I don't really even have a doctor atm lol... I've had withdrawals many times before and it didn't feel like that. I am well aware of substance abuse mimicking MI. Thing is other people i know that use, don't seem to act anything like me, and i'm wondering if the opiates just make my BP more pronounced. I'm not really sure how to tell if i'm having an episode or what's going on. I have felt manic and depressed while sober for long periods of time before, but i felt i had it under control and didn't do anything crazy. I was just curious if these symptoms are what people feel when they have mixed episodes.