Thanks for the input everyone! That's something else I noticed too, my moods tend to be mixed now instead of a more pronounced one or other and the mania side now is irritable and unpleasant where the year I got diagnosed I was up and happy and laughed a lot. Not saying I want to be manic, just that I notice a difference in how they are presenting. My dx wa in 06, I was manic again in 10 and that was the first time it morphed into mixed before morphing into depression with tons of anxiety, that was my first hospitalization, I came close this past spring but managed to keep out with the help of my drs and husband. But this spring there was no happy mania in the beginning like earlier. It just started out high energy, a little irritable then wham, anxiety hit.Once we managed the anxiety level I had started the down swing so had to work to pull me back up. Its such a balancing act and forever teetering you know?