They are real conditions, sometimes indistinguishable from the outside but experienced very differently within. Hyperthymia may be what William James had in mind when he discussed the "once-born" in Varieties of Religious Experience, with their child-like cheerful openness, acceptance, and affirmation of existence . Hypomania is symptomatic of bi-polar disorder. Happy forever after is storybook. Is real happiness something else? Guess it depends on what kind of an ogre your nature and nurture have made you.
Richard Powers draws the distinction in Generosity:
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