Hi, I too suffer from the 'mixed states' among other things of mental illenss. I find it really to so much distress me as well as disrupt my life and my daily living. Unfortionatally I am not able to maintain employement due to my illness.

I am barely able to maintain independant living, I would guess this would be due to my vast array of medications taken yet at times or most of the time not responding to them all of the time just the functioning in which they are able to allow me to have at any given moment of time. The pdoc and the Case Manager and T tell me that the Mixed States are the most dificult of all bipolar things to treat and I would agree they are no way fun.

The panic for instance for me was this morning well yesterday morning as it is now almost 2 hours past midnight and the wakeing hour yesterday after being awake for my 48 hours or give or take a few. I have just summmed it up from looking and tracking what activities I did during that 48 or so hours. Ok, back to my panic would be upon waking and looking at my wristwatch around at this point I am not really sure what time I did wake, I recall around 8AM or so give or take.

I just know was day light out. So after looking at my wristwatch as I woke, I then to make for the panic had to look at the day of the week. This is a must when I get a wrist watch and then once awake i realized that it was Wednesday morning. Thinking to myself, "what time did I crash out yesterday? I found out by the clip board on the floor it was around two in the afternoon. So then I decided I had slept for around at least say 18 hours.

As I scrambled up and about going to the fridge, wondering if I had any cold soda to strart my day I was relieved that I did so have I recall. Then as I tried as I do after these never knowing waking post long insomnia sleeps, I began to attempt to locate my medication box. I finally found it gave it a look, and the AM box looked in tackt so I emptied the chamber of the various meds into my mouth took a swig of pop and prepared for my blind day which ended up and as continues to be not all to terrible yet unpredictibale.

I am glad that you are able to manage a job with so many responsibility's and yet suffer from such of a monstor of bi polar with mixed states. I guess for me I am not. Just maintaning is all I am capable for now of. Are you on any medications from your bipolar with mixed states? I would have to say your meds and what ever support system besides the forum are really doing you well since you are able to go from no sleep for 48 hours and then back to work on time and everything the very next day. I am glad things are going better for you yesterday or the day before.

Sorry I am rambling. I just find myself to be like, less than it seems as I can not do such responsibility's in life at least right now only am always hoping and waiting for a new mood stabalizer to hit the market to help my rollercoaster ride and my rapid cycling and mixed episodes.

Take care and Hope things are getting back to normal for you. I looked at your profile only nothing was specified other than your join date and such so know litle about you only hope today is a better day for you take care and peace to you.