Mixed affective states
Symptoms of mixed affective states:
Also known as a mixed episode, the symptoms of both mania and depression are present together in addition to the following symptoms:
agitation- trouble sleeping
- significant change in appetite
- psychotic symptoms
- thoughts of suicide
Diagnosis of mixed affective states:
To diagnose a mixed affective state, patients should fulfill the symptom criteria for both major manic and depressive episodes, often exhibiting rapid alteration between, or a mixture of, these two states.
DSM-IV also adds that a diagnosis should include at least one of the following severe symptoms:
- psychotic features
- require hospitalisation to protect the patient or others
- impairs work, social, or personal functioning
