bipolar parent

My Experiences with Mixed Mood States and How I Handle Them

This post appeared on the International Bipolar Foundation’s (IBPF) website, here. Graphics from the International Bipolar Foundation.

[Id: A blue graphic with two men in blue shirts high fiving over a woman in a blue shirt. The graphic says “3 Ways to Manage Mixed Mood States.”]

If you have bipolar disorder, it’s likely you’ve experienced some symptoms of mania while you’ve suffered depression, or vice versa, and believe me: it’s miserable.

This awful set of feelings is colloquially called a mixed episode or a mixed mood state, and they are common in people with bipolar disorder. Half or more of people with bipolar disorder deal with mixed episodes, and I am one of them.

Just because I suffer mixed episodes, however, doesn’t mean I don’t have “pure” episodes of depression or mania–I have those, too, and they are also detrimental to my mental, physical, and emotional health.

But there’s something about a mixed episode that’s just doubly bad.

Six days after the birth of my first child at 22, I suffered an intense mixed episode with psychotic features and committed myself to a mental hospital, where I earned a diagnosis of Bipolar Disorder I.

I was constantly on the move, hadn’t slept in a week, and ate very little food or drink other than chocolate milk. I made to-do lists of over 100 items each and filled up brand new journal in a few days. I spoke so rapidly that no one could understand me, and flitted from topic to topic like a hummingbird, frustrated and irritable.

These are all symptoms of–and in the case of the lack of sleep, precursors to–mania. But I also suffered symptoms of depression: I cried constantly, felt an overwhelming dread that awful things were happening to my newborn, and vacillated between absolute euphoria and crushing despair.

Any setback destroyed me. Something as simple as not being able to eat my condiment of choice on my meal was a cause for sobbing dejection. And I fixated on my feelings of guilt, anxiety, and low self-worth.

My mixed mood state nearly got the best of me. When I wasn’t bursting with energy, I was exhausted. Angry outbursts from me were common, and my mind raced so much, I couldn’t get to sleep easily.

Fortunately, I was given proper medication in the hospital that stabilized me. Since then, I’ve faithfully taken my meds at morning and night, and I haven’t yet experienced a mood episode that terrible again.

I have, however, suffered less intense mixed episodes since my stay in the hospital. The symptoms–irritability, inability to focus, vacillation between euphoria and despair–are similar.

But I don’t allow them to control me anymore.

3 Ways I Handle Mixed Mood States

I handle mixed mood states in the same way I handle “pure” manic episodes: once I realize what’s going on, I ensure I’m taking steps to get out of the mood state.

Here are three ways I do that:

[Id: A graphic of a man lying down with words that say, “I prioritize sleep. With mania, I frequently don’t need sleep–or, at least, that’s the lie that my brain tells my body. When I’m in a manic or mixed mood episode, I need sleep even more so than when I’m not, so I practice good sleep hygiene and force myself to lie down with my eyes closed until I’m out. Taking a hot bath right before bed also helps. Sometimes medication is involved in my sleep, which brings me to my next point…”]
[Id: A woman in a blue hijab speaking with a man and another woman with the words, “I inform my treatment team about my current struggles. My treatment team–my therapist, psychiatrist, and yes, even my husband–needs to know I’m experiencing a mood episode before they can help me. First, I tell my husband, as he’s the closest to me and is most likely to be adversely affected by my mood episode. Next, if the mood episode is truly terrible and I need to adjust my medication, I phone my psychiatrist and take his advice. After that, I make an appointment with my therapist to process the issues that cropped up during the episode.”]
[Id: A man and a woman standing next to a woman seated at a desk with a computer monitor with the words, “I pare down my to-do list. One of my manifestations of mania is to be insanely productive. But the more I accomplish, the more wound up I get, and therefore I accomplish even more, getting more wound up… It’s a vicious cycle. So when I recognize that I’m manic, rather than riding the high and getting a ton done, I scale back on my to-do list. I force myself to slow down and only get done what is absolutely vital. Slowing my brain down and deliberately paying attention to detail helps me conquer a manic or mixed mood episode.”]

Final Thoughts

My experience with mixed mood states has been awful. They’re like a manic episode turned up to eleven with all the worst parts of depression bogging me down.

When I’m suffering a mixed mood episode, I’m irritable, euphoric, and despairing. I can’t focus and I can’t sleep easily.

But the way I handle those states is similar to the way I handle manic episodes: I prioritize sleep, let my treatment team know and take their advice, and pare down my to-do list.

