Which of the following symptoms is NOT associated with a hypomanic episode?

A hypomanic episode is characterized by a distinct period of persistently elevated, expansive, or irritable mood lasting at least four consecutive days, as well as at least three specific symptoms. The key symptoms of a hypomanic episode include inflated self-esteem or grandiosity, decreased need for sleep, increased talkativeness, distractibility, increased goal-directed activities, and engagement in activities with a high potential for painful consequences.

Hallucinations, which involve perceiving things that are not present in reality, are not a feature of hypomanic episodes. While hallucinations may occur during more severe mood episodes, such as manic episodes or during psychotic disorders, they are not part of the criteria for hypomania. Thus, identifying this symptom as not associated with hypomanic episodes is correct and demonstrates an understanding of the proper criteria within the DSM-5-TR for mood disturbances.