“The manic energy just drives the depression.”
This will typically depend on which mood episode is the predominant one—for instance, are you having a manic/hypomanic episode with symptoms of depression, or having a depressive episode with symptoms of mania? In some cases, a person presenting mixed features may be in a full mania and a full depression at the same time; in other cases, a person may be experiencing all of the symptoms of mania/hypomania and only a few depressive symptoms .
Joey, 41, who was diagnosed with bipolar II in 2006, also experiences episodes with mixed features. “Even when [I’m] hypomanic I’m still suffering, as the manic energy just drives the depression,” he tells SELF. “And I’m even more aware that my depression prevents me from doing most of the things my manic side screams at me to do.”
“So one minute I could feel totally fine. A few hours later, a text message could burst my entire day into flames and I can't see any of the good that happens,” Emma continues. “And then if I ask for help, it's like my mind doesn't want it, and I flip out on whoever I was asking.”
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