How long have you been having mixed state, and how long does that episode last?
Also for rapid cycling, same question??
What meds have helped you the most?

I´ve been rapid cycling/ in a mixed state for almost a year now... with anxiety and panic attacks as well...
Not one day off, no balance, good days and bad ones...mostly bad ones.
exemple for mixed state: hyper and anxious in the morning, irrateble, angry....a bit depressed during the afternoon and then back to hyper in the evening with racing thoughts and can´t fall a sleep. Rapid cycling- same thing but one day hyper, next depressed or few days hyper and some depressed.
It sux. I would give my left arm to get some days off, days of balance...