As my psychiatrist, and many psychologists say mixed episodes is the most severe and most dangerous Bipolar episode. I have been through them many, many times.
I hope they manage to find something that works for you during this time.
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This is a mood episode during which the symptoms of depression and mania are experienced at the same time. This can lead to irritability, hostility and physical aggression. Patients often are hospitalized for their safety and the safety of those around them. They may need a longer hospital stay or a combination of more than one medication to get well. - Psyhcentral
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Mixed episodes are common in people with bipolar disorder -- half or more of people with bipolar disorder have at least some mania symptoms during a full episode of depression. Those who develop bipolar disorder at a younger age, particularly in adolescence, may be more likely to have mixed episodes. People who develop episodes with mixed features may also develop "pure" depressed or "pure" manic or hypomanic phases of bipolar illness. People who have episodes of major depression but not full episodes of mania or hypomania also can sometimes have low-grade mania symptoms. These are symptoms that are not severe or extensive enough to be classified as bipolar disorder. This is referred to as an episode of "mixed depression" or a unipolar (major) depressive episode with mixed features. - WebMD
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And here is a link with more explanation for treatments:
Mixed Bipolar Disorder ? How to Treat Mixed Mood Episodes | Bipolar Burble Blog | Natasha Tracy
I hope this helps you a little bit.
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