At the very least call your doctor . . . you may need a visit. Hypomania is difficult for me to acknowledge because I have so much energy and sometimes can really get a lot of things done. Still at some point it catches up with me . . . and suddenly I don't feel so good.

I think it has to be your ablility to "deal" with it that sets the mark on when you need extra help.
If you can manage your symptoms without the extra meds and pdoc apointments then try that.
If they get worse and it effects your life too much, then the extra meds or treatments may be required.
But the line is where ever YOU draw it

I spend most of my life in Hupomania. Most of my day are a very happy crazy lunatic free for all semi controlled by meds and I do smoke weed to keep me grounded also. On my bad manic days (which do happen) I am the angry opposite and there is usually blood and er visits and I have been known to wake up 4 or 5 states away clueless of how I got there. I have a few even keel days tossed in with depression every so often. I dont have a problem with hypomania as long is its the kind where I am not cutting and going off the deep end with anger. Yes evenn my happy mania goes huge money spending sometimes and I never seem to settle down sexually nor do I appear that sane to most people but I am happy and am a threat to noone and that is so much better than I was that me and the doc call it good. On the other hand if you are not used to living in this state then yes I suggest at the least you call your pdoc as you might need your meds tweaked.

I love my hypomanic epoisodes! I clean like an OCD freak and get so many projects done I've been putting off. My doctor wasn't liking it too much so he put me on Ambilify. It puts a "ceiling" on your ups. I comply with what my pdoc wants even though I miss my week long cleaning binges. Now I have to clean the old fashioned way... annoyingly and grudgingly so. Oh well. Good luck.