Mixed episodes tend to give me headaches, upset stomack, and confusion. I'm not a doctor but I've been dealing with this for over 30 years and I find that after a few day of little sleep (because I'm manic) the mixed episodes set in. It's actually kind of frieghtening becuase I can't figure out what to do with myself. When I'm manic I feel good about life and of course too good about myself so I rarelly attempt to control it. Unfortunately the lack of sleep ends up doing my body and mind even more harm.

What I do when this happens (and again I'm not a professional) I find a quiet place, take some ibuprofen and let my creatively manufest itself in a quiet way such as drawing, writing or even doing a crossword puzzle. The key word is slow down and rest.

Like I said I'm not a doctor but that helps me.