Ask a Bipolar – What is a mixed mood in bipolar disorder?
As one of the Burble’s commenters mentioned, there seems to be a lack of good information on mixed moods available. After some Googling, I would tend to agree. While mixed mood episodes are pretty common for us bipolar folk, few people seem to be discussing it.
This is the beginning of a four-part series on mixed moods in bipolar disorder:
Mixed Mood Episodes in Bipolar Type I
Mixed Mood Episodes in Bipolar Type II
Changes to Mixed Mood Episode Diagnosis in the Revision of the DSM
Sometimes writing for a living drives me bonkers. Basically, I have to be brilliant on-command. And seriously. That’s hard.
You. Write. Be brilliant. Now!
It’s a lot of work for me. My brilliance gets tired and bogged down in the bits of my job I don’t like doing.
However, then I’m reminded there are many wonderful things about my job. Specifically, I get to learn new things, every day, all the time. While others work at real jobs I spend all day looking up facts and studies and learning things I didn’t know when I woke up.
I love that stuff.
3 Things I’ve Learned About Mental Health
So, I’m creating a weekly feature by sincerely flattering Jane Friedman and stealing her idea. (Jane writes Three Happy Things about writing once a week. Go check her out.) I’m not sure they will be three happy things, exactly, but I will be sharing three new things about mental health I’ve learned each week.
This will give me a chance to share smaller details that don’t make it into a full blog post, pimp the resources I like and otherwise share my knowledge.
I don’t want to say something “good” came out of my friend’s suicide attempt because I think that diminishes his personal experience. But maybe others have been helped. And that is thanks to him. Thanks to his honesty and bravery in speaking about his suicide attempt. I’m honored to know him.
Custom Moods / Variables I Use to Improve Mood Tracking
As I mentioned, the difficult a case you are, and boy am I difficult, the more challenging the patterns can be to find. This is why I’ve included these extra variables. Custom moods / variables include:
Obviously, the simplest form of mood tracking is just recording depression and mania on a scale, say, of one-to-ten. You could use a “paper” and “pencil” (look it up on Wikipedia).
You might still notice mood trends but that type of mood tracking is not nearly as helpful as it could be. And the more complicated your case, the more you already know, the more subtle your shifts may be and the less you’ll see using simple methods.
Most doctors (mostly psychiatrists) will ask you to track your mood if you have a mood disorder like bipolar disorder or depression. And while most people (psychiatrists and patients) would agree mood tracking is good, most people would also admit to not doing it.
I understand why mood tracking doesn’t get done. It’s like a homework assignment when you’re already working full-time. You just happen to be working full-time at being crazy. Homework tends to get left in the book bag.
However, there are easy, painless, simple ways to track your mood that can offer real benefits. Sixty seconds a day. Promise.
If you’ve been around for the last couple of weeks either at the Burble or at Breaking Bipolar, you know it’s been pretty much all suicide all the time. And there will probably be more to come on suicide as it’s an awfully big topic.
But if you think you know the warning signs for a suicide attempt you’re probably wrong, at least according to a study out of Florida. For example, fewer than 1-in-10 people leave suicide notes and fewer than one-third of people have persistent thoughts of suicide before their suicide attempt.
As I mentioned, a friend of mine attempted suicide last Friday. His life was saved by his friends, the police and hospital staff. I’m grateful his suicide attempt was not successful.
But one of the oddest things about this scenario is after the suicide attempt he was not hospitalized. The hospital stabilized and released him. Just like that. No psychiatric hold. No psychiatric treatment. Nothing.
I’m working on my first ebook. It’s going to be about building a relationship with your doctor. Essentially, it’s about getting what you, the patient, need from the person behind the prescription pad.
Why Write About Doctor-Patient Communication?
I’m writing this book because of the plethora of mental health questions I get on the subject. I believe people with bipolar disorder, depression and other mental illnesses don’t get optimal care due to dysfunctional medical relationships. This is not necessarily the fault of the doctor / psychiatrist or the patient. It just means the relationship isn’t as good as it could be. Think of it like couples counseling between doctor and patient.
Why doctors start antipsychotics in the psych ward—and what it means for your rights. Get the 2025 list of FDA-approved add-ons, real-world risks, and must-ask questions for before and after discharge.
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