Patients that exhibit mixed episodes of bipolar disorder (symptoms of mania and depression concurrently):

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Patients with mixed episodes of bipolar disorder typically have an earlier onset than other types of the disorder. This can make the disorder more challenging to diagnose and treat. Additionally, these individuals often experience more severe symptoms and have a higher risk of suicidal behavior. They are also more likely to be hospitalized for their symptoms. While prognosis varies for each individual, mixed episodes generally indicate a more severe form of bipolar disorder.

Patients That Exhibit Mixed Episodes of Bipolar Disorder (Symptoms of Mania