As a practicing psychiatrist, I believe I've encountered a number of patients with sustained hypomania without any clinical history of significant depression I can obtain. These people seem to be functioning quite well in general. Do you have any treatment suggestions?   Dr. Pies' Answer

My ex-husband writes our 14-year-old son about once every 6-8 weeks. My ex asks our son to call him. After I suggest to our son to call, he does and almost always my ex hangs up on him. In the past two years they have made plans to do about 7 or 8 activities. Most of these activities don't happen, and he blames our son. Our son's psychologist calls this "bait and switch"...    Dr. Pies' Answer