Mixed Manic and Depressive Features

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

Generally, Mixed manic and depressive features can be related to:

• Bipolar Disorder

  A disorder marked by extreme and persistent shifts in mood that last for weeks to months, from periods of sustained depression to periods of elevated mood and euphoria. The precise cause is unclear, but genetic and environmental factors contribute.

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

• Do you experience mood swings?

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