Mixed Manic and Depressive Features

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Medically Reviewed By:

Charles Carlson

Charles Carlson, DO, MS

Psychiatry

Yu Shirai

Yu Shirai, MD

Psychiatry

From our team of 50+ doctors

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Content updated on Sep 6, 2022

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 characterized by extreme mood swings. The exact cause is unclear, though genetic and environmental factors play a role.

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?

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Medically Reviewed By:

Yu Shirai

Yu Shirai, MD

Psychiatry

From our team of 50+ doctors

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Developed by doctors.

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