Pt 1 What are the Symptoms of Bipolar Disorder Dysphoric Mania?

What is Dysphoric Mania?

Dysphoric mania, also known as agitated or mixed mania is a bipolar disorder mood swing that is often missed due to confusing symptoms.

Dysphoric mania is the opposite of euphoric mania- it’s still a chemically elevated (in terms of energy) mood- but it has none of the good feelings associated with euphoric mania.  Dysphoric mania is very confusing for the person in the mood swing.  The anger can be so quick and so real.

I am angry at you for many things! I’m just angry! Leave me alone. Stop bugging me!

I don’t have a problem. Why don’t you look at yourself! You are the one with the  problem! It can’t always be me. You’ve been getting on my case about this for years. In fact, just last month on the 21st I remember that you said something about my behavior.

I’ve changed. My eyes are open and what I thought I wanted isn’t good enough. I want out. I couldn’t tell you this before because I didn’t know I was so unhappy.

Why do you always want to change me? Can’t you just see that this is who I am and your snooping into my life is just making me want out more than ever.

I’m going to #$%#$% rip the sink out of this #$%#$% wall if you don’t get the #$%#$ out of this kitchen. I hate you! I hate everyone in my #$%#^@#  life!

Part 2 of this blog has a bipolar disorder dysphoric manic checklist!  You can visit my Facebook page at Julie A. Fast and read more comments on this post.



Here is a question from Maddie about the above blog:

Hi Julie,

Right now I’m so p.o’d with everyon, even if I don’t want to be and I know I shouldn’t. But omg! I want to say I feel a little psychotic depressive (if its possible to only be a little psychotic) hallucinations, constant anxiety and fear, thoughts of killing (myself and others even though I don’t feel like acting upon them) I imagine my wrists slit open or see myself get hit by a bus, etc. I feel like every person I pass is watching me and is going to do something. Its so bad -does this sound like bipolar psychosis? I am bipolar (not officially so I can’t say if bipolar I or bipolar II etc.)



Hi Maddie,

When I’m pissed off at EVERYONE it tends to be bipolar disorder. It’s pretty hard to be mad at the world- there are usually a few good people who don’t deserve our anger! This is usually anxiety or a mixed episode for me- also called dysphoric mania. You can use your sleep as a guide- if you see significant changes in your sleep, it’s usually mania. If you have trouble sleeping due to restless thoughts- but can still sleep, it’s usually anxiety. Also, what are the possible triggers. I just wrote my latest column for BP Magazine and it’s about giving up the triggers that make us sick, even if we like the triggers!

What you describe 100% sounds like stress psychosis. I get it when life is too hectic- such as when I have to speak in front of a big crowd or I’m in a situation I can’t control. I always called the hallucinations where I saw myself get killed- ‘death images.’ Then I realized it was psychosis. Homicidal thoughts are common too- wanting to kill someone out of anger is a scary feeling. The thinking that people are watching you is typical paranoia. If you are experiencing this with depression, then it could be bipolar. But the only way you can have bipolar is if you have had an obvious hypomanic or manic episode.  You can look on my blog subject menu for more information on psychosis and mania. I definitely suggest you go see someone for an evaluation. Psychosis is not super common, so something is going on with your brain that can be fixed! If you want to find out a more general description of bipolar disorder, my book Take Charge of Bipolar Disorder is the best option. I suggest you see if you fit the symptoms for bipolar II and then go get some help. There is no way you want to live like this- and I know from personal experience that you can get a LOT better. Julie

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Accepting New Family and Partner Coaching Clients

b fatherWriting books on bipolar disorder has been my career for over ten years. I enjoy writing and plan to do a lot more. (It can be a challenge when the mood swings are paying a visit, that’s for sure.)

Over four years ago, I started coaching partners and family members of people with bipolar disorder as an addition to my writing career.

I never, ever thought I would find work that I enjoy as much as I enjoy coaching. I feel at home with the parents and partners as I have been where they are- and I remain calm during the crises that many of my clients are going through while we are working together. Bipolar disorder is like a puzzle. It’s not always easy to find the right pieces on your own. It helps to have a coach as a guide.

My coaching practice has room for new clients. I take new clients about once a month-and then help them as best I can. It’s a partnership that saves relationships and often lives.

Coaching is not for everyone, but if you are concerned about your relationship with a person with bipolar disorder, it may be a good fit for you. The following link will tell you more. I look forward to talking.

