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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.





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