What is Mixed Mania and How Do We Treat It? 

"If you don't want miss an episode.."

I thought mania looked like: shopping sprees, sex sprees, no sleep, lots of energy and happiness. But it can also present as pure anger and irritability. Thank you!

“Hyped up sad negative person” i couldn’t express it like this before watching this video. Thank you, you made me realise im going through this episode and it’s time to get some help. I sincerely thank you from the bottom of my heart

Mixed episodes are hell. A mixed state is what sent me to the hospital. Before that I was manic for about a month towards the end I went into psychosis. I thought I was crazy and then I went into a mixed episode. I have never feared myself as much as I scared myself during a mixed episode. My mind raced with horrible thoughts, depersonalized, saw demons, and in the end I tried to commit suicide because I felt the shell that I was living in didn't matter to me and was foreign. I wouldn't wish mixed episodes on anyone. Mania; I like, Depression; I can live with, but Mixed? Pure hell.

the "bipolar has ruined my future and ruined me" hit so hard I actually broke down

Mixed episodes are the WORST thing I have experiencing. You have strong anger, sudden anxiety and sadness. When you are depressed, all you can do is lay down but in mixed episodes, you have the ability to take your own life. I rather be depressed than being in a mixed episode like right now.

I went from hypomanis to mixed now, i honestly feel exhausted of this condition. I can't even stand looking at myself in the mirror anymore.

I am struggling so hard to be “high functioning” but the entire 2020 year was a humongous trigger.

I wish you were my doctor 👩‍⚕️.. So insightful..

Psychiatrists don't talk to patients or about their diagnosis in my country, so no one has ever told me that i can be manic and depressive at the same time which made me question my diagnosis in the first place. Thanks you for yet again an amazing video♡

This description brings back memories. I had a very severe mixed episode with mania and depression in 2005, and continued to struggle with my bipolar disorder for years afterward. I was hospitalized three times in three years for it. But there truly is hope for anyone dealing with this illness. Because I've not had a manic or severe depressed episode in a very long time. With faith in God, solid medical treatment, supportive people in my life, a good licensed counselor... Bipolar disorder doesn't have to ruin your life, although it is a force to be reckoned with.

12 yrs on and i still have memory problems from ECT, i suggest intense research before allowing your brain to be fried. i was lead to belief side affects would be minimal and temporary. i'm my case they were not. there is verifiable research that proves there can be permanent damage.

I am starting to believe, at 48 years old, that THIS is what I have experienced almost continually since my earliest memories at age 4. The information from this video honestly frightens the heck out of me and I am glad that I am discussing this with my psychiatrist in a few days.

Currently in a mixed mania state. Feeling empty and depressed but so much energy and motivation to frantically search for things to make me feel happy.

