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Does anyone know of a good med that squashes mixed states? My sleep has been dwindling to 2-4 hours a night, I am crawling out of my skin, irritable, anxious, and depressed. I saw my pdoc today (he recently put me back on lithium after an uninformed doctor took me off of it) and gave me the script for the blood test to check my lithium levels. In the corner I saw a code and didn't know what it was, so I googled it -- it apparently means "Bipolar I, mixed state, severe, without psychosis." I didn't think I presented THAT badly to him, but apparently my judgment is off right now. Maybe. i dunno. Is lithium good for mixed states? What will get me out of this hellhole fastest? Any personal anecdotes for what worked best for you?