I'm so sorry for all you have been through. Aside from the self mutilation, our stories have MANY eerie similarities.

I can answer a few questions for you. Bipolar mania does not always involve delusions.

Yes, you could have been hypomanic, or very possibly full blown manic when you got married. No way to know for sure. Do you usually make decisions like that so quickly? Probably not. Was it "Out of character" for you to make such a quick decision? Some people probably make decisions like that while only Hypo. For me, that would be a full blown manic thing to do.

I am also thinking about doing the med thing, only while in a episode. I don't know how this will work long term, as I just decided to try it and I still need to discuss it with my doctor.

Yes, the anger you describe sounds like it could be a mixed episode.

I have no experience with ECT and therefore cannot offer advise or wisdom unfortunately. I'm sorry. Some people here do have experience with it, and hopefully they will be by to offer thoughts on that part.

Thank you for sharing your story.

I wish I could be more helpful.