compulsions). Unfortunately, there are a lot of myths about OCD, including the idea that OCD is just about washing your hands, but the reality is that OCD is a real disorder that can profoundly impact your life if it’s left untreated. Washing hands is just one example of a compulsion. Other examples of compulsions include frequently checking on things, ruminations, or other ritual behaviors.

OCD can affect anyone, including children, teens, and adults. According to the International OCD Foundation, 2-3 million adults and about 500,000 children currently have OCD.

• Obsessing or ruminating over thoughts or images that pop into your mind and feel unable to let go?
• Spending excessive amounts of time engaged in OCD rituals (repetitive behaviors) or checking behaviors?
• Feeling like you are losing control of your thoughts, feelings, or behaviors?
• Feeling like OCD is interfering with your life or things you have previously enjoyed?

What to Do If You Notice the Symptoms of OCD

The signs and symptoms of OCD vary depending on what your specific obsessions/compulsions are. For example, if a person has recurring thoughts about germs, compulsions could include frequent hand-washing, frequent cleaning and recleaning, and drive to keep everything orderly. For example, recurrent thoughts about injury could lead to frequent checking that the oven is off.

In general, symptoms include:

• Having unwanted, recurring thoughts
• Having disturbing thoughts
• Being unable to ignore repetitive compulsions

Note that the recurring thoughts don’t always have to be about germs. According to Mayo Clinic, OCD obsessions can have themes, like fear of contamination, unwanted sexual thoughts, or the need for symmetry.

If you notice any of these signs and are struggling to manage intrusive thoughts, it may be a good time to seek professional help.

Treatment Options for OCD During the Pandemic