When people experience symptoms of both a manic and a depressive episode at the same time, they're said to be experiencing a mixed state (or mixed mania). They have all of the negative feelings that come with depression, but they also feel agitated, restless and activated, or “wired.” Those who have had a mixed state often describe it as the very worst part of bipolar disorder.
- Heightened mood, exaggerated optimism and self-confidence
- Excessive irritability, aggressive behavior
- Decreased need for sleep without experiencing fatigue
- Grandiose thoughts, inflated sense of self-importance
- Racing speech, racing thoughts, flight of ideas
- Impulsiveness, poor judgment, easily distracted
- Reckless behavior
- In the most severe cases, delusions and hallucinations
- Prolonged sadness or unexplained crying spells
- Significant changes in appetite and sleep patterns
- Irritability, anger, worry, agitation, anxiety
- Pessimism, indifference
- Loss of energy, persistent lethargy
- Feelings of guilt, worthlessness
- Inability to concentrate, indecisiveness
- Inability to take pleasure in former interests, social withdrawal
- Unexplained aches and pains
thoughts of death or suicide
manic-depressive illness. If lithium were not available to me, or didn't work for me,
the answer would be a simple no... and it would be an answer laced with terror.
But lithium does work for me, and therefore I can afford to pose the question.
Strangely enough, I think I would choose to have it. It's complicated.”