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For instance, hypomania, which is a mild form of mania characterized by enviable productivity, can lead to what is called a "mixed state," in which the bipolar individual is both miserable and energetic enough to do something about it.
Before L had found an effective combination of meds, she drove halfway across the country in a mixed state, buying expensive clothes and jewelry for herself, with the goal of committing suicide when she reached California.
Somewhere in the Midwest, without telling the kids or his employer or anyone else where he was going, he simply got out at a gas station and walked away. Her condition was rooted in a childhood depression that began when her father died suddenly of stomach cancer. Then came her diagnosis, and years of experimenting with different psychiatric drugs until her doctors found the magic combination.
At eighteen, she enrolled in the Ivy League university she'd dreamt of attending since childhood, and within a semester, was incapacitated by depression; she dropped out and returned to L. Sidelined for years, she was finally looking forward again: doing PR for a record label and working part-time toward her bachelor's degree. When I looked at Sara, I felt inspiration, not pity.
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From a distance, I'd seen how much energy it took Nyla to keep her episodes under control: weekly doctor's visits, blood tests, complicated regimens of medications.
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