MENTAL HEALTH MONDAYS: What is a Bipolar Disorder “Mixed Episode?” - The DV Walking Wounded

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Many times abusers are accused of or suspected to have bipolar disorder. Subsequently, victims of abuse who have bipolar disorder are often tortured by their abusers with idol threats and goading in order to make their episodes worse (to discredit them or take advantage). This blog wants to dispel rumors/misinformation and bring attention to a legitimate and treatable brain illness. This is NOT to be confused with narcissistic manipulation AT ALL.

Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The symptoms and severity of bipolar disorder can vary widely among individuals. However, a mixed episode can also occur.

A mixed episode is characterized by the simultaneous or rapid alternation of symptoms of both mania and depression, without a period of recovery in between. Also called dysphoric mania, this mania includes mixed features, it typically presents with irritability, heightened energy levels, rapid thoughts and speech, and increased agitation or overactivity.

A bipolar mixed episode is a state characterized by the co-occurrence of symptoms of both mania/hypomania and depression within a relatively short period. It’s a challenging and often intense experience for individuals with bipolar disorder.

Here’s how it might appear to others as well as to feel personally:

Appearance to Others (Outward):

1. Agitation and Irritability: The individual may seem restless, irritable, or easily agitated. They might have a short fuse and react strongly to minor stressors.
2. Rapid Speech and Racing Thoughts: Speech may be rapid and difficult to follow, with the person jumping from one topic to another. Their thoughts might race, making it hard for them to concentrate or stay focused.
3. Impulsivity: They may engage in impulsive behaviors such as reckless driving, spending sprees, or risky sexual behavior without considering the consequences.
4. Changes in Energy Levels: Energy levels may fluctuate rapidly, with periods of high activity followed by sudden crashes of fatigue or lethargy.
5. Difficulty Sleeping: Sleep disturbances are common, with the individual experiencing insomnia or restless sleep.
6. Mood Swings: The person may exhibit rapid and intense mood swings, shifting between euphoria, irritability, sadness, and agitation within a short period.

Personal Experience (Internal):

1. Overwhelming Emotions: It can feel like being trapped in a whirlwind of conflicting emotions, with highs and lows occurring simultaneously. There may be moments of intense elation followed by profound sadness or despair.
2. Physical Discomfort: There can be physical discomfort such as restlessness, agitation, or tension in the body, adding to the emotional turmoil.
3. Confusion and Disorientation: Mixed episodes can be disorienting, making it difficult to think clearly or make rational decisions. The individual may feel overwhelmed by the conflicting thoughts and emotions.
4. Sense of Urgency: There may be a sense of urgency or desperation to alleviate the distressing symptoms, leading to impulsive actions or behaviors.
5. Exhaustion: Managing the intense emotions and rapid fluctuations in mood and energy can be exhausting, both physically and mentally.
6. Hopelessness: Despite moments of euphoria or excitement, there may be an underlying sense of hopelessness or despair, as the individual struggles to find stability and balance amidst the chaos of the mixed episode.

It’s important to note that experiences can vary widely among individuals, and not everyone with bipolar disorder will experience mixed episodes in the same way. Seeking professional help from a psychiatrist or therapist is crucial for accurate diagnosis and effective management of bipolar disorder, including mixed episodes.