Can people with bipolar have episodes of hypomania before depression as well as before mania?

Yes. The pattern of mood cycling varies both between individuals as well as within the same individual. The pattern you describe is possible.
Yes. This is the more common pattern of mania or hypomania followed by episodes of depression. As patients get older the manias become shorter and less frequent while the depression gets longer and worse. This is why early treatment is so important to prevent this worsening.

Related Questions

Does the DSM-V acknowledge mixed episodes in bipolar II disorder? My mood shifts: depression, hypomania, mixed episodes but no mania is this BPI or II

Yes. The DSM-4 did not, but DSM-5 removed that oversight. There is very little real world distinction between the two classifications apart from full mania or hypomania. Might even be the same illness but simply a matter of severity on a spectrum (like Rheumatoid Arthritis for instance). Please visit with a capable psychiatrist for top notch care!
This distinction may. Be understood & applied to ur case on talking w ur MD. In very basic terms, what distinguishes bipolar I from bipolar II is presence of mania, as opposed to hypomania only. Some sxs are severe enough that they only occur in Bipolar I or mixed episodes including delusions, sxs, necessitating immediate hospitalization, catatonic sxs. Talk with ur md abt ur case specifically for best dx & care! :)

How do I convince myself to stay on bipolar meds. I am BP 1. Hypomania. Max 7. No depression. I was prescribed lamitical 50mg. And kloplin 1mg. I have good days 25/30. No mood swings major so why?

Use your supports. Ask close friends and family to support you in staying well -- they can tell you what you're like when not taking your bipolar medications. Write down some things that you want to achieve in your life. Will your emotional stability help you stay on course towards them? Follow up with your doctor regularly. Get psychotherapy for bipolar d/o too. Stop alcohol & recreational drugs.
Maintanence. It is very important that you take medication as prescribed to prevent future episodes. There is very good evidence that the more episodes you have the more frequent and severe future episodes. Your brain wants to maintain an equilibrium. Most people pay for a manic episode by having a depressive episode. It's good that you are stable, the meds help you stay that way.

Bipolar 2. Tried MANY meds, even mood stabilizers. There is never any middle ground, just severe depression, or mild depression plus hypomania. Why?!

Bipolar RX. Bipolar 2. Tried MANY meds, even mood stabilizers. There is never any middle ground, just severe depression, or mild depression plus hypomania. Why?! ANS: Bipolar disease is a complex disease and may take a long time to get correct Rx. You did not mention Lithium. Discuss with your Drs. Review your problems and concerns and perhaps ask 4 referral to someone who takes care of difficult Bipolars.