I'm pretty sure dysphoric mania is one version of a mixed episode, another being agitated depression. It just depends on which symptoms are the most prominent, the mania or the depression. So sorry you are going through this. Mixed episodes are hell. When I have them I am VERY agitated and irritable. Things just go way too slow for me and my thoughts race. My mood is VERY low too. I have a lot of restless energy but cannot focus to actually channel the energy into anything productive. I also become paranoid and anxious about things. These states have proven to be very dangerous for me as I can get actively suicidal and filled with rage. Be careful. I hope things go well with your doctor.