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Old Sep 13, 2013, 09:06 PM
ultramar ultramar is offline
Poohbah
 
Member Since: Mar 2013
Location: USA
Posts: 1,486
Quote:
Originally Posted by 1914sierra View Post
Bipolar disorder is a disorder of mood and energy level with episodes, not swings, that generally last weeks to months in duration. Bipolar episodes are about broad mood states of depression and mania, while BPD mood swings are reactionary episodes, usually fairly brief by comparison, of very defined emotions such as anger, rage, sadness, rejection, abandonment. Mixed bipolar episodes are not episodes of quick swings between feeling good and feeling bad/irritable; they are states where full manic and full depressive symptoms are experienced concurrently. Most of the people I know personally or on PC who are diagnosed with bipolar disorder alone don't self injure or have issues of abandonment, etc., while those that do are generally also diagnosed with BPD.
I agree. And I have seen 'mixed states' confused with ultra-ultra rapid cycling, in the sense that when some people are going up and down constantly, they attribute it to mixed state.

No. "Mixed states" are primarily limited to Bipolar I, whereas I see many people diagnosed with Bipolar II saying they have mixed states. It is *not* a roller coaster of up, down, up, down, up down, that's just not what it's about. I've essentially seen erroneous definitions of 'mixed states' mirror those of 'rapid cycling' --same thing, different label. Sometimes, this is really BPD masked as "rapid cycling" and/or "mixed states." And one has to keep in mind that a 'mixed state' like any kind of bipolar episode, does need to last a long time. It is not akin to going from one crisis to another.