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bipolar

If you are bi polar and go from increased energy and euphoria to irritable and angry all in the same day is that considered a maniac episode or two different maniac episodes since it changes from one extreme to the other?
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I agree with the above poster it sounds like a mixed episode.  If it were a non-mixed episode, it would be solely ONE episode of mania, one manic episode.  Definitely mention it to your psychiatrist and/or therapist.
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585414 tn?1288941302
   What you are describing sounds like a mixed state. During  a mixed state a person has aspects of both mania and depression at the same time. For example during an agitated mixed state a person has  the speeded up quality of mania but also the down aspect of depression and can feel as if they are angry at the world.  Also a person can change moods very quickly during what is called rapid cycling. Some medications can specifically be more effective on these concerns . However only a psychiatrist would understand the clinical specifics of this.  It would be worthwhile to discuss this with your psychiatrist and they would have more be able to make a decision as to how to address this within their clinical discretion.
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