I saw her today (psych person). She asked her usual mood questions, then started focusing on my stress at work and sleep pattern. She never mentions her opinion of my mood state unless it is causing real issues (which it isn't really).

I have worked 5 shifts of 12 hours each in the last 6 days. One day I admitted a baby with a severe birth defect that needed immediate transport to a facility that could do surgery. Stress city...I was just plain depressed before this stretch. I bet the exhaustion and stress overlaid some hypomania on top.

I am a bit confused because mixed mood involves full on mania and depression according to the DSM IV. But just because the DSM doesn't list it doesn't mean it can't happen.