Assuming you're implying to when my illness first showed symptoms. Before I was DX BP, they said I had MDD. But I was showing symptoms at ten when I started self harming. I'm now wondering if I self harmed out of mania and the anger that comes with it? Who knows. But I didn't have my first known manic episode until about age 17, after my MDD DX. If I had it sooner then I didn't know enough to be able to tell and probably shrugged it off and being hyper with insomnia.

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