[ensconce]

(I'll try to keep it short ) I haven't slept in like 3 or 4 days I can't remember anymore honestly maybe its been more , my brain feels deep fried.

Current symptoms:

• No emotion or very little emotion including empathy(I got in trouble today for the empathy thing)
• Very tired but I don't feel like sleeping or just when I think I might sleep I get a burst of energy which makes me stop feeling tired and it goes away and I start doing stuff for a while and then it winds down but I still don't feel like sleeping.
• Mild worsening paranoia that comes and goes
• people in my head showing me stuff like always
• anxiety for no reason that also comes and goes
• Irritability but don't blow up like when i've been manic
• Everything feels like its in waves of depression and hypomania

I mostly want to know if anyone has experienced this and at what point you guys think I should get emergency help if that's even possible for loss of sleep and my symptoms at like a hospital since I can't see my psychiatrist on short notice, the minimum is a month. If I am overreacting I give everyone permission to be blunt please.

Thanks everyone

[Nammu]

Sounds more like depression to me, depression mixed with anxiety. Going that long without sleep is a serious thing. I'd get it checked out if nothing else a piece of mind, but I think at the very least the would adjust your meds if you can't see your Pdoc for another month.

[ensconce]

Originally Posted by sidestepper

Sounds more like depression to me, depression mixed with anxiety. Going that long without sleep is a serious thing. I'd get it checked out if nothing else a piece of mind, but I think at the very least the would adjust your meds if you can't see your Pdoc for another month.

Thanks for the reply. The weird thing is most of the time I feel nothing at all not sad or happy. I've never experiences this combination of symptoms plus no sleep. So weird!! Either way I appreciate the reply.

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[BeyondtheRainbow]

My dr's rule is 2 days with no sleep, 3 days with minimal sleep I am to call in and need some type of treatment. This seems to help prevent things from getting too far out of control as long as I manage to have the insight to follow the rule. The last year or so I've had a PRN specifically for insomnia so I haven't had to call in and it's worked out fairly well; I still didn't sleep when manic and still have been through a really ugly time but I was at least sedated into some rest and a few hours of sleep during the worst of that symptom.

I wouldn't go much longer without getting rest without getting help. It's reason enough to go to an ER.

[Lonlin3zz]

Originally Posted by ensconce

(I'll try to keep it short ) I haven't slept in like 3 or 4 days I can't remember anymore honestly maybe its been more , my brain feels deep fried.

Current symptoms:

• No emotion or very little emotion including empathy(I got in trouble today for the empathy thing)
• Very tired but I don't feel like sleeping or just when I think I might sleep I get a burst of energy which makes me stop feeling tired and it goes away and I start doing stuff for a while and then it winds down but I still don't feel like sleeping.
• Mild worsening paranoia that comes and goes
• people in my head showing me stuff like always
• anxiety for no reason that also comes and goes
• Irritability but don't blow up like when i've been manic
• Everything feels like its in waves of depression and hypomania

I mostly want to know if anyone has experienced this and at what point you guys think I should get emergency help if that's even possible for loss of sleep and my symptoms at like a hospital since I can't see my psychiatrist on short notice, the minimum is a month. If I am overreacting I give everyone permission to be blunt please.

Thanks everyone

Oh dear, this is not good sign as you been without sleep for 3-4 days, but unintentionally of course.

1. Exactly the Same
2. It happened to me lately. But I can't really comment on this since I always doze off periodically in bus ride back to home.
3. Exactly that I experienced. It's mid and just goes away briefly.
4. Not sure.
5. I experience frequent irritability in mixed episodes, the only difference is, I have it under control in real life as it takes a lot to piss me off. On the other hand, I totally lose control and blow up when I am playing with other people in a game.
6. Feels like you're being churned about in a mixed episode.

If you are just experiencing this without any intense thoughts on self-harm, or throwing things at someone, I highly doubt you need an emergency room. You are not overreacting, but you really need to seek immediate assistance regarding your lack of sleep because it "may" trigger a chain reaction.

Anxiety? Racing thoughts?

I am not an "official" bipolar disorder diagnosed, but I am currently experiencing 90% of what you are going through right now, except for the 3-4 days w/o sleep. I do sleep a min of 5 hrs :/

Just my view about it.

[Disorder7]

I agree with Sidestepper. It sounds more like depression with some anxiety.

My mixed mania episodes are very, very, violent. I am a danger to others. When I'm having a mixed episode, there is no doubt.
After my last episode, I've accepted the fact that I'll be on an antipsychotic for the rest of my life. Sigh.

I think you should contact your doctor, and I hope you get better soon.

[WibblyWobbly]

I have the simultaneous type mixed episodes so they are different than what you are describing. My mind will be racing out of control and I'll be hysterically crying, totally overwhelmed and need to kill myself NOW. As for the no emotion or empathy thing, that is how I feel when I am depressed.

I hope you get into a pdoc soon. You may also want to try going to your PCP for trazadone or something else to get you to sleep-I think that is urgent.