I came through the other side of my first experience with a "bipolar mixed state" and now have a fair handle on how different that feels for me than "dysphoric hypomania."
In both cases I have felt driven to do things. And Have been not so happy while I am super high energy. But there are definite differences
The day that I was the most frightened of my mental state was this past Friday. I for some idiotic reason did not manage to call the psychiatrist's office. I was afraid they would tell me there was nothing they could do I think. Not rational. Go figure.
So instead I raised my dose of lamotrigine. Monday I called to receive blessing of psychiatrist for my med change. Tuesday I received blessing and new prescription for 150mg lamotrigine every night.
Note: I am now so terrified of the effect that decreasing the venlafaxine had on me that I am following the advice of some random person who posted on the internet that the best way to avoid withdrawal symptoms was to...
"Count the number of beads inside a capsule and every day decrease by one bead."
Spouse caught me trying to count all the beads so I could count out all the beads minus one. So throughout the month that I am taking 3 pills of venlafaxine for a day, each day my dosage will decrease by some teeny tiny amount. This way I won't ever have a sudden drop of 37.5mg
current meds: 70mg venlafaxine - 2 beads, 450mg bupropion,
Quaker, teacher, parent,