Mixed States

I am bipolar II and seem to suffer from mixed states. I am wondering if can I ever just have depression or just hypomania? Also when someone is in a mixed state, is the treatment the same as if someone was just hypomanic or depressed?

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Mixed States are one of the most complex and difficult parts of the bipolar disorder. I’ve been diagnosed as being in a mixed state while hospitalized, yet until now I didn’t fully understand what the definition of a mixed state truly was. I’m really good at identifying my depressive and manic episodes but when it comes to mixed episodes this expertise may take a few more years to master.

A mixed state occurs when symptoms of both mania and depression co-exist. Often these symptoms can include: irritability, insomnia, impulsiveness, guilt, change in appetite, and suicidal thoughts. These kinds of episodes can often be quite stressful to the individual.

Your doctor may change your medication a bit to counter the mixed episode. These kinds of mixed states can lead to substance abuse, panic attacks and ultimately the real possibility of suicide.

You may wonder as did I about how this is possible? How could you have manic and depressive symptoms at the same time that co-exist? One thing to remember which has helped me is to remember that this is a mental illness that we’re dealing with and as a whole the bi-polar illness defy the definition of standard or normal emotional states. Logic is thrown out here.

I really hope this helps your understanding of mixed states within the bi-polar illness.

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