Posted by B2chica on November 9, 2011, at 9:19:38
In reply to Re: Bipolarity-Specifier Criteria......NEW, posted by icu_baby on November 3, 2011, at 23:43:22
as of right now i think this includes mixed episode.
i don't know if id say inaccurate as much as i would say incomplete. but for two reasons #1 i feel they don't include all they should, and also include things that could dispel a persons episodes thus making the assumption on an individual then getting wrong medication. and also because that is what the article was stating.
From my personal experience i can tell you how my 'mixed' episode presents itself, however i will include all my symptoms but not all symptoms occur at every episode.
mine normally start with some mild (very mild) euphoria some would consider it to just be high functioning, however that quickly turns to anger, sometimes rage, or severe agitation then it directs inward. becoming physical, almost shaking like inside.
when this is inward i have racing thoughts so badly that i cannot concentrate on one single item, its like my head is filled with words and descriptions but they are bottlenecked and cannot come out, or at least not in the right order. i talk fast but jump topics like their hurdles.
i have literal temper tantrums where for a little while i lash out at everyone around me, hit a wall or throw something.
Very agitated about everyone and every thing.
Often with either insomnia or hypersomnia
i used to cut or bruise myself.
Then sometimes it would get ugly, i could hear an inner voice echoing my thoughts, or what i'm doing, sometimes telling me to do harming things, these also play out as dares to myself, or obsessive thoughts on the activity, also to do dangerous things (example jump of into large rocks), road rage, walk across a busy street at a leisurely pace. and once i was tired of fighting voices that told me i had to cut off my left hand. i tried it and luckily the blood ended me 'snapping out of it' and wound up at the ER that night.
i can hear and see things but they are not TRUE hallucinations (at least the way they've been explained to me). they are more illusions as they are hidden within other sounds.MIxed Episodes have also been explained to me as having both manic and depressive episode?? but to me that sounds more like rapid cycling? and whats the difference? i don't rightly know.
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so to me i think they leave a lot out of whats there right now. or have things in that i wish they didn't.
for example, i like that they are now changing to 'no min duration of symptoms. As even though mine normally last a period of time, there have been times that mine only lasted 3-5 days. i've even had a 2 day episode and by rights that excluded me in the past.and as of now i would fit quite well. and since that's what my pdoc and T had suspected, it makes things more clear and meds action more clear.
i also like that they added that its an 'observable change in behavior' as sometimes i think I'm having episode but others don't really see a change in me.
poster:B2chica
thread:1000278
URL: http://www.dr-bob.org/babble/20111027/msgs/1002011.html