Thanks. I know these aren't diagnoses, but I just want opinions. I had some severe episodes a long time ago, but was always told it was mixed-state hypomania when it's severe. I was hospitalized once for this about 6 years ago. But what's happening now feels different. The main reason I'm scared is how close I was to inviting that guy over, which would have been really dangerous.

I emailed my pdoc last weekend because I was really sad and anxious, and I was getting the images, related to the deaths at work. It was so vivid. I didn't really tell her the details because it's just an email. I just wanted her to know a bit of what's happening. She was supportive, but didn't want to do anything different. I missed an appointment with T the other day, which I have never done, because I had no sleep and an active night and then worked all day, so I forgot.

I don't see T until Nov 16, and pdoc until January. I'm also not keen on making med changes, because the ones I"m on have been great for the past couple years.

I don't know, maybe figuring out the difference isn't important