Bipolar II Mixed State / Hypomania

Ylba · Apr 14, 2018 at 09:57 AM

Hi,

I've been undergoing a mixed state for the past few days with hypomania being more problematic. I keep waking up in the middle of the night which is what I believe triggered the mixed state and is keeping it from resolving.

What do you do when you are in a mixed state or hypomanic? Also, what do you do when you have trouble sleeping through the night?

Shazerac · Apr 14, 2018 at 10:33 AM

Mixed states are hard to deal with. I don’t know what if any Meds you take. If you do ..do you have any Meds that you can take on an as needed basis when you’re having trouble sleeping?

Nammu · Apr 14, 2018 at 10:37 AM

For mixed states I see the doctor and get meds to deal with it, isn't any home remedy I know of.

RainyDay107 · Apr 14, 2018 at 10:38 AM

Mixed states are my predominant mood episode. Geodon and Lamictal help me the most, I think. And Klonopln, too. I hope you feel better.

Wild Coyote · Apr 14, 2018 at 11:06 AM

I hope you catch a break soon!

WC

madeleine3 · Apr 14, 2018 at 12:20 PM

When I'm in the middle of a mixed or hypomanic episode I call my doctor . She mainly increases the dose of my antipsychotic for sleep which is one of most important things when you are in a manic/hypomanic/mixed episode.
Did you get in touch with your psychiatrist? If you didn't I suggest you to see your doctor immediately.
I hope you recover as soon as possible

Ylba · Apr 17, 2018 at 02:55 AM

Thanks for your responses! I couldn't get in touch with my psychiatrist until today so I did a video appointment with a doctor through Amwell. He told me to take 2 25mg tablets of Benadryl. I tried it and it worked. He also told me I was going to bed too early (9:45) and told me that if I'm going to wake up between 5 and 6, I should go to bed at 11. Going to bed that late makes me a little uncomfortable.

I didn't want Benadryl to be a long term solution so I talked to my psychiatrist today and he prescribed Ambien. I started off with 1/2 tablet and woke up at 2 am. Tomorrow I'll try one tablet and see if that helps. I did go to bed around 9:30 tonight. If increasing the Ambien doesn't work then I'll take the doctor's suggestion and sleep at 11.

My mixed episode is calming down a little but I just don't feel great at all.

Ylba · Apr 17, 2018 at 02:56 AM

I also take Lamictal and added in Abilify.

Shazerac · Apr 17, 2018 at 12:01 PM

Quote:

Originally Posted by Ylba

Thanks for your responses! I couldn't get in touch with my psychiatrist until today so I did a video appointment with a doctor through Amwell. He told me to take 2 25mg tablets of Benadryl. I tried it and it worked. He also told me I was going to bed too early (9:45) and told me that if I'm going to wake up between 5 and 6, I should go to bed at 11. Going to bed that late makes me a little uncomfortable.

I didn't want Benadryl to be a long term solution so I talked to my psychiatrist today and he prescribed Ambien. I started off with 1/2 tablet and woke up at 2 am. Tomorrow I'll try one tablet and see if that helps. I did go to bed around 9:30 tonight. If increasing the Ambien doesn't work then I'll take the doctor's suggestion and sleep at 11.

My mixed episode is calming down a little but I just don't feel great at all.

I feel nervous about going to bed late too. But if I go to bed at 9:45 I wake up at like 4 to 6 in the morning. Then my husband freaks out thinking I’m getting hypomanic.

Nammu · Apr 17, 2018 at 12:26 PM

I'm glad you were able to get ahold of your doc, meds are godsend when it comes to mixed mood states and not sleeping.

Apr 17, 2018 at 01:40 PM

I’m already a sleepwalker as it is, so I’m leary of ambien.

I’m a fan of Benedryl, but AP works much better.

*Laurie* · Apr 17, 2018 at 02:07 PM

Quote:

Originally Posted by Ylba

Thanks for your responses! I couldn't get in touch with my psychiatrist until today so I did a video appointment with a doctor through Amwell. He told me to take 2 25mg tablets of Benadryl. I tried it and it worked. He also told me I was going to bed too early (9:45) and told me that if I'm going to wake up between 5 and 6, I should go to bed at 11. Going to bed that late makes me a little uncomfortable.

I didn't want Benadryl to be a long term solution so I talked to my psychiatrist today and he prescribed Ambien. I started off with 1/2 tablet and woke up at 2 am. Tomorrow I'll try one tablet and see if that helps. I did go to bed around 9:30 tonight. If increasing the Ambien doesn't work then I'll take the doctor's suggestion and sleep at 11.

My mixed episode is calming down a little but I just don't feel great at all.

