I had mixed episodes about a week prior to getting my period, every month. The agitation stopped after my period began but I'd get very emotional and clingy. The mixed episodes got so debilitating, I now take oral birth control continuously now to avoid all of it. It was either that or a hysterectomy, I couldn't handle being suicidal 5 days out of every month. So far, no more monthly crazies! I wish I had done it sooner!