I am not a mental health professional/dietician/personal trainer. I cannot advise you on what is best for YOU. This is just what has worked effectively and in a lasting way for me. Things that have helped me cope with hypomania: 1. Drinking plenty of water to the point where I generally dont experience extreme thirst or dehydration at all anymore. 2. Preventing hypomanic episodes in the first place by having a plan in place for when I recognize an episode building. 3. Neutral affirmations. Example: "I feel very up and high right now, and that is caused by a chemical process in my brain." Or, "It feels like a good idea to move to Virginia with no plan, but what if I, instead, planned a camping trip there? It's not the immediate adrenaline hit my brain is craving, but it's an outlet for it." (I have to be in a stable or baseline base to be able to come up with an array of mental phrases I use to slow down the mania/hypomania/mixed mania.) 4. Yoga, slow stretching for at least 15 minutes, and walking slowly. These are methodical and flowing exercises. They are also not fast-paced, which for me can really ramp up my hypomania/mania/mixed mania. 5. Recognizing what "parts" of me I choose to define myself with. Figuring out what I like and not just what mania/hypomania/mixed mania "tells" me I like. 6. Eating a healthy diet. With lots of fruits and vegetables. And probiotics to help with stomach issues caused by the anxiety/mania. And fish oil with omega-3's to help with the rage. Not eating processed sugar (this is a really hard one for me but an enormous help with the insomnia.) I drink tea instead of coffee and then switch to herbal tea/water/hot cocoa/homemade lemonade after 3:30PM. 7. Routine, Routine, Routine. I'm 28 and just now accepting this one. But it's been one of the most important parts about keeping myself feeling balanced. Things That Have Helped Me with Depressive Epsiodes: 1. Setting 5 alarms with very gentle, nice music to wake me up at the same time every day. 2. Starting my day with tea (no enormous, debilitating crash like after coffee.) I still like coffee every once a blue moon. It just hurts my stomach. 3. Letting and allowing myself to be slow-moving and slower to wake up than when I was manic. Reminding myself that it feels even slower than what is actually reality, because of the contrast of the two episodes. And that's okay. 4. Singing my favorite songs even when my voice comes out in a monotone and the colors look grey. I'll cry-sing in the shower, in my room, in the kitchen. Anything to keep my voice going. 5. Medication. Talk to your doctor. If you don't have a doctor, gets doctor if you can. If you can't, make it a priority to try to see someone if you feel that is something you need. 6. Therapy, therapy, therapy. Talk therapy! Cognitive behavioral therapy! Any kind of mental health therapy! Make sure you give the person a chance, don't expect immediate results, and don't miss your appointments. Forgive yourself when or if you do miss one, and explain to them the REAL reason why you couldn't pick up the phone. You gotta be honest for therapy to be as effective as possible. 7. I know everybody hates this one, but forcing myself to do things when all I want to do is let sleep embrace me and give me an escape. I always feel worse after I take a depression nap. If I drink some extra tea and drag my body to do something, anything, wash my face, brush my teeth, it doesn't matter how long it takes. I always feel a tiny, tiny bit better afterwards. And then it makes it easier to keep on doing things. 8. Calmly and rationally (or sometimes, admittedly, not so calmly-which doesn't work as well) debating, reframing every single depressed thought I have. Asking it what it's intention with me is. Protecting myself from the harm they cause me.

It’s hard to tell the difference in me between having a mixed episode or just having a depressive episode with irritability and extreme anger and needing to move around and full of nervous energy, and this being caused by a different comorbid disorder causing these symptoms like BPD or ADHD. Hopefully when I finally get to see a doctor they might consider that. I miss mania and feeling good, or even depression which I can control. I just feel this intensity but I don’t know in what emotion, and this need to move and racing thoughts

I was originally diagnosed with bipolar disorder in 2009. I was prescribed Zoloft when they thought I was just going through post-partum depression but it made my symptoms worse and during a bad manic episode I drove all the way to Michigan(where I was born and raised and most of my family still lives)fromFlorida. My ex husband's family were the ones who saw the signs and encouraged me to get treatment. I did and was put on Meds that made me even worse. I was prescribed Seroquel,Trileptal,Buspar,and wellbutrin. I was a literal zombie. Fast forward to 2014 and I was again diagnosed as bipolar but with being type 1 with mixed episodes. I went through one episode where I was suicidal and homicidal at the same time. My mind was racing and yet my body couldn't move due to the depression. I have found sleep is the best cure and medicine. I still have bad nights but I force myself to sleep and when I can't I let my boyfriend know that I'm not doing well. Sleep is the best drug for bipolar. I couldn't sleep until almost 5am this morning,which is never a good sign,but having a partner who understands is very important as well. I haven't taken a drug since 2011 and am able to manage my bipolar by knowing and communicating when I'm going to have an episode. I refused to be put on Lithium.

Mixed episodes are truly uncomfortable. You could’ve have never said it better than “hyped up sad person”. I remember during mixed episodes, I am so productive at work, attending meetings and getting all things done, talking to all my colleagues and really just above it all, but all the while, I just want to break down and cry because of this gnawing sadness and emptiness. My mixed episodes are usually followed by depersonalisation/derealisation episodes. Is this usual? I am very careful about these since this is what eventually drove me to be hospitalized. Thank you for this video.

