Episodes of bipolar disorder can combine depressive and manic symptoms (1, 2). Such episodes are associated with a worse overall course of illness (3, 4) and are more difficult to treat than episodes of depression or mania alone (5).
When both manic and depressive episodes are present?
Bipolar disorder is a mental health condition that's known for its periods of both mania and depression. The diagnosis for bipolar disorder requires at least one depressive and one manic or hypomanic episode.
Can you have mania and depression at the same time?
Dysphoric mania is when you have symptoms of depression and mania at the same time. It's sometimes called a "mixed state," "mixed mania," "mixed episode," or "mixed features." While experts used to think it was rare, they now realize it's common. About 40% of people with bipolar disorder have dysphoric mania at times.2 sept 2020