I'm pretty sure I am in the midst of a nasty mixed episode. My sleep is very chaotic, my mind is racing and I'm up moving, full of energy but I am still suicidal (often dangerously so because of the energy) and am suddenly very weepy. I'm not sure if the spending is part of the mixed episode or if it's a self soothing technique now that I have energy but am still depressed. I think, most likely, it is impulsive spending from the episode.

I did mention the spending to my pdoc, and the erratic sleep, and the racing mind, and the still suicidal thoughts (in fact, I told him my therapist was adamant I went IP or at least IOP). That is when he made the decision to double my Lamictal from 400 MG to 800 MG and he also increased my Vyvanse (stimulant) from 35 MG to 50 MG which I understand can both perpetuate and worsen a mixed episode. I don't know.