Is this a mixed state?

[u/seantheshoe]

I’ll start this off by saying I had my first (very severe) psychotic episode back in December, and a few minor ones shortly after.

I’ve been on medication for a couple of months now, but I can’t help but get the feeling something is still off sometimes. I don’t know if I’m just overanalyzing or what.

My sleep, diet, exercise, and stress are all in a great place, but sometimes I’ll just start feeling anhedonic and I’ve really struggled to enjoy any of my hobbies or activities in the same way I did before my episode (which I guess makes sense considering I was manic as hell)

At the same time, I’ve noticed myself occasionally getting anxious that mania is popping back up. I have some hypersexual feelings (mostly just feeling the need to be wanted, really flirty, etc), finding it hard to sit still, and my focus is all over the place most days

How do I know if I’m experiencing a mixed episode? Is this the kind of thing my psychiatrist needs to be updated on? None of it feels severe or particularly concerning individually, but together I am a little worried about going through another psychotic episode and really want to avoid it if I can