Posted by Phidippus on October 21, 2011, at 14:00:21
In reply to Mixed states/dsyhoric mania in Bipolar Disorder, posted by icu_baby on October 20, 2011, at 1:59:35
> I have been diagnosed with "mixed affective states". My psychiatrists told me that I was depressed with agitation and psychotic features.
Psychotic Major Depression can present with psychomotor agitation and psychotic features
> He also says that I don't have bipolar disorder, yet other psychiatrists state that it is a state in bipolar disorder. Is it a separate entity or part of bipolar 1 or 2?
PMD (psychotic major depression) is a unique diagnosis, but the condition can be comorbid with a bipolar diagnosis.
> I want to know what are the symptoms of a mixed state is precisely?
A mixed state presents with bipolar disorder and is marked by depression and mania occuring at the same time. Imagine getting really depressed, but at the same time having symptoms of mania: racing thoughts, distractability, pressured speech, etc. This is a dangerous state, as symptoms of rage and suicidiality can often come with it. DSM-IV defines a mixed state as meeting full criteria for a manic and a major depressive episode, for at least one week.
> The DSM only describes it as as symptoms of mania and depression occurring simultaneously. It does not give any detail of the symptoms.
Look up the DSM-IV citeria for a manic episode and then for major depressive episode - these symptoms combine to make up a mixed state.
> I have been researching the internet for months but I can't find any reliable sources as to what this state is.
I have had mixed states. Here are the symptoms I experienced: psychomotor agitation, feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick), diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others), recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide, flight of ideas or subjective experience that thoughts are racing, distractability, decreased need for sleep, Insomnia
Mania symptoms: http://www.biologicalunhappiness.com/ManiaDSM.htm
Major depressive episode:
> What are the correct symptoms of a mixed affective state/dysphoric mania in bipolar disorder and is it part of bipolar 1 or bipolar 2 or a separate diagnosis on its own?
See above - mix up symptoms from DSM-IV for manic episode with DSM-IV criteria for major depressive episode
I hope this helps