I have PMDD and Bipolar.

I can relate to feeling CRAZY the week before and that is the best way I can describe it. I am screaming, crying, actively suicidal and in a lot of physical pain. Its the only time I "lose it" and I feel tremendous guilt for that for months after.

I cannot relate to not liking being nice, or being repulsed by it. But I have done damage in my work life at that time of the month.

When I am hospitalised for my PMDD, I am admitted as having mixed features. It lasts exactly 9 days a month for me.

The longest mixed episode I had was over 18 months, it wasnt always severe but looking back I was always mixed.