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Living in a Mixed State

mixedYou thought depression was tough. You thought mania was exhausting. Well, get ready for something really awful — the mixed state. Depression and mania mingle to produce an excruciating, unending, torturous feeling.

The mixed state has got to be the worst feature of bipolar illness. You feel both hopeless and electrified at once. One’s body and mind do not know how to process the mixture. One is miserable, and one is also miserable to live with. You’re moving so fast mentally that you have no patience, zero tolerance for anything. If any little thing goes wrong, you fly off the handle and never seem to find your equilibrium again.

Since I’ve been in this mixed state, I’ve developed an awful habit of cussing. I’ve been swearing like a sailor. And mean! The mixed state can make you mean. You can’t help it. You feel so terrible, so pulled at both ends. You feel like you might snap in half at any minute.

I got this way because my psychiatrist took me off my antidepressants. He noticed that I was not depressed anymore, and he decided to do away with the drugs. I went off both Cymbalta and Imipramine. Those little pills had kept me stable. When I was on them, I didn’t have a cussing problem. I was calm, happy; I rarely got angry. Going off of them has destabilized me, my psychiatrist says. My body is trying to compensate for their disappearance. My body doesn’t know whether it’s up or down.

The positive side is that I’m incredibly productive. I’ve been writing at least one article a day for the past several weeks. For a writer, this mixed state can be seen as a boon. The energy in the mind seeps out and onto the page. In fact, only when I’m writing do I feel normal. I guess this is because I’m channeling the excessive good and bad energy into something relatively concrete.

Although living with this strange mental state is difficult, the people I feel sorry for are my family members. They never know when I’m going to burst into tears or wet my pants from laughing uncontrollably. My son has begun to eye me suspiciously, like he doesn’t really know who I am anymore.

Thank God they love me. And thank God I’ve got some good credit built up with them. All those years I was stable on medication that I (and they) could depend on has made them trust me. They’re just waiting for the old me to return.

The worst part is that my psychiatrist won’t do a thing to get me out of this mess. He says he’s waiting for me to stabilize, whatever that means. I think it means he’s waiting for me to leave this mixed state, for he can’t do anything while I’m in it. If he gives me antidepressants for the depression I’m feeling, he’ll boost the existing mania. If he gives me anti-mania medication, he’ll dampen my mood and might make me even more depressed. So I have to just wait this out. I do find a bit of relief from an occasional Lorazepam. I pop one of these at night to help me sleep.

Focus on the positive. Focus on the positive.

I did get an interesting blog post out of my horrendous condition. It’s a bit self-reflexive. A self-reflexive blog post is better than no blog post at all. Right?

Mixed Mood image via Shutterstock.

Living in a Mixed State

Laura Yeager

Laura Yeager has been writing for over 35 years. Some of her favorite topics include mental health, writing, religion, parenthood, dogs, and her day-to-day life. She is a mental health writer for Her articles about writing have appeared in The Writer Magazine, The Toastmaster Magazine, and Her spiritual writing has been featured in several venues including Aleteia USA, Busted Halo, The Liguorian Magazine, Canticle Magazine and Guideposts Magazine. A graduate of The Writers' Workshop at The University of Iowa, Laura teaches writing at Kent State University and online Creative Writing at Gotham Writers' Workshop in New York.

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APA Reference
Yeager, L. (2018). Living in a Mixed State. Psych Central. Retrieved on October 30, 2020, from
Scientifically Reviewed
Last updated: 8 Jul 2018 (Originally: 13 Apr 2016)
Last reviewed: By a member of our scientific advisory board on 8 Jul 2018
Published on Psych All rights reserved.