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I can't answer your question. I also have those episodes I refer to them as: Maniacal depression. Not mania + depression - but maniacally depressed.
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BEST OF LUCK TO US ALL! 
600 mg Trileptal (oxcarbazepine) 30 mg Atarax (hydroxyzine) 8 mg Trilafon (perphenazine)
Bipolar 1 - Borderline Personality Disorder - Generalized Anxiety Disorder - Eating Disorder
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