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Trying To Describe A Mixed Episode

Trying To Describe A Mixed Episode

Mixed episodes, sometimes called agitated depression or dysphoric (hypo)mania, is the very worst mental state that I have ever experienced. I would like to share with the community what it feels like to be in a mixed ep. I wrote this as I was in my last mixed episode...

Mostly the agitation and irritability are way off usual... really struggling not to blow up over tiny things that don't matter. Repetitive bird calls and stuff are normally no problem for me, but they're driving me nuts at the moment, making me squirm...

I don't normally do the whole leg pumping thing - you know when you're sitting and rocking your leg up and down without your toes leaving the ground? Been doing that lots...

And sleep's a bitch... got maybe 3 hours last night, and feel wired af... I'm feeling very low and tired. Exhausted actually. But, confusing as all hell, I've got all this energy bouncing around inside me, waiting to explode. I feel like I could run a marathon, and at the same time want to sleep until the universe goes cold...

It's a paradox wrapped in an enigma, covered in lead sinkers, shoved into a rubber hose, and used to bash the crap out of my head. It's 4 guys with phone books and heavy rods, beating the crap out of me...

I am using everything I've got to try to concentrate, to focus. It's more difficult than at any other time in my life, but when I'm in a mixer, I find I need to try and stay focused, otherwise I lose my shit...

I'm not normally a control freak. Usually if I'm depressed or hypomanic or a bit anxious, I just ride it through, use acceptance, get all Zen and manage pretty well. I am able to allow the symptoms to exist within me, but to sort of sidestep them in a way that keeps me sane...

But not with mixers. I can't ignore or accept or ride through them without tons of effort to control things. I know that mixed episodes are one of the most dangerous mental states to be in, so I am very careful to stay as much in control as possible...

Oh, and hypersexual? Yeah, off the charts...

There are all these racing thoughts, but at the same time there is that whole cotton wool dissociation going on too. I can't really describe it. I'm both too close to my thoughts, and infinitely far away from them, if that makes any kind of sense to you...

I keep having to ask people to repeat what they said to me, as I often can't hear them for all the internal chatter of my thoughts going on. I've got guilt trips and old wounds trying to tear at me, and lots of negative self talk, but that's something I'm used to dealing with, so I've got that biatch under control...

It's a mental state filled with contradictions, and those contradictions are playing tug-of-war with my brain, pulling it this way and that in a mad frenzy that feels like nothing I feel in any other state...

I've got lots of floaters in my eyes. It's an unfortunate genetic condition one of my parents gifted me with. I have protein strands inside the gluggy part of my eye that clump together, and they throw shadows onto my retina. If you've ever seen water under a microscope, with all of those shadowy partly see-through stringy and clumpy things, that's the way my vision looks all the time, especially in bright light. My brain is pretty good at applying a filter and ignoring them most of the time, but when I'm in a mixer, that filter goes on the fritz, and I see all of the floaters moving around and jerking and settling across all of my vision constantly, and it's frustrating as all crap. Makes me want to gouge my eyes out...

Yeah... mixers... they suck ass...

25 replies

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In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

you describe them aptly sir

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Silenus
I'm new here & this is my first post/reply
WOW I can identify with your experience except for the eye floaters, I'm really scared that when I hold in all that energy & frustration so I don't unintentionally offend anyone that I'm literally going insane. When it's so bad I cannot read letters in the sentence and cannot read numbers.
Thank you for sharing

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Silenus,

The nature of mixed episodes tends to be different for each and everyone of us that experience them. There are two that I recall with too much clarity.

In one I had tears pouring down my face while I relentlessly and non-stop tackled cleaning and repairing a 60 year old gas stove. It had got to the point where only one gas ring worked. As I slogged away at a seemingly impossible task I continued sobbing. I had no means of stopping my work nor could I stop crying. This gargantuan task continued without stopping for 34 hours. Having restored the stove to full working order I couldn't stop moving or crying. I no longer recall how long this episode lasted but I remember my brother intervened. As he was highly qualified to do so I got the care I needed. A high dosage of anti psychotic settled the episode down in 3 weeks or so.

The other I recall very vividly was during a period of severe depression. My leg muscles hurt like hell. Pain killers didn't work but moving did. I couldn't sit down, lie down or stand in one spot. The mental health team couldn't help unless I went to see them but I couldn't stop moving to drive over there. I did contact my pdoc (psychiatrist) who told me to take a massive dose of the anti psychotic I take. He phoned me every day as he is several 100 kms away. Slowly but surely my world started to slow down but not before my feet had turned in to a bloody pulp.

I fear mixed episodes and now at the slightest signs of a mixed state I increase my anti psychotic and phone the pdoc.

As I said mixed episodes/agitated depression/dysphoric mania can present differently in each person. For me it's been about recognising the early signs and acting straight away after speaking with your pdoc unless you have a prearranged plan of action as I do.

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Kurra
That's good advice, I try to avoid taking my antipsychotic medicine as I don't like how it makes me feel but will try taking it. I don't like taking it as I should as I am scared. I was diagnosed Bipolar 3 yrs ago & still in denial about it.

In response to: Re: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Mymood

I took me many years to fully come to terms with my diagnosis so don't despair. Ultimately you'll be able to fully accept that you do have bipolar.

My pdoc has a different approach to antipsychotics than most pdocs. He advises me to take them when I'm becoming manic or experiencing a mixed episode. Once the mood state has settled then I come off them. You need to be very self aware to do this. This approach seems to work very well for me.

Always follow your doctor's advice. That is how I now live a relatively ordinary sort of life. My aim was to beat bipolar. The catalyst was when I was told that I live the rest of my life in an institution. Since I'm very pig headed and stubborn I have done everything possible to live my life. Instituionalised? No I live in my own home, work full time and am involved in a couple of community organisations. I also play in a jazz band with the occasional musical pit job orchestras.

Please don't underestimate the amount of time and effort this has taken. I still have the odd mania or profound depression thst gets away from me so I try to watch out for those very early signs of a mood switch.

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

@Kurra it sounds so comforting to know how you have been able to rearrange your life and got your illness under control 🙂

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Kurra
I understand that word institutionalized my mother had paranoid schizophrenic before I was born (I was first born) she was in Callan Park Mental Hospital, during the 60s. I would later learn of the hellish nightmare, she never fully recovered from that place if anything it instills fear in me. She would regularly talk to herself, have arguments with herself all the time even in public it was worse...she believed man in black suits were after her..It was a living nightmare for us 4 kids...When she passed away 2 yrs ago I learnt even more she had meet my father in Callan Park, he was a patient too. Thank god I only learnt this now as I am mature enough to see the funny side to it. Who else can say their parents meet while institutionalized. I don't tell anyone unless I know they would understand which is only a handful..My psychiatrist believes I may be predisposition to bipolar as my child hood was very dysfunctional. I am so happy that I found this website as I am not alone & I learning. 🙏

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

This is an older thread now, but I wonder if anyone notices their eyes change in different states of mood change?

In response to: Re: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

@Former-Member, interesting question....because I have wondered about it myself.

In my experience during severe depression my eyes are generally downcast and expressionless. For some strange reason my vision becomes and little blurred, a bit like looking at the world under water.

During periods of mania, eyes are wide and vision seems crisp and colours more vivid.

Though I have experienced mixed episodes I cannot remember how it affected my eyes.

I must note I am very near sighted and wear glasses

In response to: Trying To Describe A Mixed Episode

Re: Trying To Describe A Mixed Episode

Hi @Former-Member

I've never visually noticed anything different about my eyes but I certainly feel a big difference in and around my eyes depending on my mood state. 🎶💕
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