It seems very dangerous to diagnose as such. Perhaps someone gets depressed every three months near end of quarter when their hours get cut?
Once someone demonstrably has issues with mania, yes, sure, I understand wanting to prevent it, but in a lot of cases I see very little separation from actual mania and "I felt good one day" (which if someone were depressed may feel very weird).
There's also strong arguments that one or two manic or hypomanic episodes are not enough evidence for a bipolar diagnosis.
> Perhaps someone gets depressed every three months near end of quarter when their hours get cut?
As someone who's been clinically depressed, your examples seem contrived to me. Are they based on any specific evidence, and if so, would you please share with the group?
The other thing is that unlike with depression where you have to squint really hard to see much of an effect from most treatments, there are reasonably effective treatments for mania and hypomania, including good old lithium. So if you're being treated, while you might still suffer from regular bouts of depression, you'll likely have much reduced or even eliminated hypomanic or manic symptoms. So it's not unusual to see manic depressives who are treated showing very few manic symptoms for years on end.