I'm a big fan of ECT. After many years of ineffective treatment of bipolar disorder, I asked about ECT. It worked wonders. There is a powerful effect on memory. You can have amnesia, usually for events right around the treatment. The memory returns after time, though possibly not 100%. In my case it was fine. I did forget what I had named my cats, but I figured they would ignore me no matter what I called them. The memory returned in a day or two.

Just got my meds adjusted for my first manic episode of the year, some of it thanks to you for helping me and educating me so I can identify my symptoms early on. It's the first time I catch it myself, thought it was never going to be possible and it always ruins my life in some way, but not this time. I'm grateful 💜

Thanks again for your time and helpful information. Please anyone who believes that BP has ruined your life, continue to work with your Doctors and your loved ones to get better. GOD and your family love you and you can live well even with BP. I know how difficult it seems at times but it's possible to have a good life with BP in this day / age that we're living in now. GOD BLESS to all

Thank you so much for making these videos. After being diagnosed with Bipolar I disorder over 20 years ago, it’s been a long road to get to where I am today. I definitely feel heard watching your videos 😊

A thousand years is but an instant. There's nothing new, nothing different; same pattern over and over. The same clouds, same music, the same things I felt an hour or an eternity ago. There's nothing here for me now, nothing at all. Now I remember, this happened to me before. This is why I left. You have begun to find your answers. Although it will seem difficult the rewards will be great. Exercise your human mind as fully as possible knowing that it is only an exercise. Build beautiful artifacts, solve problems, explore the secrets of the physical universe, savor the input from all the senses, filled with joy and sorrow and laughter, empathy, compassion, and tote the emotional memory in your travel bag. I remember where I came from, and how I became human, why I hung around, and now my final departure's scheduled. This way out, escaping velocity. Not just eternity, but Infinity.

My mother went through ECT. It sounded barbaric at the time. That said, it was COMPLETELY controlled. In her case, they had a cardiac team there, on stand by. They were not needed, but it helped us to know they were there. She experienced some memory loss for a bit of time. That was not permanent though. It was the ONLY thing that worked for her.... then. I got my mom back due to ECT. Now, 30 years later, i have no hope she will get better. She's been in the hospital and several nursing homes for the last 16 months. The doctors tell me that she is "stuck in a manic episode. Not likely to change." She's 75. To me, no age should be considered too old, to enjoy life. It hurts, very much, to watch others give up on her. She is currently on no psychotropic medications. In the past she had Depekote. Is geriatric bipolar treatable? She, like many, has other medical issues, requiring medications. I am sure that that complicates the matter greatly. Are there things i can do that would help? Covid, of course, dictates no visitors, AT ALL. Bipolar is ALWAYS hard for families. Helplessness equals hopelessness, and frustration is the bubble that keeps it all together. Bless you for sharing your knowledge. You make it easy to understand..... which is a rare gift. It is said, that there is power in knowledge. That's also where courage, strength and hope reside. Bless you❤

Wow you describes ME ! I’m gonna finally get help and set my pride aside. Thank you very intelligent and kind

Thank you, I was diagnosed today with mixed episodes, I have Bipolar and it’s been very rough. Your explanation was on point! It has been suggested several times to try ECT to be better treated, today you’ve helped me understand why.

Thank you for another helpful video!

Omg thats me right now🤦‍♀️ ffuuuccckkkkk...i wanna just scream,fight and cry as I burn down n break everything (obviously I'm not but thats how it feels) uugghhhh

Thank you so much for this channel! You're answering the questions there's never time to ask my providers in person. It's much appreciated.

Your channel is incredible and such a service to humanity. Thank you.

