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#1
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I always have trouble telling these two apart. If I'm in a relatively "normal" mood for most of the day but still have racing thoughts/pounding heart/tremors etc. then it's probably anxiety, but if it happens during a mixed/hypomanic episode I can't tell!
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#2
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You actually answered your own question. Mixed/manic states can cause the same symptoms of anxiety. Either way you want to let your pdoc know if you are experiencing one or the other.
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#3
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Most likely anxiety. How long does it last? Longer than 4 days straight all day all night in a row makes it a mixed state, any less means it is likely anxiety
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