Julie Fast Family and Partner Coaching


Quick help for Bipolar Disorder Symptoms

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Three Tips to Get Things Done When You Have Bipolar Disorder

get it done picBipolar Disorder Management tips: How I get things done! I find it amazing that on some days I can look at my bills and other ‘to do’ items and just sit down and get them done without over-thinking things! Then there are days where just the idea of paying bills or answering email is so overwhelming I simply shut down. This is one bipolar disorder symptom that is very hard to explain, but it’s very real and needs to be addressed. Here are some tips:

1. HIRE SOMEONE TO HELP YOU MAKE MONEY. If you are missing money making opportunities because of feeling overwhelmed, it makes total sense to hire someone who helps you bring the money into your life. The cost of the person you hire comes directly out of the money you make. I’ve found that I lose money when I don’t have a manager.  My manager Tamia often just sits next to me while I work and makes sure I stay on track, especially on the tough days when my brain feels like mush.

2.  READ GET IT DONE WHEN YOU’RE DEPRESSED:  I love this book as it’s not about managing depression- it’s about working even though you have depression. It also works well for anxiety and ADD symptoms.  The 50 strategies in the book are the ones I use daily to keep myself focused.

3.  SPEND MONEY IF YOU HAVE IT: A clean house completely changes your ability to get things done. If you have the money, hire someone to clean your house,  do the gardening, make your meals or anything else that you can easily hand off to someone who does a great job. I find that people who have money tend to beat themselves up over not getting things done when it’s so simple to hire someone to do the basics! People with bipolar disorder do have money.

These are a few out of the ordinary ways to get things done on the tough days!


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What are the Signs of Bipolar Disorder Euphoric Mania?

happy mania mangaAs you may know,  I’m a bipolar coach and I specialize in working with parents and partners who have a loved one with bipolar disorder.  One of the most common questions I receive is from parents and partners about how they can better recognize mania. Here are some tips on how to recognize euphoric mania. (I will do a post on how to recognize dysphoric mania in the next few days.) If you’re not sure of the difference between the two, please use the search button to the right of the page and either type in euphoric or dysphoric to read more about the two types of mania.

Mania is a “Euphoric” high. You feel like you can do no wrong, you feel great, you’re invincible, you can’t believe you’ve ever been depressed.  You are sure you will never be depressed again! Life is good!

You think: This is the best drug in the world and it’s free!

This leads you to spend money recklessly, make big decisions at the spur of the moment and always feel that things will somehow work out. In fact, if you’re really manic, you’re not thinking realistically at all. It’s just pure physical sensation.  I say it’s like you’ve been coated in joy juice.

Euphoric mania is awesome at the beginning- when it’s in the hypomanic phase.

For those who are naturally outgoing and good speakers, the early signs of euphoric mania are usually missed. But when you know what to look for, you can see the mania signs in yourself or your loved one.  If someone is usually more reserved, you will really notice when the mania starts!

Here are three way to recognize euphoric mania:

1.  Look for pressured speech: Most people in a bipolar euphoric manic episode won’t let you talk. They only want to talk about themselves and their ideas. You are just a listening vehicle.  When I get manic, it feels like my ideas and words are pressing on the back of my teeth and I just HAVE TO GET THEM OUT! It feels so good!

2.  Sleep changes: All people who are experiencing mania will need less sleep. When I’m manic, I have thoughts such as Sleep is such a waste of time!  It’s 3 AM and I’m still awake, I don’t think I even need to sleep tonight!  or It’s so great to finally get things done- this is the real me! People who are manic do not have insomnia. It’s truly a situation where the person doesn’t need the sleep and can get by on 4-6 hours a night. When mania goes full blown, some people go for weeks without sleeping.  I always know I’m manic if I feel the desire to go out and party even though it’s time for bed.

3. People who are in a euphoric mania mood swing are very goal driven. Projects that may have been dormant for years get done in a few hours- it’s easy to clean the house, pay the bills, do your taxes, make jewelry, complete to do lists and so much more! When I’m manic like this, I become very crafty and start so many projects there is no way they will get finished- unless I stay manic for a long time.

If you care about someone with bipolar disorder and are not quite sure when they are starting to get euphoric mania, observe how much they are talking about themselves and their dreams and projects. And definitely check out their rate of speech.  That will give you a clue and you can go from there.


PS.  I’m up to date with my waiting list and have a few openings come up in my coaching practice. If you are a parent or a partner of someone with bipolar disorder and you are in crisis, need help and information regarding your relationship, this coaching is for you.  To begin the process, please check out my coaching page and fill out an intake. I will reply with information on how to set up an intake call. During the call, I will hear more of your story, explain my rates and offer ideas on how we can best work together. The call is 30 minutes and at no charge.  Knowing how to handle a situation can change your life.  Please note my coaching is only for parents and partners. Thank you!


Bipolar Disorder and Quitting

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