My therapist and I have been working on a diagnosis of bipolar 2 with me. And everything that you described in this video about mixed episodes/ bipolar with mixed features is everything that I’ve been describing to my therapist and I didn’t even know it existed.

This has been super helpful. I thought I was heading out of mania into depression but I've been having symptoms of mania still so I think I'm in a mixed episode. I've only just gotten my provisional diagnosis in the last few months so I'm still figuring things out. Not on meds yet but soon! I'm hoping it helps me to sort out some of the most uncomfortable symptoms

Thank you for always providing so much education on bipolar! I’ve been diagnosed for a decade and I love to learn about my mind :)

Wow! I am amazed. I am currently in a mixed state. I no longer see my psychiatrist or therapist due to circumstances. But in my years of seeing them, you are giving me a much clearer picture of understanding! I never got things explained in such a simple manner & always felt that my psychiatrist never really had a grasp of my trying to describe my status. You are awesome! Subbed! 👍

you truly have validated my experience with bipolar, thank you for this

Hello! I’m new to your channel. I just wanted to say that I really love all of the videos you have relating to mental health, they are very informative and fun to watch. I am really interested in the field of psychiatry

I was diagnosed with bipolar 2, then later on diagnosed with bipolar mixed severe disorder after I was checked in to a psychiatric unit. She's right, it is harder to treat than just bipolar. I was put on lithium on top of quetiapine and Seroquel which has helped immensely

Thank you! I LOVE your videos! I am a Certified peer recovery specialist and I use your videos for some of the groups I facilitate!!

To exist without the will to continue, either to prevent your loved ones from suffering or for any other reason, is not living. It is being lived. It is being lived by time and hunger, Taken for a ride by the forces of nature. Without the will to continue, breaking free of a four billion year old chemical reaction seems quite romantic and powerful. The more it is considered the more appealing it becomes.

Thanks, Dr. Marks. This was so clear and easy to understand!

You are the best Doctor thank you for making understand my condition i've been confused for a long time i thought i'm bipolar 2 but my doctor just told me you have mixed mania so i did not understand what was that. Thank you again💓🌷🙏🏻

Thank you, even though I am reasonably well maintained in seroquel with therapy it is good to re hear some of these points. Your videos are excellent.

So true. I have never understood what is going on in my brain. Everyday is such a struggle. My episodes can last for months.

Seroquil was definitely miserable... that constant numbness was awful. not to mention when you are on it during a depressive episode you still have that melancholy feeling all the time. It's like depression where you can't cry it out to feel better... instead you are just numb. It permanently warped my depressive episodes into an apathetic mess and ever since my cycles have been scrambled and have all had more mixed features. I never thought I'd say it... but feeling unable to cry makes it so much worse.

Princess Consuela Bananahammock! 😂 ❤️

im 17 and i struggle with mixed mania and its very uncomfortable. i recently got a diagnosis and it makes so much more sense. i knew this since i was 10 and i am now 17. im taking geodon now. in a way, im relieved because its been a long way coming here. im glad im still here because now im finally getting treatment i really need.

Your videos are very helpful in how I communicate with others about what bipolar is like for me. 😊

Totally agree with Princess, in depression is the only time my brain calms down

Princess Consuela . . . 😔 I’m glad you reached out. God bless you.

A doctor here in Honolulu would not treat me with TMS for my depression because I am bipolar 1. He said Blue Cross/Blue Shield (my insurance) would refuse payment because my depression is part of Bipolar disorder. They will pay only when it is major depression not associated with bipolar. Frustrating because my sister had TMS and swears by it. She said her doctor simply changed her diagnosis. She is in Kansas City so it is what it is....she had done ECT quite a few times and her insurance company there dropped her. Her new insurer came thru for her but probably didn’t know about the Bipolar 1 diagnosis. ( I think). Main thing is she got the TMS and it worked great-she is off all psych meds and doing well. Excellent video Dr. Marks.