If you find yourself in a mixed state, prioritize sleep. Force yourself to lie down and close your eyes; try to slow your brain down as much as you can so your thoughts don’t run away with you. And don’t forget to take your medication!

You can survive a mixed mood state and even thrive afterwards. I wish you well in your journey.

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bipolar parent

The Bipolar Parent’s Saturday Morning Mental Health Check In: Sleep Edition

Hello! Welcome to The Bipolar Parent’s Saturday Morning Mental Health Check In: Sleep Edition!

How are you? How have you been sleeping? Well, I hope! How’s your holiday planning going? If you have kids, how are they? How has your week been? Please tell me! I really do want to get to know all of you.

saturday-morning-check-in-bipolar-parent-sleep-edition-pin.jpg

My Hellish Week of No Sleep

Well, last week was good, but this one started off on the wrong foot and stayed awful. Last Saturday night, I stayed up late messing around on the internet and inhaling articles about how to grow my blog traffic. Quickly becoming obsessed with making my own website (which I did eventually–it’s coming soon!), I realized I needed to sleep, and shut my laptop at 10:35pm. Then I laid awake in bed until 3am with my mind spinning. I ended up having to take a sleep aid, which I loathe. I wasn’t able to wake up at 7am to hang out with my son, as I’d promised him the night before. He seemed to understand, but I hate disappointing him.

That lack of sleep a set the tone for the rest of the day (and week). I was irritable, still obsessed with my blog, and tired. I couldn’t sleep during the rest of the week, either. By Wednesday, I’d had enough. I took a two-hour nap while my preschooler was making Christmas artwork at school, and felt loads better–during the day, at least. At night, I stayed awake until 2am. Ugh.

On Thursday, I attended both a psychiatry appointment and a therapy session, which always help me re-center myself. My psychiatrist and I decided not to adjust my meds and to meet in three months. My therapist suggested that I take the sleep aid at 10pm for the next few days, so I’ll be asleep by 11pm when it kicks in. On Thursday night, I took the sleep aid at 8pm, fell asleep by 9pm, and slept for 12 hours. Friday morning, I was still tired and groggy, but feeling less manic.

I’m still obsessed with growing my blog, but the frantic, urgent nature of the obsession is blunted. I hope I’ll be able to better manage the work/life/mom balance in the future. Wish me luck, and thanks for reading.

Uncategorized

The Bipolar Parent’s Saturday Morning Mental Health Check In: Sleep Edition

Hello! Welcome to The Bipolar Parent’s Saturday Morning Mental Health Check In: Sleep Edition!

How are you? How have you been sleeping? Well, I hope! How’s your holiday planning going? If you have kids, how are they? How has your week been? Please tell me! I really do want to get to know all of you.

The Bipolar Parent's Saturday Morning Check In: Sleep Edition - How are you? I'd like to get to know you, so please stop by!

My Hellish Week of No Sleep

Well, last week was good, but this one started off on the wrong foot and stayed awful. Last Saturday night, I stayed up late messing around on the internet and inhaling articles about how to grow my blog traffic. Quickly becoming obsessed with making my own website (which I did eventually–it’s coming soon!), I realized I needed to sleep, and shut my laptop at 10:35pm. Then I laid awake in bed until 3am with my mind spinning. I ended up having to take a sleep aid, which I loathe. I wasn’t able to wake up at 7am to hang out with my son, as I’d promised him the night before. He seemed to understand, but I hate disappointing him.

That lack of sleep a set the tone for the rest of the day (and week). I was irritable, still obsessed with my blog, and tired. I couldn’t sleep during the rest of the week, either. By Wednesday, I’d had enough. I took a two-hour nap while my preschooler was making Christmas artwork at school, and felt loads better–during the day, at least. At night, I stayed awake until 2am. Ugh.

On Thursday, I attended both a psychiatry appointment and a therapy session, which always help me re-center myself. My psychiatrist and I decided not to adjust my meds and to meet in three months. My therapist suggested that I take the sleep aid at 10pm for the next few days, so I’ll be asleep by 11pm when it kicks in. On Thursday night, I took the sleep aid at 8pm, fell asleep by 9pm, and slept for 12 hours. Friday morning, I was still tired and groggy, but feeling less manic.

I’m still obsessed with growing my blog, but the frantic, urgent nature of the obsession is blunted. I hope I’ll be able to better manage the work/life/mom balance in the future. Wish me luck, and thanks for reading.