11 p.m. to 5 or 6 a.m.? Wow, that's not very much sleep. I wouldn't be able to function on only 6 or 7 hours.

I'm glad the Benadryl worked for you. I'm curious - why do you want to be on Ambien, rather than Benadryl?

Wild Coyote · Apr 17, 2018 at 04:01 PM

I was a mess on Ambien, day and night. Could not take it.

Pdoc put me on temazepam. He claims Benadryl does not give quality sleep.

Temazepam is a benzo. It works well for me.

WC

Ylba · Apr 18, 2018 at 07:30 AM

Quote:

Originally Posted by *Laurie*

11 p.m. to 5 or 6 a.m.? Wow, that's not very much sleep. I wouldn't be able to function on only 6 or 7 hours.

I'm glad the Benadryl worked for you. I'm curious - why do you want to be on Ambien, rather than Benadryl?

I felt groggy all day after taking the Benadryl. It helped sleep through the night but being sleepy all day wasn't worth it. With the Ambien I took one tablet last night and slept through the night. I woke up in the middle of the night for a few seconds but fell right back to sleep.

Shazerac · Apr 19, 2018 at 12:04 PM

If the ambien works for you that’s great. I loved ambien but it didn’t work for me. I did some really weird things on it. So weird that I had to stop taking it.

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Bipolar II Mixed State / Hypomania

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Ylba Member Member Since Apr 2018 Location: US Posts: 118 6	Apr 14, 2018 at 09:57 AM #1 Hi, I've been undergoing a mixed state for the past few days with hypomania being more problematic. I keep waking up in the middle of the night which is what I believe triggered the mixed state and is keeping it from resolving. What do you do when you are in a mixed state or hypomanic? Also, what do you do when you have trouble sleeping through the night?
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Nammu Crone Member Since May 2010 Location: Some where between my inner mind and the solar system. Posts: 72,072 (SuperPoster!) 14 54.1k hugs given	Apr 14, 2018 at 10:37 AM #3 For mixed states I see the doctor and get meds to deal with it, isn't any home remedy I know of. __________________ *Nammu* …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann
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RainyDay107 Grand Member Member Since Feb 2017 Location: M Posts: 989 7 2,452 hugs given	Apr 14, 2018 at 10:38 AM #4 Mixed states are my predominant mood episode. Geodon and Lamictal help me the most, I think. And Klonopln, too. I hope you feel better.
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Wild Coyote Legendary Community Liaison Member Since Jun 2016 Location: USA Posts: 12,735 (SuperPoster!) 7 70.9k hugs given	Apr 14, 2018 at 11:06 AM #5 I hope you catch a break soon! WC __________________ May we each fully claim the courage to live from our hearts, to allow Love, Faith and Hope to enLighten our paths.
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madeleine3 New Member Member Since Apr 2018 Location: Earth Posts: 5 6	Apr 14, 2018 at 12:20 PM #6 When I'm in the middle of a mixed or hypomanic episode I call my doctor . She mainly increases the dose of my antipsychotic for sleep which is one of most important things when you are in a manic/hypomanic/mixed episode. Did you get in touch with your psychiatrist? If you didn't I suggest you to see your doctor immediately. I hope you recover as soon as possible
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Ylba Member Member Since Apr 2018 Location: US Posts: 118 6	Apr 17, 2018 at 02:56 AM #8 I also take Lamictal and added in Abilify.
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Nammu Crone Member Since May 2010 Location: Some where between my inner mind and the solar system. Posts: 72,072 (SuperPoster!) 14 54.1k hugs given	Apr 17, 2018 at 12:26 PM #10 I'm glad you were able to get ahold of your doc, meds are godsend when it comes to mixed mood states and not sleeping. __________________ *Nammu* …Beyond a wholesome discipline, be gentle with yourself. You are a child of the universe no less than the trees and the stars; you have a right to be here. …... Desiderata Max Ehrmann
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Anonymous45390 Guest Posts: n/a	Apr 17, 2018 at 01:40 PM #11 I’m already a sleepwalker as it is, so I’m leary of ambien. I’m a fan of Benedryl, but AP works much better.
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Wild Coyote Legendary Community Liaison Member Since Jun 2016 Location: USA Posts: 12,735 (SuperPoster!) 7 70.9k hugs given	Apr 17, 2018 at 04:01 PM #13 I was a mess on Ambien, day and night. Could not take it. Pdoc put me on temazepam. He claims Benadryl does not give quality sleep. Temazepam is a benzo. It works well for me. WC __________________ May we each fully claim the courage to live from our hearts, to allow Love, Faith and Hope to enLighten our paths.
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