The nature of insanity, is unpredictable, and coincidentally, unavoidable! If we don't, get out off our comfort-zone, we won't know we're in our element🤙🏻

I remember telling my doctor that my depression is the worst part of my mental health issues, and made it clear I knew I suffer with mixed emotions. It’s an internal fight of emotions, and I once found it confusing, now I have an understanding, it doesn’t make it any easier 😢I always felt like wanting life to end, but had this irritability, anger and hypersexuality and impulsivity leads to bad decisions. And I can see it being a leading contributor to bipolar suiciceds

After telling my mental health practitioner I believe I’m bipolar and I feel like when I’m having a mixed episode it’s the hardest part. Just hearing that in this video is comforting as I’m not making it up in my head

When I get mixed features it's usually between a manic and depressed episodes. When I'm depressed I'm just super said, hate myself and want to die. With mania I'm just super anxious and crawling out of my skin. When I think of mixed features. I think about when I'm sad, hyped and become extremely angry over things I have little to know control over. Btw thank you for your videos. It has helped me become educated and somewhat identify what's going on in my mind and body.

Thank you for another great video. Hope you can share more video about bipolar soon. ❤️

I appreciate you! Thanks for explaining things in a digestible way.

I really appreciate your mentioning ECT in such a level way. I'd been struggling with treatment-resistant Bipolar II with mixed features and, two years ago, at 19, 'all else' did fail for me and I ended up doing 18 rounds of ECT (unilateral.) It sort of set the 'reset' button on my life in more ways than one; my memory was affected to a degree, but all of the sudden it felt like someone had taken a giant weight off my shoulders. It was like I had been living in black and white and someone had just flipped a switch that put the color back in again! The treatment isn't perfect or without side effects but it's sure effective, and it saved my life. I wish people knew that about ECT-- it may be considered a last resort, but it is there, and because of that there is hope for even the toughest cases like mine. I know someday I'll probably have to go back for maintenance and I don't necessarily look forward to it, but I'm still so grateful that it is there. Thanks for presenting it in such a fair and honest way!

You are sharp and you have good videos! I was first hospitalized at age15 I am now 66 and I am now dianosed with Bipolar I Mixed I have been stabilized for sometime on Valproac acid with occasional Benadryl PRN for sleep and I have a really great therapist I have seen many of your video's now Doctor and you really know your stuff!

You’ve just explained my whole life...I need to call my doctor. If I had one

Glad I saw your video I got diagnosed today and I wanted to really understand this all means

I would love to see more ADHD and ADHD management videos! Very insightful channel, thank you.

Thank you so much for this video. Very helpful

These videos are a great source of comfort and inspiration. Thanks

woah, I've never heard of this and I've never had a word for how I've felt so much.

Thank you Dr. Marks for the videos you've made on Bipolar disorder. I've watch all of them on the playlist so far. I was hoping that you might make one going into greater detail on what I've been told is called Dysphoric Mania?

I’m so happy, my therapist and psychiatrist always asked me what my pattern was. I’d always say I’m inconstant. I would sleep 12 hours a day then the next 5 hours of sleep. Some days I would sleep for 5 hours because I’m restless but talk myself into sleeping because I’m also depressive. A super high in a negative sad space. I’m on lamotrigine, but I really want to try the shock therapy! Lamotrigine helps in depressive and manic episodes but when I feel both at the same time it’s just confusing. It’s like the lamotrigine doesn’t know what to do lol.

I wish you were my mentor and professor. Your way better than my professors

It ahould called mixed mania again because some people even doctors confused it for agititated depression wich is really not the same. Thank you for calling it mixed mania!

very good dr. tracey . make some more vidios that may enable us to deal with bipolar disorder .

Your videos are wonderful. I have bipolar type 1 but looking at this you described my “mood” Mixed Mania. My last psychiatrist wasn’t for me and I had to let him go, my new one didn’t take much information and just gave me a new script. No one has mentioned mixed mania, my mind is racing when I’m depressed! I have tried Lexapro, Prozac and now duloxetine also accompanied by olanzapine. I am still severely depressed so I am going to look into TMS in Australia and see if that’s an option for me. Thanks for your help and keep up the good work!

