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Madness is extremely rational. The core beliefs, the underlying assumptions, are irrational. You also assume more so you might say you abandon reason for madness. Inferences become assumptions. When any of them changes you have to start again. You can't just retrace your steps.
A mixed state (or a BPD crisis) will do that and it's maddening. The mental fatigue might make things worse. Though I think it only feels that way. It's another way of going mad. You become desperate for it to end, but mental fatigue becomes physical fatigue and that's a great way to end the madness (at least for a while). It just feels like forever.
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Mania kills cells. Brain cells die. Memories become more reduced conceptually, making more efficient use of limited means. Memories shape our reality. Our memories are more or less split in two by abstractions, conceptual reductions. Mood states with memories, concepts, attached. Memories of pain and those of joy. It causes instability, changeability. Fearing that will leave an emptiness between pain and joy and a greater divide.
See Me, Feel Me, Touch Me, Heal Me.
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