@thejourneywithin.therapy: mixed features are one reason bipolar disorder can look even more confusing from the outside, than it already does! because people expect depression to look slow. they expect mania to look energized, confident, euphoric, or productive. but sometimes the person is activated and miserable at the same time. racing thoughts. agitation. restlessness. less sleep. impulsivity. hopelessness. shame. darkness. feeling like their brain will not slow down. what makes diagnosis tricky? under the dsm-5 guidelines, you don’t diagnose a mixed episode. you apply it to a current episode (manic/hypo/depressive episode) as a specifier, ‘with mixed features.’ so you need to meet full criteria for one mood state while exhibiting at least 3 symptoms of the opposite pole, at the same time. mixed features matter because they can affect risk, functioning, treatment planning, and the way someone understands what’s happening to them. mood symptoms don’t always show up in the neat little boxes people expect. ✨just thoughts, not therapy✨ 🪴content is for educational purposes and is not medical advice, diagnosis, or treatment. ——— 🍋 book a free 15-minute consultation 🍋 free 5-page guide to psychosis **all linked in my bio on IG: the.journey.within ** | bipolar disorder, cyclothymia, mixed features, smi, California virtual therapy, ca virtual therapy, 92646, Orange County, Huntington Beach, 94102, San Francisco, 90025, west Los Angeles, west la | #bipolardisorder #MoodSwings #mania #depression

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Wednesday 17 June 2026 23:31:35 GMT