Call it dysphoric mania, agitated depression, or a mixed state: nobody will understand anyway. Mania and depression at once mean the will to die and the motivation to make it happen. This is why mixed states are the most dangerous periods of mood disorders. Fearfulness and racing thoughts happen. So do agitation and guilt, fatigue and morbidity and dread. Walking late at night, trying to get murdered, happens. Trying to explain a bipolar mixed state is like trying to explain the Holy Trinity, three persons in one God: you just have to take it on faith when I tell you that the poles bend, cross, never snapping.

— Elissa Washuta

That's it: watch your moods. Don't let people see you fluctuate. Don't let yourself run your mouth. Never ever cry, even alone, because your cat or your kettle might tell. Always smile, but don't laugh loudly. Mania is an extrovert, but if you need to vent, tell your mattress or maybe your therapist, but put nothing in writing and never tell a friend or coworker how you're really feeling. Downplay any problem or joy. Pay attention to any signs that your life is shitty or excellent, because either is an illusion. Be careful around men, especially ones with big arms or opinions. Stop talking.

— Elissa Washuta