Mixed Manic and Depressive Features
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Reviewed By:
Charles Carlson, DO, MS (Psychiatry)
Dr. Carlson graduated from Touro University in Nevada with a degree in osteopathic medicine. He then trained as a resident in Psychiatry at Case Western Reserve University/University Hospitals where he was also a chief resident and completed a fellowship in Public and Community Psychiatry. After training, he started practicing in | Addiction Psychiatry at the U.S. Department of Veterans Affairs where he also teaches Psychiatry residents.
Yu Shirai, MD (Psychiatry)
Dr. Shirai works at the Yotsuya Yui Clinic for mental health treatment for English and Portuguese-speaking patients. He treats a wide range of patients from neurodevelopmental disorders to dementia in children and participates in knowledge sharing through the Diversity Clinic.
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Content updated on Jan 4, 2023
About the symptom
This can be a mixed episode of bipolar disorder that includes a mixture of both manic symptoms and depressive symptoms. Manic symptoms may include some of the following: elevated, expansive or irritable mood, very high self esteem, more talkative or pressured speech, easily distracted, abrupt changes from one topic to another or racing thoughts, increased energy or goal directed activity, excessive involvement in pleasurable activities that have a high potential for painful consequences, and decreased need for sleep. Depressive symptoms may include depressed mood, changes in sleep, diminished interest or pleasure in most activities, low energy, low motivation, poor concentration, poor appetite, excessive guilt, thoughts of worthlessness, recurrent thoughts about death or suicide.
When to see a doctor
Seek professional care if you experience any of the following symptoms
Mixed manic and depressive features
Possible causes
- Bipolar disorder
A psychological disorder marked by extreme mood swings. The precise cause is unclear, but genetic and environmental factors contribute.
Questions your doctor may ask about this symptom
Your doctor may ask these questions to check for this symptom
Do you feel down/depressed at times but frustrated and/or impatient at other times?
Other Related Symptoms
Similar symptoms or complaints
Symptoms from the same body system / part
Symptoms treated by the same specialty
Reviewed By:
Charles Carlson, DO, MS (Psychiatry)
Dr. Carlson graduated from Touro University in Nevada with a degree in osteopathic medicine. He then trained as a resident in Psychiatry at Case Western Reserve University/University Hospitals where he was also a chief resident and completed a fellowship in Public and Community Psychiatry. After training, he started practicing in | Addiction Psychiatry at the U.S. Department of Veterans Affairs where he also teaches Psychiatry residents.
Yu Shirai, MD (Psychiatry)
Dr. Shirai works at the Yotsuya Yui Clinic for mental health treatment for English and Portuguese-speaking patients. He treats a wide range of patients from neurodevelopmental disorders to dementia in children and participates in knowledge sharing through the Diversity Clinic.
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Seiji Kanazawa, MD, PHD
Obstetrics and gynecology (OBGYN)
National Center for Child Health and Development, Japan