ECT helped me a lot.

This is great. During a mixed episode its almost like hypomania and depression are struggling for supremacy and there are days in which one will "outmatch" the other resulting in a seemingly disparate display of symptoms. A friend described it as vibrating on the inside, but in slow motion on the outside. I know how to recognize and mitigate the depression for the most part (success rates vary) but don't really know how to mitigate the mixed episodes as they tend to only happen approximately once per year. Smaller sample size = less ability to test approaches. I have found that the transition from summer to fall is a reliable trigger for mixed episodes, winter after the holidays triggers depression, and the transition from spring to summer triggers hypomania which I can only attribute to the changing of seasons/amount of daylight hours, and the changes in my sleep and activity level. I'd love to see a video for the spouses and how best to recognize and support those of us who manage our diagnosis with minimal assistance.

What’s sad was having my life ruined twice by doctors that can’t tell the difference between hyperactivity of ADHD and hypo mania of bipolar, and given the mood suppressors that put me into dysphoria and damaged my brain

Another awesome video thank you 😊

I was diagnosed with GAD and depression. Took Zoloft and also Seroquel for sleep. But it seems like the Zoloft sent me into a mixed episode. My psychiatrist and therapist both said they think I could have bipolar disorder. I received a diagnosis of bipolar unspecified, mixed episode. Mixed episodes, or at least what I’ve been experiencing the past few days, are awful. Hoping I can get this stuff under control

Yes, yes, yes! Thank you for explaining this.

Can you give us more information about how a mixed episode can feel like? And maybe information about the blur lines between phases in bipolar disorder with rapid cycling and/or mixed features. Thank you!

i’m on seroquel and it took forever to get used to the sedation during the day but now it’s honestly the best thing that’s ever happened to me

I’m on Seroquel and it’s truly saved my life. The sedative effect isn’t actually a bad side effect seeing as it calms my mania down but makes me so sleepy I can’t think of heavy depressing thoughts !

I would also like to mention that some patients have to discontinue ECT early because they can't tolerate the side effects, and it doesn't always work, either.

I’m diagnosed with bipolar 2 with only mixed episodes. The more I look at your videos the less I understand. You haven’t brought up what I struggled with most at all. The first thing is how exhausted you are for sleeping very little, I throw up every morning because I’m beyond tired. The mind is racing so I don’t get any rest at all that becomes 100 times worse when you’re taking medication when I took Lithium I it became so bad that I was hospitalized. The elevated mood is an insane form av stress that keeps you from sitting still. You don’t talk about the sensory issues either (that’s always there though has been all my life) The stress (especially with medication) makes you don’t want to live anymore. After a few days I collapse into severe depression.

Hi Dr Tracy, thanks so much for another great video! Very informative. Unfortunately, I also suffer from bipolar 2 and mixed states are the worst! I was initially perscribed olanzapine which worked fantastic but I gained a ton of weight. Strangely, when I switched to Seroquel I was able to loose the extra pounds. I do notice that I get a bit hungry after taking my nightly dose, but nothing like the ravenous bottomless pit I was while taking olanzapine. I'm glad that my medication is working correctly but still struggle to accept the fact that I'll likely be taking it for the rest of my life. I hate taking medication of any kind and like to deal with things naturally. I am working on accepting this fact and not viewing it as a defect in my character or an immature ability to control my emotions. It's difficult but I have to keep reminding myself that I've gone off my meds on several occasions and thought "well I can just use my willpower to control myself". As you can imagine, this always ends in a huge meltdown. I just have to learn from these past mistakes. Thanks again for your videos, I really enjoy them!

