Apparently there’s a strange place on the bipolar spectrum called a “mixed state,” in which mania and depression meet and collide. In a mixed state, you have all the relentless, agitated drive of mania, but none of the euphoria. Instead, you feel depression’s misery and self-loathing. It’s the most dangerous condition possible, the one in which the most suicides occur. No longer protected by depression’s inertia, you now have the ability to act upon your despair.
