Mixed episode, is a condition during which features of mania and depression, such as agitation, anxiety, fatigue, guilt, impulsiveness, irritability, morbid or suicidal ideation, panic, paranoia, pressured speech and rage, occur simultaneously.

For me, I cry uncontrollably, suicide thoughts, and have a lot of anger issues. Sometime it decides to get fun and will throw in paranoia and/or racing thoughts. That's when it can get dangerous for me because I'll have the suicide thoughts rapidly and the impulsivity to follow through.