I am dx as bipolar 2, rapid cycling with mixed features and what you are describing sounds a lot like where I end up if go too long without getting my symptoms and stessors under control. I run pretty anxious in general, and if I let my stress/anxiety go on (or lack of sleep) too long without taking a break or upping meds in some way then I start to slide into depression and then get into episodes like you describe where I'm sad but pissed off at the same time - just all over the place.

I'm sorry you are dealing with this right now, and agree it could be really helpful for you to take what you've written here into your provider.

I've never heard that mixed only occurs with BP 1. My dx is 2 only because I've never had a manic episode, and I have been told by my pdoc that's really the only distinction between 1 and 2 - there's a ton of symptom overlap otherwise. It's all very arbitrary really, the important thing is finding a medication (or several) that can get you feeling better and stable, regardless of whether you are 1 or 2,or something else entirely.

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