So I don't normally drink coffee every day, just every once in a while. Well yesterday I drank 2 cups in the morning and I was up until 4am and only got 4 hours of sleep. Now I totally feel like I'm entering a mixed episode which I was also hospitalized for in November. All through February i was doing awesome and was so happy. So this is my first big mood fluctuation after being diagnosed and after getting all my meds working beautifully and I'm not sure what to do and I'm nervous! I'm a cutter and haven't since December and i just HAD to do it. I haven't needed to see my pdoc since end of January and my next appt is mid April. Do I call my therapist, do I call my pdoc? I really don't want my family or friends to know. I cringe at the thought of telling them. Advice anyone?