It sounds to me like you are mixed. I've had times I was mixed and could sleep after a fight to get there. I think when you are on meds that make you sleepy sometimes those override the mixed and sometimes if there is enough depression it will override the agitation because depression is exhausting. I just always picture the 2 extremes at war with each other and jousting. Either side gets in a good hit at the other side from time to time and that lets one end bubble up more but then the jousting continues and the other side wins for a bit. Sometimes a "win" lasts a few days and sometimes it is less. But it will always change.

This year has been so confusing to me because I've mostly not been mixed and so I haven't had the switching/jousting thing going on and I am used to waiting for that. But for now, for at least a few days, it's here. Sadly it feels familiar, much more so than the dark depression. AT this point I don't want to be changing around so much; we have plans for handling the depression and I don't want to deal with that changing because I'm suddenly mixed 11 months into this mess. But I guess I have no choice and this will decide medication over ECT probably.

I'm sorry you can't start your ECT sooner. Does going IP move it up the list at all?