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Re: Classifying manias linkadge

Posted by undopaminergic on December 9, 2019, at 4:07:26

In reply to Re: Classifying manias undopaminergic, posted by linkadge on December 4, 2019, at 18:57:24

> Hi,
>
> If it was a suicide attempt then this could be a mixed state. I could be wrong, but I don't know how many suicide attempts occur during a hypomanic episode (unless it was dysphoric mania or mixed mania).
>
> I've read that mixed states can be particularly risky suicide wise.
>

That is absolutely true. The depressive aspects of a mixed state lead you to want to kill yourself, while the manic aspects give you the energy to do so.

In my case, it wasn't a suicide attempt. I merely wanted to sleep for a long time (maybe a few days), but instead I did stupid things and ended up in the hospital, with no memory from how I got there.

I wanted to sleep off my rage with the help of the clonazepam. I was angry for reasons to do with a delusion, and in my rage I vandalised my apartment, before I decided on a lengthy sleep.

> Analyzing what happened there is REALLY important. It may not be possible for us to accurately diagnose this (pathology doesn't always recognize pathology).
>

There are difficulties diagnosing certain states while you're in them. Eg. a paranoid psychotic episode. With manias it is easier, but you tend not to understand that there is something wrong about it -- you feel so good, so how can anything be wrong?

> Yesterday, I stopped my lithium and slept better than I have in a LONG time (no nasty morning waking). So go figure.
>

I would have thought that, if anything, lithium would be good for sleep.

-undopaminergic


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