Mixed bipolar disorder is defined by periods of mania and depression that occur at the same time, or in rapid sequence. These combined manic-depressive periods are called mixed mania or mixed manic episodes:
- Mania in mixed episodes usually involves irritability, racing thoughts and speech, and overactivity or agitation.
- Depression in mixed bipolar disorder is similar to "regular" depression, with feelings of sadness, loss of interest in activities, low energy, feelings of guilt and worthlessness, and thoughts of suicide.
For example, a person in a mixed manic episode could be crying uncontrollably while announcing they have never felt better in their life. Or they could be exuberantly happy, only to suddenly collapse in misery. A short while later they might suddenly return to an ecstatic state.
Mixed manic episodes can last from days to years, if untreated. Mixed bipolar disorder episodes tend to last longer than other forms of bipolar disorder.
Self-injury, often referred to as cutting, self-mutilation, or self-harm, is an injurious attempt to cope with overpowering negative emotions, such as extreme anger, anxiety, and frustration. It is usually repetitive, not a one-time act.
Yes I am struggling with all the the above. My emotions are jumping all over the place. I can make it. I have too!