I wish I heard this video wayback in college. If I do I know it's likely I'm getting the info I needed to get the help I need. I might not have ruined my life, and myself. I'm still suffering but right now is that I'm getting educated why I act so different from other people. I experienced being roughly mistreated, discriminated, and bullied from schoolmates, coworkers, even from friends and some relatives. And sexual pleasures have became a way for me to escape severe depression. But i became destructive, having tantrums, having elevated mood swings, and I can even hardly get the sleep I need even I know I needed to go to sleep, sometimes i sleep 5am or even 7am because I don't feel tired at all. I'm trying to overcome when my mania comes but sometimes I can't control and sometimes I'm trying to lessen it at least but there are times it comes back again and again. I love your videos and I think they're really helpful.

I have a weird reaction to lithium, it makes me so angry that I have to exhaust myself to calm down. I've been on a bunch of different ones because they don't want to work. I'm taking latuda now but it's only helping a little. This video is helpful

I'm 55 and was diagnosed with mdd in my early 40s. I had 1 prior depressive episode about 36. I also have GAD and PTSD (I'm a veteran) I'm going through something confusing to me. I'm up almost all night. I'm tired but restless . I spend a lot of time playing games on my phone and feel anxious if I can't. I'm spending more money than usual and have a hard time focusing on anything for too long. I feel a lot of frustration, worry, empty, irritable, and like I'm going nowhere fast. My provider suggested this is a mixed episode. I've never had mania before. I have an upcoming appointment with a psychologist for a through mental health screening. Up until now, all I have experienced was deep dark depressive episodes that was treatment resistant, and I've been hospitalized a few times I'm scared of what it means if suddenly I'm diagnosed with bipolar disorder. This is a very uncomfortable feeling, but I'm not nearly as hopeless as when I'm in a major depressive episode. I feel stuck in neutral and going nowhere at a high rate of speed. Most of the time, I just don't feel well mentally or physically. This is affecting every area of my life.

Thank you for this video

You are very knowledgeable! Hi

Thanks Tracy! 🙏

for me mixed episodes range from a perfect (and awful) cross between symptoms and rapid-cycling between a dominant hypomanic side and dominant depressive side an absolute hell

Can you do a video on the difference between mixed features and labile mood?

Thank you so much!

YES. Omg. “Hyped up incredibly sad person” - didnt hear a better description of me.

I experienced mixed mania most of the times few months till now. My doctor prescribed me to take antidepressants-brintellix?

The golden mix for my BD w mixed is 300mg XL and Depakote ER 500 with Alprolozam 2mg for sleep. Over 15 years and I have been well. Very healthy diet is imperative. Getting a hair tissue mineral analysis will allow you to find any imbalances and toxicity levels of vitamins minerals and heavy metals. Sometimes an imbalance in this is a big reason for the mental imbalance

thanks again for this wonderful explananaition . Wonder what to do with a persistend feeling that there is someone watching me 24hs a day

tracy, if you experience symptoms of mania in the morning but symptoms of the depression every night, every day, for 12 days... is it mixed? I had this time last month I was like this and on top of all that I had psychosis. I didn't sleep for 3 days and that was my limit. but I wonder if it was only mania or... the hell it was. I am bp1 with psychosis specifier. on top of that. I only had 2 episodes on the entirety of 2019 so I don't cycle daily, monthly or in a short period, besides these cycling was under an antidepressant. but that episode that lasted 12 days was really weird.

This was for me !!!!

I was diagnosed with Bipolar 1 in my early 20s (am 28 now) and stumbling upon this makes me highly suspicious that I also experience mixed episodes. I have a hard time knowing what’s “just my personality quirk” and what’s a symptom of bipolar disorder since I’ve been dealing with symptoms of BP since my pre-teen years. Oh hey! Side note - I did a clinical trial for TMS here in Dallas a few years ago. It was interesting and I do feel I got slightly better.

I think I will just be crazy and live alone before I could do those other treatments 😳

Hi Tracey, could you do a video on anxiety (psychogenic) induced seizures? Are they really a common thing, or something that someone with anxiety should be worried about when in a state of panic?