Agitation instead of elation as a sign of mania

Most of my mania has presented during mixed episodes and only once or twice have I ever experienced pure euphoric mania. My hypomanic episodes often manifest as euphoric but when I switch to mania they turn mixed. Does anyone else experience their mania this way? I have been diagnosed BP1 mainly due to my horror mixed episodes.

Note: My doctor has put me on Lithium to treat it and I had to go off it while having ECT and noticed my irritability and agitation go through the roof into another mixed episode. This is why I am on such a high dose of Olanzqpine (ZYPREXA) at the moment.

I have mixed BP1 as well.

I get euphoria, agitation at the same time. It is very hard to deal with. What is ECT? Electroconvulsive treatment?

Yes. ECT is electro-convulsive treatment.

I distinctly remember when I was 18-19 I refused to believe the bp DX because I was never happy, just switching from exhausting depression to hyped up anger and irritability.

Now I see the mixed episodes.

I have angry hateful Mania's. No happy puppy rainbows for me.

The closest i get to euphoria is grandiose thoughts, may or may not come with agitation. Agitation is definitely always a part of my mixed episodes

Hormones seem to kick my hypomania into high-gear. Angry,*****y and irritable.

My niece has euphoric, ultra highs, of course, when in that state she also believes God is talking to her and she is psychic and telepathic.

Sometimes I envy her, my mania is almost always mixed. Agitation, easy to irritate, depressed with a lot of energy. Not a good combination.

Interesting. What about mixed states in MDD?

My hypo into mania is euphoric but then takes a turn for the worst into a mixed/and or loss of touch with reality

I turn into the most cheerful person alive. I can't get mad for nothing, but if I do manage to cross that line, I'm insanely pissed.

My one and only identifiable episode was a few days of extreme irritability, followed by a deeply uncharacteristic anger outburst. I can't at all relate to people who say they miss mania once they're on meds because they enjoyed how it felt. That wasn't my experience and I never want to feel that way again.

I hope the ECT does good for you!

Or last yr i ended up in hospital too many times because i kept going into euphoric mania then switching into suicidal disoriented mixed. At the hospital it was crazy. One day i was in bed all day the next day i was euphoric in the stars. A full week of switching

That never happened to me before. So i guess what im rambling on about is anything is possible with bipolar! We know your pain and hope u feel better!

I do like the hypo into beginning mania which can last a long while for me. But i know the inevitable will happen and ill break down. I

My depressions seem to always be very agitated now. I'm wired with the energy to Sh and make plans but hysterically crying 6 hours a day. I feel like I could run up and down he stairs a million times despite having all of my prn 4 mg clonz and 10 mg zyprexa plus 2 sleeping tablets I don't remember the name of. Yet I still have this internal energy that feels like or can only be released by Sh or running a marathon. My doc has put mixed state on my papers

I can definitely relate to this. I've hardly ever had the super up, happy mania....and those few I have could just be me in a good mood. lol It's so rare I just don't know. I always get the agitated, irritated, jumping out of my skin feeling. Not fun...horrible actually. ((hugs))

In hypomania I go from hyper, to hyper, sweet to down right mean and irritated. So watch out

Thank you for posting this topic. I don't experience elation either, just feel really irritable and like I want to rip someone's head off LOL. And I have periods where I feel like I can get a lot of stuff done, which is welcome after the depressive episodes where everything kind of goes by the wayside. Maybe that's hypomanic? I almost feel compelled to get all of these things done while I have the energy.

I experience perfect elation. But, if you get in my way, I rage and I usually hardly have a temper. However, I don't see this as a mixed episode; it's just part of my mania.

Thanks. The ECT pulled me out of the depression and, with meds, pulled me out of a deep mixed state. I am now feeling much more stable and going back to work today. It is nice to be stable, not too high, not too low but stable. Hopefully this will last a while and give me a nice break from being so unwell.

Mixed episodes only relate to BP, not MDD.