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[quote=IndieVisible;3276565]IMHO not very different at all. Take for example a bipolar stuck in the midst of a "mixed" episode. There does not have to be any manic or very little if any, just irritability and ups and downs, often appearing they are triggered by events.
Per literature, 'mixed states' primarily occur in the context of Bipolar I, so we are not talking about just 'irritability.' And it's not about up-down-up-down. If these constant ups and downs are occurring, and are triggered by events, then most likely it is not bipolar disorder.
If these constant mood changes are being triggered, and that person is diagnosed (or self-diagnosed) with bipolar, then this is where you need to start taking it with a grain of salt, consider the possibility of misdiagnosis, rather than assume that it is, actually, a part of bipolar disorder.
I think you're getting your definitions of mixed states more from personal accounts than the actual criteria. I have seen the same descriptions of 'mixed states' as you describe here --but that doesn't mean that this is how it works with Bipolar Disorder. This is precisely part of the problem, and why BPD seems to mirror BP --because of such accounts. You will see that many who experience mixed episodes, as you have described them here, are 'also' diagnosed with BPD.
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