I'm sorry you're having such a tough time. Mixed episodes are the worst. It does make you want to crawl out of your skin. During these times, my pdoc has given me permission to take extra sleep medicine and sleep it off which usually works for me in a day or two. I'm sorry yours seems to be lasting longer. You're not alone. Please post as often as you need to. We're here to support you. I hope you can get some relief soon.