I fI was in any state when I went to my current psychologist I was also mixed. I was cutting every day and doing lots of drugs, little sleep, energetic but miserable. First thing they asked was if I needed to be hospitalized but I don't want to mess up with my current education (lawyer's title). Shortly after I became hypomanic (which both my therapist and my group psychologist said I was) and started doubting I needed any help at all. Now I can feel myself slipping back into a mixed state or something like it and it is really uncomfortable.