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Mixed states are the most common way BD manifests for me, although mania is usually a little higher than depression is.
If I'm not on meds mixed states are torture. Pretty much just what the name sounds like...feeling amped up, agitated, irritable, ecstatic, creative, racing thoughts, racing body, self-righteous, self aggrandizing / physically exhausted, somewhat paranoid, discouraged, guilty, thoughts of suicide.
That more or less explains it.
Keep in mind that major life changes, such as menopause, often cause BD symptoms to exacerbate.
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