The difference is that she's saying she's not tired after going to bed at 5 a.m. or not at all. A normal individual who is not in a mixed or (hypo)manic state is going to be tired after that.
Hello there, it is difficult to say because even in a completely healthy person sleep-deprivation can cause depression/moodiness/even symptoms of psychosis. So first of all your sleep problem needs to be monitored & corrected by a professional. Once it's figured out, things can be taken further from there. I wish you the best.
It's a definite possibility. Dysphoric mania is another term for mixed state (I don't think there's any big differences between the terms at least). Mixed states are technically defined as fitting the criteria for depression and mania simultaneously for at least 4 day (I think it's 4, might be 7). Some mental health professionals use a more subjective rating that might not fit the DSM exactly. Ask your therapist about it. Try to write down all of the moods and symptoms you're having, and bring the list/journal with you to your next appointment.
you are alive and well, not to mention ahead of your time, this world that we live in puts so much pressure on us, but we are not of this world, this world cant handle us, therefore it plays tricks on our minds, the world is not in control of you, you are in control of you, therefore I say to you Live! And never ever lose control of You!
Probably mixed episode if you are truly experiencing depression at the same time in the midst of all this rather than just irritable mania. Be sure to keep notes of your symptoms each day and bring to your next appointment. This will be key to diagnosing you properly so you can get the treatment and help you need and deserve!