I get mixed episodes; I have been purely hypomanic but never manic. So instead of spiralling upward, I get thes hightly anxious, desperate, frantic periods where I can't sleep normally (I sleep but brokenly and the scheduleis screwy) and my anxiety and depression get worse towards night. yes, I get more symptoms especially hearing things then. However, I get the visual symptoms mostly at the beginning of an up or down slide. I know that they are, though they can startle me, I know they are "brain spooks" They tend to fade out as the swing continues in either direction if I am not on meds that can worsen them (serzone, yippee no longer on the market). That's all!