I had a mixed affective episode while on lithium a few weeks back. It was pretty intense stuff. I guess they called it an agitated depressive mixed episode. But. The way it felt to me was, i was cycling from being really depressed and crying to being cheerful in the span of about an hour or two, then going back and forth for about a week or so. It ended with an hour or two of rage, and a lot of anger as it sort of climaxed and imploded in on me. I'm glad I wasn't around my friends, because i was thinking some wild stuff, and none of it was positive; very black things.

One of the reasons i went off lithium/meds. But that's for another time.